HomeMy WebLinkAbout2008-P12135 - plumbing PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p12135
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
6/4/2008
SITE ADDRESS: 2905 Fox St Unit#
Long Lake,MN 55356
PID: 04-117-23-34-0007
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: $ 1,125.00 valuation: $ 90,000.00
State Surcharge Fee: $ 45.00
TOTAL FEE: $ 1,170.00
APPLICANT: Grabow Plumbing, Inc. OWNER: Michael&Berit Francis
8420 Redwood Street 2905 Fox St
Coon Rapids,MN 55433 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF[ED
AND AGREES TO DO ALL WORK IN STRICT COMPLfANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT P6 MITEE SIGNATURE UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, ]-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CTTY USE ONLY '
' �,¢�, City of Orono
J/O � P.O.Box 66 Date Received: Permit#
�;� 2750 Kelley Parkway
��� ti`! �;�` +�� Crystal Bay,MN 55323 Approved By: Amount$:
�y���j (952)249-4600
CITY OF ORONO—PLUMBING PERMIT
(All Commeroial permits must be approvcd bc the Building Official or Inspector)
GENERAL 1NFORMATION
l. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERNIITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
� Check All That A 1 ��
�'Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs ❑Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: �9as �o x S�
Owner: Fi'anvs ���s Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ��ubo...� P/✓MG Mq r.� Contact Person: /J'1;�. G�•d.�
Address: i�l',?v ��./,,,,.da/-rl State Bond#:
City: �4...� ��,���� Zip: ts�33 Expiration Date:
Phone: 7'�' �f�6•3SSl Alternate Phone: ��i ���• 79� � Ft���
❑ Insurance—Current:
1
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���� u :����� �� �°. �� �.. �.. �.. .��$ING�IXT�(T�`�S $E�NG IN��� a��.� ��,�� �"��
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FIXTURE BSMT I T 2� OTHER FIXTURE BSMT 1 2N OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
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Lavatory / 3 y Sewer Ejector
Bath�ee�n-ft,c� Laundry Tray
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Shower Washer
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Kitchen Sink Water Heater
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Disposal Water Softener
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Dishwasher Wet Bar
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Sillcocks Miscellaneous
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� �� � �� PERMIT FEE CAL�C�LATION(S) � �
BASED OFF — 2002 STATT STATUE
❑ 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;exc]udinQ 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-ln Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
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PERMIT FEE C:ALCULATION(S)—10BS OVER $500.00
If above does not apply; follow guidelines below:
l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
90 p[�0.Op X.oi2s $
(c ntract 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 l-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 APPLICATIUN AGREEMCNT
The undersigned hereby applies to the City for issuance of a Plumbing Permit,�agrees to do all
wark 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: �/��� lr ��,.-t-- Date: � " �"Dg
Reset Form
3
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6 DAT� TIME
CITY OF ORONO CALLED IN �p _ n D�
INSPECTION N �� /3S� SCHEDULED l�"�� ��;
PERMIT NO. COMPLETED
ADDRESS a9OS �� S7�
OWNER CONTR. ��'��� ����
TELEPHONE N0. �� 3 7��' �g`��
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� DESCRIPTION _ «�� °�''�--�C�•�c-CJ
� ❑ FOOTING � MECHANI RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
❑ INSULATION ❑ WOOD BUR ER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HO�K-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. � ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW �ORK SATISFACTORY:PROCEED G PROJECT COMPLETE
� ❑BORRECT WORK&PROCEED �; ISSUE CERTIFICATE OF OCCUPANCY
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� ❑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
D INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor o site:
Inspector. / �S
Whiie Copyllnspector's File Canary CopylSite Notice