HomeMy WebLinkAbout2007-P11381 - plumbing PERMIT
CITY OF ORONO
2?50 Kelley Parkway- PO Box 66 Permit Number: P11381
Crystai Bay, Minnesota 55323 Permit Type: Fixtures
(95�) 249-4600 Date Issued:
8/28/2007
SITE ADDRESS: 3090 Farview La Unit#
Long Lake,MN 55356
PID: 04-117-23-34-0011
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: PermitFee: $ 68�75 Valuation: $ 5,500.00
State Surcharge Fee: $ 2.75
Misc. Fee: $ 1.50
TOTAL FEE: $ 73.00
APPLICANT: Mid-City Mechanical Corp. OWNER: Robert&Sarah Schmidt
9103 Davenport Street NE 3090 Farview La
Blaine,NIN 55449 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.
\0��� � �����'�i
APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Sepric) Page 1
t . FOR CITY USE ONLY
t O¢��O City of Orono
P.O.Box 66 Date Received: Pe[ntit M
2750 Kelley Parkway
a '' R Crystal Bay,MN 55323 Approved By: Amount S:
�i���o�`c` (952)249-4600
CITY OF ORONO-PLUMBING PERMIT
(?�II Commercial permits must be approved by the Budding Official or Inspector)
� GENERAL INFORMATION �
1. You may apply for plumbing pennits by mail or in person at the City offices. Applications will be
reviewed and a perniit will be issued witivn two working days.
2. Permit cards will be sent by return mail after a review is completed. PERNIITS ARE NOT
VALID iJN"I'IL YOU RECEIVE A PERMI"I". WORK MUST NOT BEGIN UNTIL THE
PERMTT 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 perniit 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 Apply)
�IZesidential ❑Commercial(Approval Requiredj
� r ,
❑New �Additionai ❑Repairs ❑Replace
❑ In Accessory Structure?
'You will need arior apnrov�l and may need .(Per Orono City Code,Chapter 78,Article IV)
� Job Site/Owner Information: �
Site Address: � � � � ��
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
� Contractor Informarion: I
�
Contractor: • � ��,��� ,� : �,��. Contact Person: I���,��::� �� ; �� '� �,�ti���',_a�,
Address: , . , �,``.; ..���,�. �_�� ��: -�,. State Bond#: t_� `� 1�1� � � /�
�
City: �� " Zip: �;� �,�� , ExpiraUon Date: ���� ���'�t � ;�.���� �, ��7
Phone: � ����.��� �� �:� I l Alternate Phone: �,��:� �� '� � `� �,���,�
, �}
❑ Inswance-Current: ' - �- -' _ i"� ``-�C�,��(��
Y
�
i
. ,..,�s::s,�.a, ,---, : i; . , , . . .:. ,
FIXTI_JRE BSMT 1 2 OTHER FIXTiJRE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet , Floor Drains
Lavatory � Sewer Ejector
Bathroom Laundry Tray
5hower � Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
I PERMIT FEE CALCULATION(S) I
� BASED OFF -2002 STATE STATUE
Lf 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$SOU.(�or less;excludinu the cost of the fixture or appliance:and
3. Is unproved,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 Annlicablel $ 1.50
IY�.rniu�ee�E.��c�r����ie�1 ()n i'���t Pa�;e)
�
.
� ,
, � PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 �
If above does not apply;follow guidelines belo�:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
� SSbp . UO x.0125 $ � $ • �S
�
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
, ,
,`", ` � � °�_ _ Y.000s x a .�S
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ �f 3. 00
■ '" CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
perniitted work including materials,labor,profit,and other fiaed costs. It is the amount to be charged
to the customer for the work done. If anv 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 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.
j PLUMBING PERMIT APPLICATION AGREEMENT �
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
wark in strict accordance with the ardinances of the Citv 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: --�^-- C'J�"- Date: ��o�3 " v7
3
�� � DAT TIME �
CITY OF ORONO CALLED IN ' O7
INSPECTION NOTICE SCHEDULED �3-►3D-07 �O: cr0
PERMIT NO. P//3� COMPLETED
ADDRESS ��g0 �Q-YI/l�.�J Lw�
OWNER CONTR. ��� � �"1z`-�-�
TELEPHONENO. �'� 7�3 Zz� 9?�v �
� DESCRIPTION ���b��(' ��
t� 01 FOOTING 11 MECHANICAL I 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
0.
�
J
O �
� v
O
�
� � �
Q �L �'�.
� � c�9�` Je L � � ' �
z
W
�
W
�
�
d
W ORK SATISFACTORY:PROCEED Ci PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED �'� ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next'nspection 24 hours in advance. �95Z� Z49-4600
OwnerlC on�t :
Ins ector� .
P
White Copyllnspector's File Canary CopylSite Notice
� I V
D T� j�� TIME
CITY OF ORONO C LED IN
INSPECTION N C r SCHEDULED 1 --���
PERMIT NO. � � / COMPLETED
/� --�
ADDRESS � :���V � r I�--��(-� �
OWNER CONTR. L,
TELEPHONE NO. ` — �
� DESCRIPTION
�'� ��-�-1____���.��_
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
�
W
a
J � �
O
�.
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W� WORK SATISFACTORY:PROCEED f7 PROJECT COMPLETE
W ❑ CORRECT WORK 8 PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe ne inspection 24 hours in advance. (952� 249-4600
OwnerlCo o si :
Inspector.
�
White Copyll�spector's File Canary CopylSite Notice