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Home My WebLink About2005-P09120 - plumbing � - ' PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P09120 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 8/29/2005 SITE ADDRESS: 4030 Elm St Unit# Long Lake,MN 55356 P�� 06-117-23-41-0072 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: li . FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 2,100.00 State Surcharge Fee: $ 1.05 TOTAL FEE: $ 36.05 APPLICANT: Freedom Mechanical(See Comments) OWNER: Mr&Mrs George Roscoe 11135 Hwy. 7 4030 Elm St Watertown,MN 55388 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 BUILDING CODE REQUIREMENTS. � �� "� � ��./ .�� ( �/ , .�lC. �� C'--z.-' � -r�-� � �%a;�_ i� APPLICANT PERMITEE SIGNATURE ISSU/ ED By SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(�f Septic, 1-Septic) Page ] f , � FOR CITY USE ONLY � � City of Orono i , � '� P.O.Box 66 Date Received: ;� 2 r G> Permit# i��l�ZL �;�,,,,, � 2750 Kelley Parkway ,.— � {j�1?�,�� Crystal Bay,MN�5323 Approved By: � Amount$: "� '.v` �^'�'��i�..�o~ (9�2)249-4600 �i>s� �Ho� CITY OF ORONO —PLUMBING PERMIT (All Commercial pe�Ynits must be approved by the Building Official or Inspector) GENER.AL INFORMATION 1. You may apply for pluinbing pernuts by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 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 permits may be issued ONLY to licensed plumbing conn•actors and to property owners residing in the dwelling. 4. When any new conshuction or remodeling is involved, a separate building permit must be obtained. 5. All work must be done ni accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT (Check All That A ly) �Residential ❑ Conunercial(Approval Required) ❑ New ❑Additional �Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) �b Site/ Owner Information: Site Address: yG�3CJ �� S � � Owner: S�v � Mailing Address: City: ��-c� Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �/2�U-u.� s�Gl��-E'�- Contact Person: �1�� -Q-"� Address: �l/��S 7 State Bond #: City: lNi>��"� Zip:�3�fs'BExpiration Date: Phone: t�fv2 363 �l�v Alternate Phone: ❑ Insurance— Current: 1 � � 1 � PLUMBING:FIXTURES BElNG INSTALLED FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1' 2' OTHER TYPE FL FL TYPE FL FL Water Closet / Floor Drains l Lavatory � Sewer Ejector B athtub Laundry Tray Shower Washer Kitcheu Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) ` BASED OFF - 2002 STATE STATUE ❑ Yes, this section applies The replacement of a Residential fixture or a�pliance 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 the 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 1�'ext Page) 2 � , . i PERMIT FEE CALCULATION(S —JOBS OVER $500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) � c7� �`U� x A 125 $ (contract price) (minimum S35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � ■ * CONTRACT PRICE or JOB COST means the achial or estimated dollar amount charged for the pernutted work including inaterials, 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 puiposes. 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 conri�act. ■ ** 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. PLUMBING PERMIT APPLICATION AGREEMENT 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: Gy Date: ��v2lcl�j 3 '-� �� J � " DATE TIME CITY OF ORONO CALLED IN ��2� INSPECTION NOTICE SCHEDULED "-7� '� .�' 3 �P,�Lj PERMIT NO. +�O RJ�� COMPLETED ADDRESS �/��3 C r- /,vt �-S�* _ OWNER CONTR. �.e1��Yvr /��z v� � TELEPHONENO. CP� � 3Lo �o�c'lp � DESCRIPTION � 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 � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTA�L. 22 FOLLOW-UP = PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v A� 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q � 2 W � W � � d W WORKSATISFACTORY:PROCEED f7 PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED I; ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �; pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR r' CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContra ite: b Inspector. White Copyllnspector's Fil Canary CopylSite Notice DATE /� TIME � CITY OF ORONO CALLED IN �s INSPECTION NOTI E SCHEDULED � 'C)G �tit PERMIT NO. �� COMPLETED ADDRESS �-/C) ��: L- /il � S/ � OWNER CONTR. ___/`f�c<�a�7'1 TELEPHONE N0. (�"�:� 3�� j�� / � � DESCRIPTION � �i `�..�f `�d•C`� � -� U- 1"�'�� lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 0� 7,�pF.AAII•--FJiyA�. 15 SEPTIC INSTALL. 22 FOLLOW-UP .�- = 09 P hA i2t"R 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 r M ING FINA 36 FOUNDATION/REMOVAL � OWNER/CO OR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W - � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED - I UE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor sit : Inspector. White Copyllnspector's File Canary Copy/Site Notice