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Home My WebLink About2005-P08433 - plumbing � � '� PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Pos433 Crystal Bay, Minnesota 55323 Permit Type: FlXn�res (952) 249-4600 Date Issued: 2i9�2oos SITE ADDRESS: 4475 Forest Lake Landing Mound,MN 55364 P I D: 07-117-23-24-005 0 DESCRI PTION: Proposed Use: Kesidential Pernut Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 125.00 Valuation: � 10,000.00 State Surcharge Fee: $ 5.00 TOTAL FEE: $ 130.00 APPLICANT: Precision Plumbing Inc. OWNER; 7on&Gail Blackstone 4311 Mason Lane NE 4465 Forest Lake Landing St.Micheal,MN 55376 Mound,MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STWCT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � ` ��%�rL APPLICA , E SIGNATURE [SSUED BY SIGNATUK� Cooies: 1-File(SiQnitures Required), 1-Aovlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 � C[TY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parlcway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for plumbing pennits by maii or in person at the City offices. 2. Pcrmit cards will be sent by return mail a(ter a review is completed. PERMITS nRE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NO'1' BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing �ermits may be issued ONLY to licensed plumbing contractors and io 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 inspectecl and air tested beiore it is covered. Call (952) 249-4600. 24-hour notice required. lnstructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPL[CAT[ONS WILL NOT BE PROCESSED. [f you have questions, call (952) 249-4G00. Please check one: �New Addition Repair Replace � Residential Commercial JOB SITE: �}�{�S �� c�C��_ ✓�q___ Zip: Owner's Name: `�p=� � ( ��t�,�,�� c-o� Tel phone Number: Mailing Address: City: C�rc��O Zip: Contractor's Name: �� Telephone Nur�ber: (�a -369—�9i� Mailing Address: City: 5-�- � ip: f reG�S��' � �P�uMBINiI FIXTURE SCHEDULE FIXTURE BSMT I ST 2ND O"1'HER FIXTURE BSM 1 S 2ND OTHER TYPE FL FL TYPE T T FL FL Water Closet � �j Ploor Drains Lavato � � c3 Sewer E'ector Balhtub �- Laundry"I'ray Shower � I Washer � Kitchen Sink � Water Heater Dis osal � Water Soitener Dishwasher ( Wet Bar � Sillcocks Misc list , , � PERMIT FEE CALCULATION(S) 2002 State Statute ❑ 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 $500.00 or less; exdudin� the cost of the fixture or appliance: and 3) [s improved, installed or replaced by the homeowner or licenced coniractor. SI<ip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail In Fee $ 1 .50 If above does not appiy, follow guidelines below: 1. Contract Price* is .Ol 25 % of job with a Minimum Fee of ($35.00�, /D� 000 �� x .0125 $ (contract price) (minimum $35.00) 2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of $ .50) x .0005 $ (contracl price) (minimum$ .50) 3. Postage and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ * CON"I'RACT PRICE or JOB COS"1' means the actual or estimated dollar amount charged ior the permitied work including materials, labor, profil, and other fixed costs. It is the amount to be charged lo the customer for the worlc done. If any material, equipmenl, labor, or installation are furnished by ihe owner, tenant or any other party the � reasonable market value of such items must be added to the esiimated cost or contract price for permit fee purposes. In the evenl ihat 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 grealer. For valuations over$1,000,000 call the Department of Inspection Services for the price. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all worl< in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements • e on this application are complete, true and correct. Applicant's Signat . Date: `� - v`�S Reset Form `^ DATE TIME V � CITY OF ORONO CALLED IN INSPECTIONNOuC �33 SCHEDULED ��3 -OS �l•� PERMIT NO. 1�'C� COMPLETED ADDRESS �I�I�� v��L�-�LQ �Ccc?��(�/l q OWNER CONTR. l�n✓'e-��5�v�1 /'��V� , � TELEPHONE NO. G�' �� Cp � �� l� � DESCRIPTION (l I S U� � 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 J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP . _..� �9 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL _ 1D"PLtj1G�fTVG FIN� 36 FOUNDATION/REMOVAL J � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O k W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Cail for the next i pection 24 hours in advance. (J52� 249-4600 Owner/Contra r sit : , Inspector. ,..- White Copyllnspector's File Canary CopylSite Notice / �� /.�.G.___ V DATE TIME �,-�'1TY OF ORONO CALLED IN ��10/L'� INSPECTION NO ICE SCHEDULED '' �s _�� PERMIT NO. COMPLETED ADDRESS ��J �f�Ci/�� OWNER CONTR.�l�C��(/Yl TELEPHONE NO�i'�'`2� ��' ��" �' g r� JjO � DESCRIPTION �ti(-�l`J/ /G"� ��/S � ty� 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 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 � OWNERICONTRACTOR TO MEET YOU:_YES ' NO � COMMENT : - � �,.�� ;� � � < .� ,� j - - � o UCa 5 � � � 0 � w � Q � Z W � W � � d W� ❑ KSATISFACTORY:PROCEED f� PROJECTCOMPLETE W CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �� pHOTOTAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR `� CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne inspection 24 hours in advance. (J52� 249-46�� . Owner/Cont o 's e: Inspector. White Copyllnspector's File Canary CopylSite Notice �f{.� a,�T� TIME V CITY OF ORONO CALLED IN INSPECTION N TIC SCHEDULED �-a - ^ 3: 3� PERMIT NO. COMPLETED ADDRESS � G� OWNER CONTR. ��G TELEPHONE NO. � � Z 3� � 7�� DESCRIPTION �1�� /`-'-1— t� 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 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 a J �� O � � O � W � Q � Z W � W � j d W WORKSATISFACTORY:PROCEED Il PROJECTCOMPLETE � ❑CORRECT WORK 8,PROCEED !- ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR -�'CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952� 249-4600 OwnerlContrac ite: Inspector. White Copylinspector's Fi e Canary Copy/Site Notice AT TIME v CITY OF ORONO CALLED IN � � INSPECTION N SCHEDULED — —C> �UD PERMIT NO. � �� COMPLETED ADDRESS T T 7 OWNER CONTR. TELEPHONE NO. �z- .�� cI� � � 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 Z04 WA�L 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 PLUMBING R� 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � J UV\[��.�� O �. � O � W � Q � Z W � W � j d W WORK SATISFACTORY:PROCEED [_� PROJECT COMPLETE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next nspection 24 hours in advance. (952� 249-46�� OwnerlContra, t : Inspector. — White Copyllnspector's File Canary CopylSite Notice