HomeMy WebLinkAbout2006-P09531 - plumbing PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 Po9531
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952� 249-4600 Date Issued:
1/13/2006
SITE ADDRESS: 2920 Fox St Unit#
Long Lake,MN 55356
PID: 04-117-23-31-0018
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: $ 312.50 valuation: $ 25,000.00
State Surcharge Fee: $ 12.50
TOTAL FEE: $ 325.00
APPLICANT: Precision Plumbing Inc. OWNER: Mr. &Mrs. Chad Abraham
4311 Mason Lane NE 186 Seminary Dr
St. Micheal, MN 55376 Meulo Park, CA 94025
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL 1MPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STR[CT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLIC NT PERMITEE SIGNATURE ISSUED BY SIGtiATURG
�:
Copies: 1-File(Sigiiata�res Reguired), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE ONLY
� ,��� City of Orono
O kf O P.O.Box 66 Date Received: Permit#
�,,,,,� 2750 Kelley Parkway
' a '����� Crystal Bay,MN 55323 Approved By: Amount$:
' � '��'�'�.o� (952)249-4600
�,���0$4'
CITY OF ORONO— PLUMBING PERMIT
(All Commercia]permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing perniits 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing pernuts 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 pernut 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)�
[�,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: ...��—=�TV �(`�K •S�'
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Owner: �r�-��;�c�� � � ��,�-,�-�/-]`� J-�--�7�� Mailing Address:
City: �� � c:� Zip:
Home Phone: Alternate Phone:
Contractor Information:
i'
Contractor: �u�C�Sr G,�v ��i,Lrr��_.11g/. Contact Person: %.��,�r, ''�r;fE��`:_sr���
� ---�—
Address: `�3���SyI,(f� �,t/ ,i(/L' State Bond#:
City: 5�/ f'I��t�,�� Zip:yr�� Expiration Date:
Phone: i(�- yg7-7�gL Alternate Phone: l�i� -3G��- 7�/l.
❑ Insurance— Current:
1
,
. ��/,','�<:,� .-
� PLUMBING FIXTURES BEING INSTALLED
• FIXTURF, BSMT 1 2' OTHER FIXTURE BSMT 1 , / 2' OTHER
TYPE FL FL TYPE FL FL
Water Closet � j � Floor Drains � �
I
Lavatory � / i Sewer Ejector
(�
Bathtub o Laundry Tray � /
Shower � Washer � /
Kitchen Sink Water Heater
�
Disposal � Water Softener U
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 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; excludinQ the cost of tl�e 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
f
PERMIT FEE CALCULATION(S)—JOBS OVER $500.00
' If above does not apply; follow guidelines below:
. 1. COl\'TRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
z�7 ���-��L� x.0125 $
(contr ctprice) (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
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 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 pernut 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.
Applicant's Signature: Date: /���/ ���
3
DATE TIME
CITY OF ORONO �DC�S'3I CALLED IN
INSPECTION NOTIC SCHEDULED
PERMIT NO. COMPLETED -Z ' �
ADDRESS ���-� � ��
OWNER CONTR.
TELEPHONE N0.
� DESCRIPTION
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Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMUVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SFTEINSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP /O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. / 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC IN.STALL. 22 FOLLOW-UP
_�LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT
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Ca11 forthe next inspection 24 hours in advance. (952� 249-460�
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Inspector. �� �-� � �3s�
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CITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED ��� '�
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OWNER CONTR.
TELEPHONE NO. /a ����
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-S�TE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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Ca11 for the next i ection 24 hours in advance. (952� 249-4600
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TELEPHONE NO. l��� ��"J �7��
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Q OS 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
? 0 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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Call for the xt inspection 24 hours in advance. (J52) 24J-4600
OwnerlCo r site:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice