HomeMy WebLinkAbout2001-P03478 - plumbing R
` PERMIT
C I TY O F O RO N O Permit Number:
2750 !Kelley Parkway - PO Box 66 P03478
Crystal Bay, Minnesota 55323 Permit Type: F�XtUres
(612) 249-4600 Date Issued: 1�23i2oot
SITE ADDRESS: 3464 Eastlake St
LONG LAKE, MN 55356
P��: OS-I 17-23-13-0042
DESCRIPTION:
. ,_ .�._,
Pl'OpOSed US2: nc�iucii�ia�
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Fixtures>3
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 77•50 Valuation: $ 6,200.00
State Surcharge Fee: $ 3.10
TOTAL FEE: $ 80.60
APPLICANT: Thompson Plumbing OWNER: M&N HLJNSLEY
15001 Minnetonka Ind. Rd 3464 EASTLAKE ST
Minnetonka, MN 55345 LONG LAKE MN 55356
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 BUILD[NG CODE REQUIREMENTS.
"`^-'l �';����—�� � <
, ;
��-�,�° c�yr�«� krJ
A PLICANT PERMITEE SIGNATURE ISSU BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
.
,
CITY OF ORONO APPLICATION FOR PLUMBING PERMTT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORivIATION
1. You may apply for plumbing permits by mail or in person at the City o�ces.
2. Permit cards will be sent by retum 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 properry 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 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
r� Residential Commercial
JOB SITE: � �(o� ' t.�.�C,� �- ' Zip:
Owner's Name: � Telephone Number:
Niailing Address: ��G� �;�ti� �,��. City: 1� - Zip:
Contractor's Name:�L�,yvtip:� ����t Telepho e I�umber: �'SZ- y�� � 7 7� `l
,
Mailing Address: t�� ►'V1+�1r�.- �,,,�� � 12.�) . Cit3': (Yl�,n,�ktilfts� ZiP� ��'?���
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS�iT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory �i Sewer Ejector
1.�. �v I
$zt� � Laundry Tray
Shower � Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
i
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee 35.00
- 'l�, 7.c1(� . �� x .0125 $
--r
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage and HandlinQ (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 charged for the permitted
work including materials, labor, profit, and other fized costs. 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 permit fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciiy 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 Department of Jnspectional 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 City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
.
. �� ,
Applicant's Signature: f Date: f —��' � �'�
DATE TIME
CITY OF ORONO CALLED IN
�._ 'Z�--b 1.' %C�
INSPECTION NOT�E 3y�� scHE�u�E� � —���/ � � �
PERMIT NO. � 1 � COMPLETED j� ��
ADDRESS �� y C� � �-� �� �
OWNER CONTR. ��U /�S� � ��'
TELEPHONE NO. ����' 7�_� � �� I �
� DESCRIPTION ���� V i S l.tc� �I u m b r �'�
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/ G
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q O5 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
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
T 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
J
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
�
w
0.
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
�ORKSATISFACTORY:PROCEED �: PROJECTCOMPLETE
W
W ❑ CORRECT WORK 8 PROCEED C; ISSUE CERTIFICATE OF OCCUPANCY
0 C] CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. -- pHOTO TAKEN
INSPECTOR WILL RETURN r CITATION ISSUED
❑ STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContract on si .
Inspector.
White Copyllnspector's File Canary CopylSite Notice
.DAT/E/ TIME
CITY OF ORONO CALLED w -�� ——7-�� �U•`� �
INSPECTION NOTICE ,/ �j' SCHEDULED `�' 'd ���
PERMIT N0. ���`� 7%� COMPLETED '�G �� 2;��
ADDRESS 3`��� C=/�STL-�KC" Sj,
OWNER CONTR. l hr.%!l..�nSD rl
TELEPHONENO. �S_`�` �_�S� --�/�
� DESCRIPTION ��ISG'�-L ��1�/r't�� l`-/��(/�¢�,
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J�10_PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OW TRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
�
�
O
�
W
�
Q
�
2 - —
W
�
W
�
� ,
O c `
W� �1 ORKSATISFACTORY:PROCEED Jf�OJECTCOMPLEfE
W�❑CORRECT WORK&PROCEED � ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector.����Z�G'�
White Copyllnspector's Ffle Canary CopylSite NoUce