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Home My WebLink About2004-P08125 - plumbing �'� PERMIT C��•`i( OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P08125 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 10/26/2004 SITE ADDRESS: 3640 Jacobs Mill Rd Long Lake,MN 55356 PID: 32-118-23-24-0010 DESCRIPTION: Proposed Use: Kesiclenrial Permit Class: Plumbing Pernut Type: Fixtures Pernut Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 431.25 Valuation• $ 34,500.00 State Surcharge Fee: $ 17.25 TOTAL FEE: $ 448.50 APPLICANT: Thompson Plumbing OWNER: Matt vanslooten 15001 Minnetonka Ind.Rd. 3640 Jacobs Mill Rd Minnetonka,MN 55345 Long Lake,MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERNIISSION 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. � � ;d�.e G��G/�� c-G2�rv APPLICANT PERMITEE SIGATAT�[IRE ISSUED BY SIGNATURE �� Conies: 1-File(SiQnitures Required), 1-Auulicant, 1-Monthlv Renorts, 1-Assessine. 1-Finance Page 1 �� N • `, CITY OF ORONO APPL[CATION 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. ?. Permit cards wil) be sent by return mail after a review is completed. PERMITS ARE NOT VAL1D 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 plumbinb contractors and to property owners residing in the dwelling. 4. When any new construction or remodelinb is involved, a separate buiidinb permit must be obtained. 5. All work must be done in accordance with the State Code requirements. 6. All �vork must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice required. [nstructions 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 checl< one: ��C New Addition Repair Replace �_ Residential Commercial JOB S[TE: < ' �� ` � �c � Zip: _ Owner's Name: S a ,_ �r�� Telephone Number: Mailing Address: ' City: Zip• Contractor's Name:�� - ` -� � - Telephone Number:��-f,?.r,- -}�.� � Mailing Address:j�;�� {.c�. �,. City:``f��r��lc� Zip: ��j PLUMBING F[XTURE SCHEDULE FIXTURE BSMT ]ST 2ND OTHER F[XTURE BSM 1 S 2ND OTHER TYPE FL FL TYPE T T FL FL Water Closet r � _ '� �, Floor Drains � �� . Lavator %— � � Bathtub Laundr Tra � Shower /— � Wasller Kitchen Sink /�— � / Water Heater 1 Dis osal Water Softener Dishwasher Wet Bar Sillcocks Misc list � o�, k '�� ,� � N � ` � i PERMIT FEE CALCULAT[ON S � 2002 State Statute ❑ Yes;`�'his Section Aqplies �� r, t The replacement of a esidential fixture r a li ce that meets a three �of the following requirements: i) Does not require modification electrical or gas service. 2) Has a total cost of $500. less; excludin� the cost of the fixture or appliance: and 3) Is improved, installed or place 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� � _ �`�,SC:� x A 125 $ �J1 • �� (contract price) (minimum $35.00) 2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of $ .50) ��{ ,�� x .0005 $ j �) • a� (contract price) (minimum $ .50) 3. Postage and Handling (Only mail-in applications) $ 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��,�� * CONTRACT PR10E or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, proiit, and other fixed costs. It is the amount to be charged to the customer ior the work done. If any material, equipment, labor, or installation are furnished by the owner, tenant or any other party the reasonable marke! value of such items must be added to the estimated cost or contract price for permit fee purposes. ln the event lhat 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 tl�e Department of Inspection Services for the price. The undersigned hereby applies to the City for issuance of a P(umbing Permit, agrees to do all wor]< 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: ��;��,�y� �� ,� n Date: ��-�,��►Y Reset Form �J�� 4AT TIME " CITY OF ORONO CALLED IN �a � INSPECTION N TICE SCHEDULED -� .3:30 PERMIT NO. � COMPLETED ADDRESS OWNER CONTR. TELEPHONE NO. � DESCRIPTION �� V I�� 17'l �G�+��u.c�;� ��T`� � 01 FOOTING 11 MECHANICAL RI 18 EX /GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALI 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 � 07 DEMO-FINAL 15 SEPTIC INSTAIL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � d W� WORK SATISFACTORY:PROCEED � PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe ext inspection 24 hours in advance. (952) 249-46�0 OwnerlContr r site: Inspector. White Copy/inspecto's File Canary CopylSite Notice �/� DATE TIME � CITY OF ORONO CALLED IN ��.�`� �`/ INSPECTION�IOTICE SCHEDULED - �� •�'�� PERMIT NO.�L S'� 1-� 'S COMPLETED ADDRESS � �� I<tC��s� �z (. I I 1�2c-=�� OWNER CONTR. ��T�-{�/�So1. l"�/�-;c. . TELEPHONE NO. Cr_S ,� �� 3 3 7 7I � � DESCRIPTION � 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 � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v �07 DEMO_ INAL 15 SEPTIC INSTALL. 22 FOLLOW-UP �"U9 F'LUMBING 23 SEPTIC FINAL 35 HARD COVER REMOVAL v , � 36 FOUNDATION/REMOVAL � O ERICONTRACTO TO MEET YOqY YES_NO � COM S: � � r, � J O � � O � W � Q � Z W � W � � d W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8�PROCEED '7 ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑GTATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n t inspection 24 hours in advance. (J52� 249-46�� OwnerlContr �site: �� , Inspector. White Copyllnspector's le Canary Copy/Site Notice ) / � � _ , �-. DATE / TIME �� CITY OF ORONO CALLE IN 3��`'� INSPECTION NOT CE SCHEDULED '��D� �� PERMIT NO. �/v�`J COMPLETED ADDRESS �� `f � :J � c c^hs /'yj� / ( /�.�' OWNER CONTR. �1 ��'�=�� TELEPHONE NO. �j� � � � � 7� � a f ��l�c �� / � DESCRI�TION � � � /� ��.-� � �-/n� � 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 Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU�YES_NO � COMMENTS: -�� /I L� �l'�d'�> '7�0 -�"��v �{'�-�-�-� a � S�� 1 ' O C. f � � � -�" ' �, '1�►� -- (�l�C�S '�,�,r W � �' � C.�. Q � Z W � W � j d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED �_� ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '-�CITATION ISSUED C INSPECTION REQUtRED.CAIL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlCont�r site: Inspector. -F White Copyllnspector's ile Canary CopylSite Notice