HomeMy WebLinkAbout2000-P02603 - plumbing ' PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po26o3
Crystal Bay, Minnesota 55323 Permit Type: F�XtUres
(612) 249-4600 Date Issued: 6i2�i2oo
SITE ADDRESS: 160 Golden View Dr
LONG LAKE, MN 55356
P ID: 33-118-23-43-0022
DESCRIPTION:
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Pl'OpOS0C1 USO: �c�iucuiiai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Single Family
DETAILS:
Approved per resolution #:
Separate permits required:
NOTICES/REMARKS:
[RON FILTER
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 250.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: CULLIGAN WATER CONDITIONING OWNER: K C&C M SCHMID
6030 CULLIGAN WAY l60 GOLDEN VIEW DR
MINNETONKA,MN 55345 LONG LAKE MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL [MPROVEMENTS SPEC[FIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICAN'I'PERMI"I'EE SIGNATURG SSUED BY SIGNATi_)RE
Copies: City,Applicant, Assessor, Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIN 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 retum 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 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 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 249-4600.
Please check one: _ New Addition Repair Replace
Residential Commercial
JOB SITE: _ Zip: _
Owner's Name: Telephone Number:
Mailing Address: City: Zip:
Contractor's Nai���IC�AN WATER CUNDITIONING Telephone Number:
Mailing Address: 6C30 CULLIGAN WAY City: Zip:
MINNETONKA, MN 55345
�B�9(��TURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejec[or
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage and Handling (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 dollaz amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be chazged to the
customer for the work done. If any material, equipment, labor,or installation azP 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 Ci[y 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 Jnspectional 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
correct.
Applicant'sSignature: � __ __.y_ _ Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �_�� ���-�—
PERMIT NO. ��'C��J COMptETED ���� �
ADDRESS l�OG> �'��I��V�� L'�
OWNER CONTR. C`��l I�;�q,J�l
TELEPHONE NO. �a� y y�����"� J
1 �jq �r
� DESCRIPTION (ti a-�� �' cn��G7' j�[P�"� ���9 'f��� ���
�
ly� O1 FOOTING 11 NIECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 0� RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLU� MBING FINAL 36 FOUNDATION/REMOVAL
� OWNER TNOCI RACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ,��WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
W �Ci CORRECT WORK&PROCEED ! ISSUE CERTIFICATE OF OCCUPANCY
0 C� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
Ll CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
C7 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContra tor on site:
Inspector.��,��-�!�i�
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