HomeMy WebLinkAbout2007-P11499 - plumbing PERMIT
CI f�' �F ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11499
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
9/26/2007
SITE ADDRESS: 1995 Fox Ridge Rd Unit#
Long Lake,MN 55356
P��� 03-117-23-13-0005
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: Pernut Fee: $ 134.34 Valuation: $ 10,747.00
State Surcharge Fee: $ 5.37
TOTAL FEE: $ 139.71
APPLICANT: City View Plumbing&Heating OWNER: Thomas J Kieley
1880 B Wayzata Blvd W. 1995 Fox Ridge Rd
P.O.Box 150 Long Lake,MN 55356
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 REQUIR�MENTS.
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ANT PERM TEE SIG ATURE ED BY SIGNATURF.
Copies: 1-File(Signatures Reguired), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� FOR CITY USE ONLY
O¢p�O City of Orono
P.O.Box 66 Date Received: Permit#
. 2750 Kelley Parkway
� n'n� �' Crystal Bay,MN 55323 Approved By: Amount$:
�+� *yo�;' (952)249-4600
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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 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 UNTII,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB S[TE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new conshvction 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 6our notice required)
TYPE OF PERMIT
Check All That A 1
�Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs �Replace
❑ In Accessory Structure?
*You will need arior auproval and may need CU I'.(Per Orono City Code,Chapter 78,Article N)
Job Site/Owner Information:
Site Address: ! � fi � � � �� ��
Owner: Y` `�1 e�/ Mailing Address:
City: �C C��C� Zip: �� � S �J
Home Phone: Alternate Phone:
Contractor Information:
Contractor:C�+ �'�P�r.) 1 I '��� Contact Person: r V �✓` n I � 0�
Address: 1'+�'�� X � S v State Bond#: I���.3�� "I
City: �C��� Zip:5 S 3S�Expiration Date: I�' 3/ v'�a�j
Phone: �5�-�1�� �� � Alternate Phone: � ���t�j c���-��a
❑ Insurance-Current:
1
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet ( Floor Drains '
I
Lavatory � Sewer Ejector
Bath�� r Laundry Tray '
7c1� I
Shower ( W asher �
Kitchen Sink I Water Heater
Disposal / Water Softener
Dishwasher � Wet Bar I
Sillcocks Miscellaneous �
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or anvliance that meets all three of the following requirements:
1. Dces not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludin�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 Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
r .
PERMIT FEE CALCULATION(S -JOBS OVER$500.00
If above dces not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract pric�with a(Minimum Fee of$35.00)
n
���y l� X.ot2s $
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .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 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 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.
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.
J �
Applicant's Signature: Date:
Reset Form
3
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p DA E/n T3 �(�
� ITY OF ORONO CALLED IN `����v /
INSPECTION N TIC SCHEDULE��__��� lG A'h^
PERMIT NO. MPLETED
ADDRESS �� �-
OWNER C NTR. �1�CQJ
TELEPHONE NO. l.(1�� W OJ Z�`TI
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� DESCRIPTION `?���f��� � ��
� 01 FOOTING 11 MECHANICA RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHA C FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED fl PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED 1-, ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex ,inspection 24 hours in advance. �952� 249-46QQ
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OwnerfContract�►�o �i e:
Inspector.
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