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Home My WebLink About2005-P08516 - plumbing PERMIT �ITY OF ORONO Permit ►vumber: 2750 Kelley Parkway - PO Box 66 P08516 Crystal Bay, Minnesota 55323 Permit Type: FiXtures (952) 249-4600 Date Issued: 3it1�2oos SITE ADDRESS: 312s Fox st L.ong Lake,MN 55356 P I D: 04-117-23-33-0011 DESCRIPTION: Proposed Use: Kesidenhal Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: � 250.00 Valuation: $ 20,000.00 State Surcharge Fee: $ 10.00 TOTAL FEE: $ 260.00 APPLICANT: Delson Plumbing, Inc. OWNER: Timothy&Gayle Devries 1308 42 1/2 Ave.NE 3125 Fox St Minneapolis, MN 55421 Long Lake,MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREE��DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA ILDING CODE REQUIREMENTS. I l�`� / ,j^) 7 � l�% �' �1,� APPLICANT YGFtMITEE SIGNAT RE ISSUF.D BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 � FOR CITY USE ONLY � City of Orono ''� O4 �� P•O.Box 66 Date Received: Permit# �:;;� 2750 Kelley Parkway .� ��'�'h��: � Crystal Bay,MN 55323 Approved By: Amount$: � �� 'i�a'` (952)249-4600 ' �,��'�$� $exo CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) f GENERAL INFORMATION 1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be reviewed ai7d a pernut will be issued within two working days. 2. Pennit 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 LTNTIL 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 consnuction 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 A ly) [�Residential ❑ Commercial(Approval Required) ❑ New �Additional ❑ Repairs ❑ Replace ❑ In Accessory Sri-ucture? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site/Owner Information: Site Address: �� G;� aC � �l Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: � Contractor Information: Contractor: � �G s�'!� pL��% ��'�-Contact Person: �/�L �. �'G 5��/V Address: 1 � Lj � �� "�State Bond#: `� 3 �" U,� - ��'�� -I City: � � �� ts Zip:� s�� IExpiration Date: C � � �� I �- � S Phone: �7� � - � Sr' td YS` � �v� ' � (,a � - � � ��7 � " � Alternate Phone: ❑ Insurance-Current: 1 rf ' _� : I � PLUMBINGFIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � � Floor Drains Lavatory � In Sewer Ejector �( Bat�S ( Laundry Tray � � Shower � Washer Kitchen Sinlc � Water Heater � Disposal � Water Softener � 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; 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 Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 / t � PERMIT FEE CALCULATION(S)-JOBS 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) � ��U �' �� x.0125 $ (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 peinutted 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 penrut 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 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 Deparhnent at(952)249-4600 for the price. PLLTMBING 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�tements made on this application are complete, true and , � correct. j � � ;;/ � / �� ' ,�'" �' . _3 — — Applicant s Signature: L �° � % (� � �1 Date. �� U-� ^ � C � � � DATE � TIME CITY OF ORONO CALLED iN � '� INSPECTION NOTIC� SCHEDULED �f-ZZ-z.'S U: ? PERMIT NO. ,�'C �..�� COMPLETED ADDRESS �,/�� GX -�I � OWNER CONTR. 2_�S a /7 ,��Gf�'.�b-• TELEPHONENO. ��/�c�� y/ �� DESCRIPTION ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPL4INT � 07 DE - � 15 SEPTIC INSTALL. 22 FOLLOW-UP Q � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � - W a � J O >. � O � W � Q � Z W � W � j d W ORK SATISFACTORY:PROCEED f� PROJECT COMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. _; pHOTOTAKEN INSPECTOR WILL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the nex inspection 24 hours in advance. (952� 249-46�� OwnerlCont�cf� `'si : Inspector. White Copyllnspector's File ` Canary CopylSite Notice `�i`� r C� � DATE TIME � 1 ITY OF RON rv / ' `�L� C � � CALLE�I INSPECTION N�yTICE / ��, SCHEDULED %-`�Ul� �� PERMIT NO. f"v�� V' COMPLETED ADDRESS �/.�� r' Y -� T � � i _ i. ,rr',=—r�z,,M,b,`) OWNER CONTR. G�� J ��-IU✓t ��rSt. TELEPHONENO. C�%-�i ��G�� DESCRIPTION � 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 � 4 LL 12 WATER HOOK-UP 17 SITE INSPECTION Z 14 SEWER HOOK-UP 06 PROGRESS � EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING� 23 SEPTIC FINAL 35 HARD COVER REMOVAL , 1�MBING FINAL � 36 FOUNDATION/REMOVAL � O RACTOR TO MEET YOU:_YES_NO � COMME TS: W �' 0� � � J O � f/1/� .4[t/l 0 � W � Q � Z W � W � � � d W ❑WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V ORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,-; pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the ext inspection 2a hours in advance. (952� 249-4600 OwnerlContrac r o site: Inspector. White Copyllnspector File Canary CopylSite Notice