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Home My WebLink About2007-P10802 - dishwasher PERMIT CITY �F ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P108o2 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 2/28/2007 SITE ADDRESS: 2800 Farview La Unit# Long Lake,MN 55356 P�� 04-117-23-34-0006 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Dishwasher DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 15.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 Misc. Fee: $ 1.50 TOTAL FEE: $ 17.00 APPLICANT: Champion Water Services OWNER: Jerome Kemp 12008 12th Avenue S 2800 Farview La Burnsville,MN 55337 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPEC[FIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � c �1'�d-t.? � , �fiY,�L�rc APPLICANT PERM[TEE SIGNATURE IS D BY S[GNATURE Copies: l-File(Signatures Required), 1-Applicant, 1-MonthlyReports, 1-Assessing,(If Septic, ]-Septic) Page 1 �__� � - , FOR CITY USE ONLY � "—'� City of Orono ��t P.O.Box 66 Date Received: Permit# ��,y;l,,, � 2750 Kelley Parkway �ta�p �� `. p.� Crystal E3ay,MN 55323 Approved By: Amount$: ��o i64, (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or InspecCor) GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit 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 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 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 1 �Residential ❑ Commercial(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) Job Site/Owner Information: Site Address:�__�r__'1'1��,tn lJ/�'!tJ .�it/� Owner: C ,� r/1� 1'� Mailing Address:��D� ��i _Gr� �/L�� / �o/t�(' ��-%�� , /�� Ciry: ,�JE3 L�� .�J-�.rrl Zip: �� Home Phone:�'S,�—iyt',��--�jD2�o2 Alternate Phone: �'S��Z�'��.�� Contractor Information: Contractor: � �P,e �t�t Person: Address: ��o`Z /�/ �/(/P,� �Q'(dC� C-� Bond #: DD� �''y8'I�i7;) City: ��GII�'�bi�� Ex iration Date: P�7 P Phone: 9��Z— `f��-�� Alternate Phone: ��y�� 3G�� Insurance—Current: 1 .I�,��.,n€ ,�� ;�r' - ' �� .�.... ._ s,.�� .� � � . �PLUI�IBING'FIXTURES BEING�INSTALL�;' � � FIXTURE BSM'i' 1 T 2ND OTHER FIXTURE BSMT l T 2"� OTHER T�'E FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathroom Laundry Tray Shower Washer Kitchen Sink Water Neater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous � �� PERMIT HEE CALCULATIrON(S) �BASED OFF -�2002 STATE STATCTE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not rcquire modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance: and ."s. Is improved,instaiied or replaced by tne nomeowner 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 g��1.A� (Permit Fees Continued On Next Page) 2 - -- PERMIT T'EE CALCULATION(S)--JOBS OVEK$500.00 �"�`""�''z��'��A If above does not apply; follow guidelines below: 1. CONT}tACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) x.0125 $ (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x .0005 $ (contract price) (minfmum$ .50) 3. POSTAGE&HANDLING(Only on 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 fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations 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 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 thc 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: � Datc:�.—��—�� Reset Form 3 � / C � �� 1 I \ � D-AT/E rTIME V CITY OF ORONO CALLED IN 1�-101 I I �C� INSPECTION NOTICE SCHEDULED �o `� /D:G� PERMIT NO. +'�� COMPLETED ADDRESS �� l T"V� e.u.; t Q►1�. OWNER Se`r'r�I �PY1�_CONTR. TELEPHONE NO. �� -�7�o� C�o��, - �-e��'�I Ktr�n p � DESCRIPTION �, SE1l,uCtShl2r � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FR,4MING 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 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 10 ING FINAL � 36 FOUNDATION/REMOVAL � OWNERIC NTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o �'il S'�t/�1�i4-�-t0�.1 �`v� �%'S!�, (.�.�,�9 c� 1�.L�' � � � � 0 � w � Q � z W � W � j d W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ ORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on�ite: Inspector. C,� r>'l��3S White Copyllnspector's File Canary CopylSite Notice