HomeMy WebLinkAbout2005-P09114 - plumbing PERMIT
CITY OF ORONO
2755 Kelley Parkway- PO Box 66 Permit Number: P09114
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
8/25/2005
SITE ADDRESS: 2200 Devin Lane Unit#
Long Lake,MN 55356
P��� 03-117-23-21-0011
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 70.00 valuation: $ 5,600.00
State Surcharge Fee: $ 2.80
Misc.Fee: $ 1.50
TOTAL FEE: $ 74.30
APPLICANT: Steinkraus Plumbing Inc. OWNER: Thomas&Susan Major
112 E. Sth St., Suite 101 2200 Devin Lane
Chaska,MN 55318 Long Lake MN 55356
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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 ISSUED E3Y S[GNATURE
Copies: 1-File(Signatures Required), 1-Applicant, i-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
�-°gy C.� C�ty of Orono FOR C1TY i1 p�,y
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Ip p,,. P.o.so���
'� 2750 Kelley Parkwa bate Received:
'� �� h '� ��' C stal Y �— �----� Permit#
� � i , �„ ry Bay,MN 55323 �-----
�-.�k ¢y�;" 952 249-4600 Approved By: � Amount$:
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CITY OF ORONO—PLUMBING PERMIT �
(All Commercial pennits must be approved by die Building Official or Inspector)
GBNERAL INFORMATION
1• You may apply for plumbing permits by mail or in �
reviewed and a permit wi11 be issued within two working dayshe City offices. Applications will be
2• Permit cards wi11 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 permits 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 permit must be
obtained.
5• All work must be done in accordance with State Code re���iren�ents.
6. All ���ork must be ii�spected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
T'YPE UF'P�RM'IT
' Check All That A 1
�Residential ❑Commercial(Approval Required
)
❑New �Additional
❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need urior approval and may need CUP.(per Orono City Code,Chapter 78, Article [V)
Job Site/Qwner lnformationc
Site Address: 2 Z(�U �eVi� 'LqnQ
Owner: `Or eS)(���
Mailing Address:
City: �Qrphp
Zip:
Flome Phone:
— Alternate Phone:
Contractor Information• -
Contractor: S-�ej���yf �n,�,;,,
Contact Person: � �..r
Address: t i 2 E ,�}�, S�-. S�e f 01 3�Q�
State Bond #: �
c�ty: Chu s�-� z� ss� •
p� I� Expiration Date: ( 2'3 I'O.S
Phone: `1S2��1� �'"��2�
Alternate Phone:
� Insurance—Current:
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory ( Sewer Ejector
Bathroom ( Laundry Tray
Shower I W asher
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
P�(tMIT���E CALCULA'T'ION(S)
BASF,D OFC' -2002 S"I�AI`L S"[.ATUE � �_
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❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance:and
3. Is improved, installed or replaced by th�homeowner or licensed contractor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
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F��, � ,���� �
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If above does not apply; follow guidelines below:
I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
5��.�v x .0125$ ��.U�
(contract price)
(minimwn$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum�ee of$.50)
_ S�+ ��•OJ x.0005 $ � �
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) g ! �1.3�
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged
to the customer for the work done. If any material, equipment, labor or installations are furnished 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 permit fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request the submission of a signed copy of the actual contract.
■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50–whichever is
greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
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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 City and the regulations of the State of
Mir;�esota, and certifies that all statements made on this application are complete, true and
correct.
ApplicanYs Signature: � ��"`�' Date: 0��3—��
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�� . DATE TIME �
CITY OF ORONO CALLED IN `l-y�-�S�
INSPECTION NOTIC SCHEDULED �'���9-�S� �:3[.�!Qi'�
PERMIT NO. COMPLETED
ADDRESS �--�`�U' U l�i%J!i%l �C-c.`]c�
OWNER CONTR. r-S�i'-�:�t �Cv'rt-�-c S� /`��c.i��j.
TELEPHONE NO. �1`S�� �C�/ G�/��
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� DESCRIPTION �/l'l���-
l� 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 WA�L 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
� 07 DEM 15 SEPTIC INSTALL. 22 FOLLOW-UP
iBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLU BI INAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED 1-1 PROJECT COMPLETE
� ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next nspection 24 hours in advance. (952� 249-4600
Owner/Contrac s :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� (���,- " � DATE TIME �
CITY OF ORONO CALLED IN �
INSPECTION N IC SCHEDULED a- � /Q,�
PERMIT NO. ��/ COMPLETED
ADDRESS G�O�Q \ [-�-
OWNER CONTR. /, -� ���'!'-�
TELEPHONE NO. ! � 2- .3f� I �� o�-O
� DESCRIPTION (,1� ��Z�'"�-�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= �09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 1101PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
W
O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITtON WITHIN HOURS. �, PHOTO TAKEN
INSPECTOR WILL RETIJRN
� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractq�a�$�e:
Inspector. � �1
White Copyllnspector's 'e Canary CopylSite Notice