HomeMy WebLinkAbout2006-P09729 - plumbing r
PERMIT
�ITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P09729
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued:
4/6/2006
SITE ADDRESS: 3060 Fox St unit#
Long Lake, MN 55356
PID: 04-117-23-32-0002
DESCRIPTION:
Proposed Usr. Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
runing copper lines for baseboard heat, also infloor heat in basement
FEE SUMMARY: Permit Fee: $ 187.50 valuation: $ 15,000.00
State Surcharge Fee: $ 7.50
TOTAL FEE: $ 195.00
APPLICANT: Blue Water Plumbing OWNER: Robert&Kimberly Melamed
5026 Alpha Road 3060 Fox St
Princeton,MN 55371 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 C]TY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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, APPL .AN RMITE GNATL'RE ./ ISSUED BY S[GNATURE
Copies: 1-File(Sig�iatures Required), 1-Applicant, 1-Month]y Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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I'OR C1TY L�SE ONLI�
; ' City of Orono
/�4���\ P.O.Bo�66 Date Received: Pennit#
il�;- ��i 27�0 Kelley Parkway
C�a� �ly�•�'_,.`_ �.1�� Crystal Bay,MN 5�323 Approved By: Amount$:
''�e'l_' '.r:�•:µti o`,.% (9�2)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 workin�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 C.4RD IS POSTED ON THE JOB SiTE.
3. Plumbing permits may be issued QNLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate building pern�it must be
obtained.
�. 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)
❑ t1e��� �Additional ❑Repairs ❑ Replace
❑ In Accessory Structure?
*You wi(1 need�rior annrov�l and may need CUP. (Per Orono City Code,C!iapter 78,Article IV)
Job Site/ Owner lnformation:
Site Address: 3oda �X ��_
Owner: Mailing Address:
City: Zip:
Home Phone: Altecnate Phone:
� Contractor Informatioi�:
Contractor: al��u.�� �lu�-.�S•�T�ContactPecson: .�v►h f..�Zr'�l
Address: S`7.�(D �¢�D� � State Bond #: tf 3 S� 7o3k; �
City: ��� ,✓ Zip: SS�� / Expiration Date:
Phone: �C�3'�JFS'— �DU�. Alternate Phone:
❑ Insurance—Current:
1
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PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 Z' OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � � Floor Drains �
Lavatory ` t Sewer Ejector t
t t
Bathroom Laundiy Tray �
Sho��er � Washer
Kitchen Sink Water Heater
Dis�osal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
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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:
l. Does not require modification to electrical or gas service. I
2. Has a total cost of$500.00 or less;ezcludin�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 S
(Permit Fees Continued On Next Page)
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� PERMIT FEE CALCULATION(S}—JOBS OVER$500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25°/o of contract price with a(Minimum Fee of$35.00)
�S ve�eJ
x.0125 $
(contract pr�e) (minnnum$3�,00)
?. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(hlinimum ree of5.i0)
z .0005 $
(contract price) (minimum$ 50)
3. POSTAGE& HANDLII��G(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
pennitted work including materials, labor, profit, and other fixed costs. It is the amount to be char�ed
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 pennit fee pwposes. In the event that there is a dispute on the
amount of the job cost, the City may request the submission of a si�ned copy of the actual contract.
■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is
�reatci�. For valuations over$i,C00,0^v0 call iiie lluiiuiilg D2paC`inierit ai(952)249-�600 for the�rice.
PLUMBING PERMIT APPLICATIQN 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.
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Applicant's Signatl�re: Date: �— � "CJ�j
Reset Form
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CITY OF ORONO CALLED IN "p" �P�•C�
INSPECTION I�� SCHEDULED l C•� �-'�
PERMIT N0. �� � COMPLETED j�Lr�p
ADDRESS � U
OWNER CONTR. � v ,� ��r"'
TELEPHONE NO. ��' � �� ���-'� w
� DESCRIPTION � G
l� 01 FOOTING 11 MECHANIC L RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECH AL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW� WORKSATISFACTORY:PROCEED IIPROJECTCOMPLETE
� LI RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOF REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CQRRECT UNSAFE CONDITION WITHIN HOURS. ; pHOTO TAKEN
INSPECTOR WILL RETURN
� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor on site:
Inspector.
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�� ATE �/ TIME
CITY OF ORONO CALLED IN /x'
INSPECTION I SCHEDULED ���/ �•�4�d
PERMIT NO. o COMPLETED
ADDRESS .3��D0 `�C1aC S�
OWNER CONTR. !�� ������
TELEPHONE NO. 7�3 oZ�G� ��C��
� DESCRIPTION I� rll�� ��.iC-�-t ���
l� 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 05 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
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_�6�G fl 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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� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 C; CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �� PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR -� CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-4f)0�
OwnerlContractor on site:
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Inspector. C�./ Y / , �
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�� �l�^+�'( / T TIME
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CITY OF ORONO ALLED IN �5
INSPECTION N T C�j SCHEDULED �U/__ ���
PERMIT NO. / 7aCI COMPLETED �'�� � �"UISI �'3Ci
ADDRESS �� � � S
OWNER CONTR.
TELEPHONE NO. 7�-3 �O�D ���
� DESCRIPTION I�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL 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 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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v �0 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑ RRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on ite: '
Inspector. � /— ! �� S�
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White Copyllnspecfor's File Canary CopylSite Notice