HomeMy WebLinkAbout2007-P10977 - plumbing • PERMIT
CI�Y OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p10977
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
5/9/2007
SITE ADDRESS: 155 Golden View Dr Unit#
Long Lake,MN 55356
PID: 33-118-23-43-0014
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:
FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 2,750.00
State Surcharge Fee: $ 1.38 ,�
TOTAL FEE: $ 36.38
APPLICANT: Santema Plumbing, Inc. OWNER: Douglas Smith
4407 Locke Ave SW 155 Golden View Dr
Cokato,MN 55321 Long Lake MN 55356
THE UNDERSTGNED 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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APPL[CA ERMITEE GNATURE ED BY SIGNATURE
Copies: 1-File(Signatures Required), I-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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1 FOR C1TY U5E O'�LY
` City of Orono
• ��'� P.O.Box 66 Date Received: Permit#
�s,;,e; � 27�0 Kelley Parkway
a �''`�� C stal Ba MN 55323 Approved By: Amount$:
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'�����.�o (952)249-4600
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits mus[be approved Uy the Building Official or Inspector)
GENERAL INFORMATION
t. You may apply for plumbing permits 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 rehun 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 STTE.
3. Plumbing pernuts may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling. �
4. When any new construcrion or remodeling is involved,a separate building pernvt 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)
❑ New ❑Additional ❑ Repairs ❑ Replace
❑ In Accessary Structure?
*You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
Job Site/ Owner I�lformation:
// , /
SiteAddress: �s� C�O/C�<�1 (�'/CC��
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: S : c � _��` Contact Person: S/�'✓ �
Address: ��07 � ��.5� State Bond #: D//y�j � �
/1� ��
City: C�CJ Zip:� Expiration Date:
Phone: �/d� '��� `� ,�. /`% _ Alternate Phone:
❑ Insurance— Current:
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PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 2 ' OTHER FIXTURE BSMT 1 2' OTHER
TYPE FL FL TYPE FL FL
Water Closet / Floor Drains
l
Lavatory � Sewer Ejector
Bathtub '/ Laundry Tray
(
Shower W asher
Kitchen Sink Water Heater
Disposal Water Softener
Disliwasher Wet Bar
Sillcocks Miscellaneous
PED'VIIT FEE CALCULATIOI�T(Si
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 seivice.
2. Has a total cost of$500.00 or less; excludinQ 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) $ ].50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
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_ PERMIT FEE CALCULATION(S)—JOBS OVER $500.00
If above does not apply; follow guidelines below:
1. COiVTRACT PRICE *is 1.25%of conn�act price with a(Minimum Fee of$35.00)
�� 7�� xA125 $
� (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
pernutted 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 Deparhnent at(952) 249-4600 for the price.
PLUMBING PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City far 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: ;��°-C�?
3
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DATE TIME
CITY OF ORONO CALLED IN 'l�C 7
INSPECTION NOTICE SCHEDULED '�"%� f/:��
PERMITNO. �t�� 7 ' COMPLETED
ADDRESS l�� �"�-(�� G��-e..�^-' �i n--
OWNER ,�/l���� CONTR. Q � -�
TELEPHONE NO. �l1 ��' � ��� � � f�' � 5
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 9 PLUMBIN 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED Cl PROJECTCOMPLEfE
C CORRECT WORK&PROCEED I ISSUE CERTIFICATE OF OCCUPANCY
� ❑ C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. � PHOTO TAKEN
INSPECTOR WILL RETURN �; CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next ins ection 24 hours in advance. (952� 249-4600
OwnerlContractor. ' e.
Inspector.
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