HomeMy WebLinkAbout2000-P02460 - plumbing � PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P02460
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(612) 249-4600 Date Issued: sit6ioo
SITE ADDRESS: 2775 DEER RUN TR E
LONG LAKE, MN 55356
P I D: 04-117-23-13-0015
DESCRIPTION:
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PTO]�OSeC�USe: nc�iuciiiiai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Single Family
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 225.00 Valuation: $ 18,000.00
State Surcharge Fee: $ 9.00
TOTAL FEE: $ 234.00
APPLICANT: ACE PLUMBiN� iNc OWNER: �EFF P�us
12035 257TH AVE 6551 ORCHID LA N
ZIMMERMAN, MN 55398 MAPLE GROVE,MN 55311
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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�APPLICANT PERMITEE SIGNATURE �T' UED BY SIGNATURE �j
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Copies: City, Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing pemuts may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a separate building pemut must be obtained.
5. All work must be done in accordance with the State Code requirements.
6: All work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: � New Addition Repair Replace
Residential Commercial
JOB SIT`E: 7 7.� ��r��.� T�' � Zip:
Owner's Name: .�e P;-�,�.s Telephone Number:
1�Tailing Address: City: Zip:
Contractor's Name: e n �Mb,� �.�c Telephone Number: �61-�1`�"-3�ti�,�
1�lailing Address: /� 3�' a-!� 6�•�e City: z���.�-,Y,�,.,� Zip: �'���
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � `3 Floor Drains �
Lavatory 1 � Sewer Ejector
Bathtub Laundry Tray �
Shower ( washer (
Kitchen Sink � Water Heater (
Disposal Water Softener ,�
Dishwasher � Wet Bar �
Sillcocks �„ Misc (list) (
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PERMIT I'EE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
/�! �;}vu� x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted
work including materials, labor, profit, and other fixed cosu. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor,or installation are fumished by the owner,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
or contract price for pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ci�y may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contract price under 51,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 cali the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the Cit�� and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
A licant's Signature: � Date: s 6 �v
PP
DATE TIME
CITY OF ORONO CALLED IN -�7'O� ��.O a
INSPECTION NOTICE SCHEDULED �� 00 ,�3�
PERMIT NO. Z'--�� � connP�ETE� � �''1 d
ADDRESS 2��� �� �24.�►. �l.u-r- I � -�
OWNER CONTR. 7./�-�� �����v�'�-✓
TELEPHONE NO. �'�-E=- - �
� DESCRIPTION ��P � ' �-�� '— � � �'�
ty� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� �O MENTS:
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W�/�}NORK SATISFACTORY:PROCEED �ROJ ECT COM PLETE
W� ❑ CORRECT WORK&PROCEED �SSUE CERTIFICATE OF OCCUPANCY
� G CORRECT WORK,CALL FOR REINSPECTION y-� TEMPORARY
� BEFORECOVERING /�/ PERMANENT
�l CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
Ci INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Caii for the next inspection 24 hours in advance. 249-460�
OwnerlContr tor on site:
Inspecto�G'L�/ ��Z �Q'A/1�
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO ICE SCHEDULED S'"I��CO �
PERMITNO. �i'LIQ.a COMPLETED ��"�� �� 3�
ADDRESS �`7�75 �'�t�;� Tr� � �
OWNER CONTR. �Q.V S
TELEPHONE NO. � ��J " �'S�o " �Ja�C�
� DESCRIPTION
ty� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEM -FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= p9yPLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTO TO ET YOU:_ ES_NO r �
� COMMENTS:1� S
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d ❑WORKSATISFACTORY:PROCEED 1=1 PROJECTCOMPLETE
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��ORRECT WORK 8 PROCEED f ISSUE CERTIFICATE OF OCCUPANCY
O�C; CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice