HomeMy WebLinkAbout2006-P10206 - plumbing PERMIT
CITI� �� ORONO
Permit Number:
2750 K �y P�lcway- PO Box 66 P10206
Crystal Bay, Mini�esota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
8/14/2006
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:
CUP Was Approved#5462
FEE SUMMARY: Permit Fee: $ 37.50 Valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 39.00
APPLICANT: Precision Plumbing Inc. OWNER: Mr. &Mrs. Chad Abraham
4124 Mackenzie Ct 186 Seminary Dr
St. Micheal,MN 55376 Meulo Park,CA 94025
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.
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T AP�T.ICANT PERM[TEE SIGNATURE ISSUED BY SIGNATURE
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Copies: 1-File(Signarures Reguired), I-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR C[TY USE ONLY
« � 0� City of Orono �
�f'~ P.O.Box 66 i���(,J�
i DateReceived: =-�F�--Ff—L� .�rmit#
�s�. � 2750 Kelley Parkway
l�\a �j'!'? � Crystal Bay,MN 55323 Approved By: Amount$:
�`,���"�.�.�a� (952)249-4600 �' � �� (_ '
CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must Ue approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within two working days.
2. Pernut cards will be sent by retuin 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 consmzction 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 Apply)
,
`;�Residential ❑ Commercial(Approval Required)
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�ew �.�'� �] 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: �� � ��`,�� ��
Owner: Mailing Address:
City: ��C�(�C� Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: I,��'���t d� P 1wh�;i n� Contact Person: '(����t � OS—G�g�^
Address: �1�a'� ��C,1��Jz`����� State Bond#:
City: S-� -Y`��iC�^al � Zip:S53'1b Expiration Date:
Phone: 1103�-�-+�1�1 -'Zy�(v AlternatePhone: (�1:� �3��-`��1�
❑ Insurance—Current:
1
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PLUMB�tG FIXTURES 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
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Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
s:_. : PERMIT FEE CALCULATION(S)
BASED OFF — 2002 STATE STATLTE
❑ 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; 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 Applicabie) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
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� PERMIT FEE CALCULATION S —70BS 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$35.00)
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� GOO X.oi2s$
� 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) $
■ * CONTR.ACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pemutted 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 funiished by
the owner, tenant ar any other party, the reasonable market value of such items must be added to the
estimated cost or contract price for pernut fee puiposes. 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 conh�act.
■ ** 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
conect.
Applicant's Signature: i��/L Date: 0 � ��-} —O �v
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CITY OF ORONO cAu�w+a� �� �
INSPECTION NOT j� J+�,(� SCHEDULED
PERMIT N0. 'v�v i`'" COMPLETED
ADDRESS �� �� `t—� X S �
OWNER CONTR.�,[P�, . ��L ,�`��
TELEPHONE NO. ��L� `�% � – � y��
� DESCRIPTION ���'�"�� �`�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 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
? 09 PLUMBING Rt 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 P�UM8ING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �; PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�' CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe ne t inspection 24 hours in advance. (952� 249-46��
OwnerlContr r on i :
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White Copyllnspector's File Canary CopylSite Notice
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� �/ �_ ATE` TIME �/
CITY OF ORONO CALLED IN � �
INSPECTION yQT�C� SCHEDULED - 2-D �v(7A'N�
PERMIT NO. �v � ��% COMPLETED
ADDRESS �`r �� �'G'X� s�'
OWNER CONTR.�F�{'�:/.5��'it
TELEPHONE NO. ���' � > � `l - �i0��
�- DESCRIPTION ������ ` �' " G(.J vo H o u,
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Q 02 FRAMING 13 M HANI L 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
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DE�MO- � L 15 SEPTIC INSTALL. 22 FO�LOW-UP
= 09 PL MU BING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN �� CITATION ISSUED
❑STOP OROER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (952� 249-46��
OwnerlContra ite:
Inspector.
White Copyllnspector's Fil Canary CopylSite Notice
� �� ��� � DAT /n TIME
CITY OF ORON �� CALLED IN �W �
INSPECTION N TICE �y_ SCHEDULED fl �
PERMIT NO..�����f6� COMPLETED
ADDRESS � 5 �C Z � ��-�' �
OWNER CONTR. `�'
TELEPHONE NO. (�' �� :�lL"7 � ��/ CG' `-j�'�
� DESCRIPTION C./�L�� ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAM�NG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TFEE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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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
W G RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING,E� 36 FOUNDATION/REMOVAL
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� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �WORK SATISFACTORY:PROCEED �PROJECT COMPLETE V
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� ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor o}�site: %
Inspector. (.d� ��
White Copyllnspector's Fife Canary CopylSite Notice