The URL can be used to link to this page

Home My WebLink About2005-P08626 - plumbing � PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Pos626 Crystal Bay, Minnesota 55323 Permit Type: FiXcures (952) 249-4600 Date Issued: 4i2o�2oos SITE ADDRESS: 175 Golden view Dr L,ong Lake,MN 55356 PID: 33-118-23-43-0015 DESCRIPTION: Proposed Use: xesidentiai Pernut Class: Plumbing Permit Sub-type(s): Multiple Fixtures Pernut Type: Fixtures DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 87.50 Valuation: $ 7,000.00 State Surcharge Fee: $ 3.50 TOTAL FEE: $ 91.00 APPLICANT: Bergman Plumbing Inc. �WNER: Thomas&Lilie Fiepke 21181 Xeon 175 Golden View Dr Jordan,MN 55352 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 CITY OF ORONO ORDINANCES AND STATE OF MI S TA BUILDING CODE REQUIREMENTS. v �t ,, v\, �. C=-� � � � ;��-� �� APPL[CANTPFRMIT SIGNATURE ISSUEDBYSIGNATURE Covies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reoorts, 1-Assessin�, 1-Finance Page 1 ' . FOR CITY tiSE ONLY �,�` City of Orono g `v P.O.Box 66 Date Received: y�Z d/u5 permit# �U��2�' • ��,'"�,,,� � 2750 Kelley Parkway � � ��4�1�z � Crystal Bay,MN 55323 Approved By: Amount$: �� ( �''''�o� (952)249-4600 i,$��u�a� CITY OF ORONO–PLUMBING PERMIT (All Commercial pemiits must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing peimits by mail or in person at the City offices. Applications will be reviewed and a pemut will be issued within two working days. 2. Pernut cards will be sent by retzun 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 pernuts may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new conshuction 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 ply) �Residential ❑ Commercial(Approval Required) �� ❑New �dditional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code, Chapter 78,Article IV) Job Site/ Owner Information: Site Address: %�� a��(1 ��I � � Owner: �+�=��7�� Mailing Address: S�"�-`� City: Cj��C��1 ,,,� Zip: Home Phone: Alternate Phone: Contractor Information: � � Contractor: °D�.�iiy(�.�'l a�l vi.�� +�� Contact Person: ��+�� Address: �� X�1 ��— State Bond#: i'�Ll– 5`�� City: J� Zip:�r5S5�xpiration Date: �� ; Phone: ��-`�,�.� ��3 � Alternate Phone: �� -�v�`�l�� ' ❑ Insurance –Current: %(> G� 1�`1��u� ;. 4 x } i � 1 u � � 3. �a - I M �" � '- � � p" �` v , ��: , � � ��,, � '4 � �, � . I � . :° �' ? ��'�: � � �t �,l� . �II x � yti �yi �:' ",�a '�� i�:�� J PLUMBING FIXTURES:BEING INSTALLED ° FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains Lavatory ,/ Sewer Ejector 1 r� Bathtub � Laundry Tray � I Shower � � Washer ;; + Kitchen Sink 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 tlu�ee of the following requirements: 1. Does not require modification to electrical or gas service. 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 Pernut $ 15.00 State Surcharge $ .50 - Mail-In Fee(If Applicable) $ 1.50 - Total Permit Fee $ ,... . . ; _.. , _, ,_:�, . _: . , ,. . , ,a _ . ._ . . , . .,. _ � . _ a_ . .. , ._ _ . (Permit Fees Continued On Next Page) � �,. � �; � � :5 � � � � . /�/ . II 3 �+: f� 1 L 1 . I�F � '' A � �I , � � � � ' �'�_ I � � �i t I'. � G �' � j� lp �+ 3 A '� �' 4; r' I� � T�. ll s. '' .", .. G < :i�(�4�4 , _ " �� ` �' � �� ` 'ii�` �I� � e'� �� , �' �� '�' "� �'� ;I� � ��. , ! . PERMIT FEE CALCULATION(S '=JOBS �VER$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) "7C c G' , �� X.oizs $ (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 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 pernut 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 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 valuarions over$1,000,000 call the Building Department at(952)249-4600 for the price. PLUMBING PERMIT APPLICATION AGREEIVIENT 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: : ;. r;. � ; �i �i, : ,^; „', �: � ' � � � x� i � �: �a a . �� w ` -� 4 '; 3 k; � �: � � � � . ; . „ � � i � �I � � � ��; � � p � I :III � II II I _N N U �+i N� �� rys� 9 � ' , �V. _,x. -�i. ,� '_:� � ��I '.�' '. - _ . II'r':.r ! �� u �r ;!: �'� � �^ :` � n, ,/3 ��t I I t� �G � � DATE � TIME CITY OF ORONO CALLED IN ��- � � INSPECTION NO�TIC SCHEDULED � --C�S 1 PERMIT NO. '� } COMPLETED / "� '�S � � ADDRESS 1 �� r ��k'u\ ��i�1.�1 � � - OWNER CONTR.��c� (�� L l<.�c l ��Uv�� , TELEPHONE NO. "�l S � ��3 -� CiCG J (G � 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 Z04 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 ? 09 PLUM�tf�lG 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 1�LUMBING FIN 36 FOUNDATION/REMOVAL � OWI� RACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � j d W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED '_' ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WIIL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��CITATION ISSUED C INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. �� t � White Copyllnspector's File Canary CopylSite Notice �/ � DATE _ TIME � � CITY OF ORONO CALLED IN � �� INSPECTION NOTICE SCHEDULED ��/Ff%l�S �l>-"c'?;� PERMIT NO.�Ci �n�IO COMPLETED ADDRESS � � r �/�e��L2l�� L OWNER CONTR. ✓ _ TELEPHONE NO. - `�a' ' �- �`"` � � DESCRIPTION �� I l� 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTI FINAL 35 HAR COVER REMOVAL J 10 PLUMBING FINAL 36 F NDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:� ES_NO � COMMENTS: I�I�F�S(��7 � W a � J O a � O � W � Q � 2 W � W � � d W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 tor the nex i pection 24 hours in advance. (952) 249-4600 OwnerlContr�s e: Inspector. � White Copyllnspector's File Canary CopylSite Notice