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HomeMy WebLinkAbout2002-P05121 - multiple fixtures PERMIT CITY OF ORONO Permit ►vumber: 2750 Kelley Parkway - PO Box 66 Posi2i Crystal Bay, Minnesota 55323 Permit Type: FiXtures (95zij 249-4600 Date Issued: sii�2oo2 SITE ADDRESS: 140 Golden View Dr L.ong Lake,MN 55356 P I D: 33-118-23-43-0023 DESCRIPTION: Proposed Use: Kesidential Pernut Class: Plumbing � � Permit Sub- e � Multi le Fixtures � �-� d Permit Type: Fixtures � � �' p � t �c�� � �°_ DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 37.50 Valuation: $ 3,000.00 State Surcharge Fee: $ 1.50 TOTAL FEE: $ 39.00 APPLICANT: Owner/Self OWNER: Chris&Elizabeth Hickok MN 140 Golden View Dr Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEIVIENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Cooies: 1-File(Si,enitures ReAuired), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 PERMIT CITY�OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Posi2i Crystal Bay, Minnesota 55323 Permit Type: FiX�ures (952�j 245-4600 Date Issued: siii2oo2 SITE ADDRESS: 140 Golden view Dr I,ong Lake,MN 55356 PID: 33-118-23-43-0023 DESCRIPTION: Proposed Use: Kesidenriai Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Lavatory Shower Wet Bar DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 37.50 Valuation: $ 3,000.00 State Surcharge Fee: $ 1.50 TOTAL FEE: $ 39.00 APPLICANT: owner/self OWNER: Chris&Elizabeth Hickok MN 140 Golden View Dr Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEIVIENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � � �, ,� � `��� �� � (� � i�i�� l. J � .7�� _. / s -� PP ICANT PERMITEE SIGNATURE ISSU BY SIGNATURE Copies: 1-File(SiQnitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 . � � � � ' � � . � CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. 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 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 permit must be obtained. 5. All work must be done in accordance with the State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice required. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: New _� Addition Repair Replace _� Residential Commercial JOB SITE: �`'�':: [,�i ca c� v'i y..s- �✓�• Zip:��i 3 h�,: Owner's Name:�,�j S a L;3 }-}�"u�,�� Telephone Number: ���Z ��� �=,�� Mailing Address: l�o E,�,�d��... ��; �— City: Zip:5���� Contractor's Name: Telephone Number: Mailing Address: City: Zip: PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavato l� Sewer E'ector Bathtub Laund Tra Shower /� Washer Kitchen Sink Water Heater Dis osal Water Softener Dishwasher Wet Bar Sillcocks Misc (list) , PERMIT FEE CALCULATION(S) 2002 State Statute ❑ 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 licenced contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00) - �C��JJ �D x .0125 $ (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50) x .0005 $ (contract price) (minimum $ .50) 3. Posta�e and Handlin� (Only 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 installation are fumished 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 Department of Inspection Services for the price. 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: Date: �( � ( b2 ✓ DATE TIME CITY OF ORONO �1� CALLED IN INSPECTION NOTI SCHEDULED �1� I��.' �� PERMIT NO. b502 I COMPLETED ADDRESS I`T� L.�C I CQ �l V i P i,��� �7.R , OWNER����1�� ��1 CONTR.���T-�`�I'l�'� �/�i'1L,lI��7 TELEPHONE N0. � D I� -��� � - � Z� � DESCRIPTION �%�t 5���- ( �'� �l��i�n���, � Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS "' SULATION 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 W�'PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YO�YES_NO � COMMENTS: � w a � J � O � � � O ] i��.. - W � Q z �a5103 � � � � `U � �. � T t � a� W � j d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlCo tor site: � Inspector. ! hite Copyllnspector's Fiie Canary CopylSite Notice