HomeMy WebLinkAbout2007-P11775 - plumbing PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: p11775
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(952) 249-4600 Date Issued:
12/27/2007
SITE ADDRESy,: 3400 Fox St Unit#
� Long Lake,MN 55356
P��� OS-117-23-43-0005
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approvcd per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 187.50 valuation: $ 15,000.00
State Surcharge Fee: $ 7.50
TOTAL FEE: $ 195.00
APPLICANT: Blue Water Plumbing OWNER: Kevin Garnett
5026 Alpha Road 450 Orono Orchard Rd
Princeton,MN 55371 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK[N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
� r�� - C
/« ( .� / .� dI `�i�
APPLICAVT PG ITEG SIGNA"I'URE ISSUED BY SIGNA"I'URE
Copies: 1-File(Sigriatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
�
`
FOR CITI'USE OVLY
/,¢p�� City of Orono
�� � P.O.Box 66 Date Received: Permit#
�,i.,,�, 2750 Kelley Parkway
t� �ny����� !�I Crystal Bay,MN 55323 Approved By: Amount$:
�\�A���G� (952)249-4600
�/
�� 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 working 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 CARD IS POSTED ON THE JOB SITE
3. Plumbing permits may be issued 0:�1LY 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 wark 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 arior aaproval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: .��/�� �,�,t �.� �
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �`,,� w,,�� �/,,;��;,., Contact Person: —�i,S_� ��2•��(
Address: 5��� �I�r}�� .�� State Bond #: y� j�-J � ,�� �-
City: �l'�,n� • ,-� Zip:�� EXpiration Date: ��7
Phone: 7(��—��e—��;c�� Alternate Phone:
❑ Insurance—Current:
]
�
�
� „� � �,�, �.;�'' PLUMBINGFIXTURES BElNG INSTALLED ,.::�k �,� ;
FIXTURE BSMT 1 � 2VD OTHER FIXTtiRE BSMT 1 2N OTHER
TYPE FL FL TYPE FL FL �
Water Closet � � Floor Drains
Lavatory a � � Sewer Ejector
Bathroom Laundry Tray
Shower � Washer l � �
Kitchen Sink ` Water Heater
Disposal 1 Water Softener
1
Dishwasher � Wet Bar
Sillcocks Miscellaneous
� PERMI`I'�FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section appiies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not reGuire modification to electrical or gas service.
2. Has a total cost of$500.00 or less; excludine 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 $ l 5.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
PERMiT �� „��� k�' flVE1�$���� k t�k a:
If above does not apply;follow guidelines below:
. 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
/-�r*C;�� x .0125 $
(contr�act 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
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 A��'L���ATTON AGREEMF��" �r� ���� ��'*��� �,,�
� �� ��'�� �'A��.
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: l� � c��� D�
' a�
Rese�Foc ` ��
3
F� (J_ . D E TIME �
CITY OF ORONO CALLED IN �T�
INSPECTION N TJCE SCHEDULED � __�
PERMIT NO. ����� COMPLETED ^ ��`
ADDRESS ��� ���
OWNER CONTR. a����J�-P—t ��h
TE�EPHONENO. ��� a�8 /���—
� DESCRIPTION �
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ �LUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
� (o/L - �Z�- 3S 32
0
�
W
x
Q
�
Z
W
�
W
�
j
d
W��VORKSATISFACTORY:PROCEED 1=i PROJECTCOMPLEfE
W (rJ CORRECT WORK R PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
Owner/Contra o n sit •
Inspector.
White opyllnspector's File Canary Copy/Site Notice