HomeMy WebLinkAbout2000-P02075 - plumbing k �
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PERMIT
CITY OF ORONO PERMIT TYPE: Plumbing
2750 Kelley Parkway - P.O. Box 66 Permit Number :�0�075—
Crystal Bay, Minnesota 55323 Date Issued: Ol/10/00
(612) 249-4600
SITE ADDRESS: 3090 Farview Lane
Orono, MN 55356
H.N.B.
04-117-23-34 0011
DESCRIPTION: Plumbing 16
Water Closet 2 Disposal 1
Lavatory 4 Dishwasher 1
Bathtub 2 Washer 2
Shower 1 Water Heater 1
Kitchen Sink 1 Landry Tray 1
REMARKS:
FEE SUMMARY: Valuation $9,000
Base Fee $112.50
Surcharge $4.50
Total Fee $117.00
CONTRACTOR: Pipe Right Plumbing OWNER: Schimmit
4029 Penrod Lane 3090 Farview Lane
St. Anthony, MN 55421 Orono, MN 55356
'1�l IE UNDERSIGNGD HLRLI3Y REQUFS7'PGRMISSION TO MAKE THE REAL IMPROVEMENTS SPEC[FIED AND
nGRGGS TO DO ALL WORK IN STRICT CC)MPLIANCG WITH ALL CITY O� ORONO ORDINANCGS AND STATE OF
MINNESOTA BUILDING CODL REQUIRGMENTS.
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APPI,ICANT/PERMITEE SIGNA"fURE SSUED BY: SIGNATURL;
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CITY OF ORONO APPLICATION FOR PLIJI�IBING PERlI�IIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIr1 55323
GEi�1ERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
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 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 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 STTE• --�`' �v� �v�� `'•�.'�,�� ; �� Zip:
Owner's Name: i': ��,.-, . ,.:.__��.. .� Telephone Number:
I�iailing Address: City: Zip:
Contractor's Name: -}%��E>,�,,:,,��-t �'(,,�,,�.I._;�,��, Telephone Number: �i;� . ��,�'A- �-✓,;�
Mailing Address: /-���-;�:��� C�:�>�,� j .��, . - City: <�.,�'rt�'r��u� Zip: ��%;��i
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet ,j' Floor Drains
Lavatory � Sewer Ejector
Bathtub ��_ Laundry Tray `
Shower ��'asher �j.
Kitchen Sink j Water Heater %
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee_($35.00) ,., �
�,����� �— x .0125 $ ��:�- -�a �
(contract price)
2. State Surchar�e. ** Add the State Building Code Division � C
Surcharge to each permit. x .0005 $ �-
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ ��,-�
4. TOTAL PERMIT FEE � (Add lines 1-3 above) $ /) 7 . � p .
* 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 installation 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 Ci�y may request the submission of a signed copy of the actual contract.
** 1fie 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 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 City and the regulations of the State of
Minnesota, and certifies that all stat�ents�mad this application are complete, true and
correct. �
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Applicant's Signature: / �� Date: '� � �
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3700 VAN BUREN ST., NE 781-1458 9 , j�_. L,�,
'•I COLUMBIA HEIGHTS, MN 55421 �
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DATE TIME
CITY OF ORONO CALLED IN _�
INSPECTION NO CE�/� SCHEDULED �1 � Q .�
PERMIT NO. ���`��� COMPLETED 6— / 15 -C/�� ` d��
ADDRESS �6�� �'ar v t e�� L c,r�.
OWNER CONTR. �������
TE�EPHONE NO. �g� �d g3�
� DESCRIPTION � 'S��-
L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
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PLUMB`� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTO TO MEET YOU:_YES NO
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W C!WORKSATISFACTORY:PROCEED i PROJECTCOMPLETE
� ❑ CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
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� �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� EFORE COVERING
PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
GTATION ISSUED
f�STOP ORDER POSTED.CALL INSPECTOR
[; INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cail for the next inspection 24 hours in advance. 249-46�0
OwnerlContractor on site:
Inspector.�/�G��_L��L-
White Copylinspector's File Canary CopylSite Notice