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HomeMy WebLinkAbout2005-P08920 - plumbing � PERMIT ��`ITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P08920 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 7/6/2005 SITE ADDRESS: 1895 Fox Ridge Rd Unit# Long Lake,MN 55356 PID: 03-117-23-13-0007 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved perresolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pemut Fee: $ 175.00 Valuation: $ 14,000.00 State Surcharge Fee: $ 7.00 TOTAL FEE: $ 182.00 APPLICANT: Johnson Plumbing and Heating Co. OWNER: Tobin&Mae Dayton 7145 Oakland Avenue South 1895 Fox Ridge Rd Richfield,MN 55423 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. ` �� -��� . �,�� c � �� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: I-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, ]-Septic) Page l * ' FOR CITY USE ONLY 4p� City of Orono P.O.Box 66 Date Received: Permit# • �,;�,, � 2750 Kelley Parkway a ��l��m � Crystal Bay,MN�5323 Approved By: Amount$: �'` �, ��i�o~ (952)249-4600 ''��, � �ssxo� CITY OF ORONO —PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing permits 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 contractors and to property owners residing in the dwelling. 4. When any new consh-uction or remodeling is involved, a separate building peimit 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 Ap ly} �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: �[J �� �� X �i r�°cP �fJ Owner:�by p�}1�7Dr� Mailing Address: �c��cf/�GJ�C�2'�S f' � � c�ty: .L o�b L�-�r.e z�p: �"-.��.t'� Home Phone: Alternate Phone: Contractor Information: ; Contractor: ,�8!�/t1��4� ���Yy�f� Contact Person: ��I�LI� Address: �/�/.I� 0�/1C�9^�.��� State Bond #: ��1.3 S,l�� /,���� City: 2i �`-� �c�c�1 Zip'� Expiration Date: t L ?� p� Phone: �l�" Z y'.� � �S'�,,J� Alternate Phone: �o�l�-�4 �Py�a8 ❑ Insurance— Cui-rent: f�i�2y'�F(f/'� /ti;,j 1 PLUMBINGFIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet / Floor Drains ! Lavatory � Sewer Ejector Bathtub Laundry Tray - � Shower ' Washer Kitchen 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 ap�liance that meets all tlu�ee of the following requirements: 1. Does not require modification to elecn�ical or gas seivice. 2. Has a total cost of$500.00 or less; excludinQ 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 Surcharae $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) � 2 • ' ` 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) (700 . �C? x .0125 $ contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bidg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum S .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 far the pernutted 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 funushed by the owner, tenant or any other parry, the reasonable market value of such items must be added to the estimated cost or conn�act 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 Deparnnent 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: Date: � � � � I�� DATE TIME � CITY OF ORONO CALLED IN ���t" �� INSPECTION NOTI „ 1/� SCHEDULED �-Z Z-OS� %U%UG�'I PERMIT NO. � ��� �/! 4' COMPLETED ' ADDRESS �� �� � C r< <� 9 OWNER CONTR. �TC/�%'l SC��� �I11d4�1�� TELEPHONE NO.�' � �J �Y � � C�� � DESCRIPTION���i�'�C%L� � ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 � 9 PLUMBI RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 BING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � l� W e � J 0 �. � 0 � W � Q � z w � W � � d W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECT UNSAFE CONDtTION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WlLL RETURN 7 CITATION ISSUED ❑ STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ne inspection 24 hours in advance. (J52� 249-46�� OwnerlContr n e: Inspector. White Copyllnspector's File Canary CopylSite Notice