HomeMy WebLinkAbout2000-P02577 - plumbing � �` PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po2s��
Crystal Bay, Minnesota 55323 Permit Type: F�X�ures
(612) 249-4600 Date Issued: 6i2oioo
SITE ADDRESS: 3680 .lacobs Mill Rd
LONG LAKE, MN 55356
P I D: 3 2-118-23-24-0009
DESCRIPTION:
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Pl'O]70SeC�USe: nc�iuc����ai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Single Family
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
1 MISC ITEM-SUMP PUMP
FEE SUMMARY: Permit Fee: $ 133.88 Valuation: $ 10,710.00
State Surcharge Fee: $ 5.36
TOTAL FEE: $ 139.24
APPLICANT: PLYMOUTH PLUMBING&HEATING OWNER: LECY CONST
6909 WINNETKA AVE N 6909 WINNETKA AVE N
BROOKLYN PARK, MN 55428 BROOKLYN PARK,MN 55428
THE UNDEftSIGNED 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 1VIINNESOTA BUILDING CODE REQUIREMENTS.
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APPLI ANT PERMIT E SIGNATURE SSUED BY S GNATURE �J��4.
Copies: City,Applicant, Assessar, Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INF'ORMATION
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 E� PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB S1:TE.
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 sepazate building permit must be obtained.
5. All work must be done in accordance with the State Code requirements.
6: All work must be insgected and air tested befo:e it is covPrPd. Call 249-4600. 24-hour ne.ice *equired.
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: � ac0 � � Zip:
Owner's Name: l�-2 c:. Telephone N mber: �L} �-
1�lailing Addtess: (C7" i �C.t` #� �` City: ��,,.i��a.�ri`.�ZiP� �5�t-//�
Contractor's Name: V�}'(; we. i Telephone N ber: , �
Mailing Address: ` cLQ. �3_ City: � � �Zip: �Lf
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � � Floor Drains �
Lavatory � Sewer Ejector
Bathtub � Laundry Tray
Shower Washer
Kitchen Sink � Water Heater �
Disposal � Water Softener (
Dishwasher Wet Bar
Sillcocks � Misc (list) �
..
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PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee 35. 0
t l, x .0125 $ ��. ��
contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. ' • � x .0005 $ Cj�_�j(,,p
contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERNIIT 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 fued costs. It is the amount to be chazged to the
custo�er for the work done. If any material, equipment, labor,or installation are furnished by!he 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,dd0,000 call the Department of Inspectional 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
Mi�esota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signatu : Date: �
DATE TIME
CITY OF ORONO CALLED W 7�/3�G�
INSPECTION NOTICE SCHEDULED 7-rY-�� : s�
PERMIT NO. -c5�7 COMPLETED 1��� �
ADDRESS �36 $� ����� l�'I�If ��
OWN ER CONTR.P/vr�. PCi1���^ �1
TELEPHONE NO. ��.a'� i� 3` 5�3 - Y.3 � �
� DESCRIPTION G�'15 �� n L ���� to�r 'C.C�1� ��✓J
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ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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= 09 PLUMBING RI 23 SEPTIC FINA� 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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Cl CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. 249-460�
OwnerlContra o site:
Inspector �'�
Whiie Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN ��-�-�' l v`7
INSPECTION NOTICE SCHEDULED �� -vo U o
PERMIT NO. �� 77 COMPLETED � �V ' ��
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OWNER � CONTR:-� -��
TELEPHONE NO. 5 3 3 � 3 .S�
� DESCRIPTION
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� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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 FO�LOW-UP
W LUMBIN 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlCont a tor on site:
Inspector.� �c-
White Copyllnspector's File Canary CopylSite Notice
DATE / TIjv1E
CITY OF ORONO CALLED IN ���� (C' ��
INSPECTION NO I SCHEDULED 'Z�-OC� O�
PERMIT NO. � COMPLETED � - %d
ADDRESS � �'
OWNER CONTR.
TELEPHONENO. 7 � 3 `S � 3 T3s7
�- DESCRIPTION --� �� ��'- �'��'�'`
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LL 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING ILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSUTATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
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
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContracto on site:
Inspector. � ��
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN ���� �'���s1�
INSPECTION NOTICE SCHEDULED � -=�'_s��
PERMIT NO./'o ��"7"�7 C MPLETED /C�� -� -3
ADDRESS �' � • ��c`�'��'� /`'l i/( J2C/�'
OWNER �� f 'jCONTR. Q-�� �Ce�l-
TELEPHONE NO. ��'3 -- `�-' 3 3 - ��� �
� DESCRIPTION ����'�1 f"1� �`�_ �-���-�--.
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lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 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
Z
Q OS 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 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
1�0 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� ONTRACTp TO MEET YOU: YES N � , �
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V BEFORECOVERING PERMANENT
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INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContrac or on site:
Inspector. iQ�C li/�
White Copyllnspector's File Canary CopylSite Notice