HomeMy WebLinkAbout2007-P10813 - plumbing PERMIT
C'iTY"OF ORONO
. 2750 Kelley Parkway- PO Box 66 Permit Number: P10813
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952)249-4600 Date Issued: 3/7/2007
SITE ADDRESS: 3675 7acobs Mill Rd Unit#
Long Lake,MN 55356
PID: 32-118-23-24-0012
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Wet Bar
DETAILS:
Approved'per resolution#:
Separate permits required: "
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee:
TOTAL FEE: $ 35.50
APPLICANT: Blue Water Plumbing OWNER: 7effrey&Kari R Ament
5026 Alpha Road 3675 Jacobs Mill Rd
Princeton,MN 55371 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
MINNESOTA BUILDING CODE REQUIREMENTS.
---- �
APPLICANT PERMITEE SIG ATURE SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, i-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
. • � FOR CITY USE ONLY"
City of Orono
� '• 4�'� P.O.Box 66 Date Received: Peimit#
�� � 2750 Kelley Parkway
� � ,�'y Crystal Bay,MN 55323 Approved By: Amount$:
���``+�.�o� (952)249-4600 �
CITY OF ORONO—PLUMBING PERMIT
(All Commercial perniits must be approved by the Building O�cial or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing pernuts 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 return rnail after a review is completed. PERMITS ARE NOT
VALID iJNTIL 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 plumbiiig contractors and to property owners
residing in the dwelling.
4. When any new conshvction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work inust be inspected and air tested before it is covered. Call(952)249-4600. '
(24-48 hour notice required)
TYPE OF PERMIT
(Check All That Ap ly)
� Residential ❑ Commercial(Approval Required)
❑ New ❑Addirional ❑Repairs ❑Replace
❑ In Accessory.Structure?
*You wiii neeci prior approval and may need CUP.(Per Orono City Code,Chapter 7S,Article IV)
Job'Site/Owner Information:
Site Address: 3�75 �1��bS�i��� /�
Owner: Mailing Address:
City: [�/�� Zip:
Home Phone: Alternate Phone:
Contractor Info:mation:
Contractor: 3�� �"� ��"'"'b��� � 'Co�t�a�Person: G�✓�G�
Address: ,����p,���� State Bond #: cl3 cT y �d 3�G'
City: �1 i��` Zip:s.�3� � Expiration Date:
Phone: a-�U —� yy Alternate Phone: ���/�01
❑ Insurance—Cunent:
1
F +
�,;:PLUIVIBING.FLXTTJRES�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
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar v
l�
Sillcocks Miscellaneous
: � � , = h� � � , �'� PE�zrr���ai,c�,�.TzQ�r(s) :� t � ;i` g.
�' � �° � �BA�SEIA OFF�.�2002;S.TATE�TA'T�v�` � ' :
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all tluee of the following requirements:
l. Does not require modification to electrical or gas setvice.
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 Pern-ut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee �
(Permit Fees Continued On Next Page)
2
. . �
� `` PERMIT FEE CAL-CULATION S '-JC?BS �VER$500.00 ' .=
If above does not apply;follow guidelines below:
l. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
o�00,D� x.0125$
(contract price) (minimum$35.00)
2. STATF SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.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 puiposes. 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 acriial contract.
_ ** The STATE SUIZCHARGE is .0005 of the contract price under$1,000,000 or $.50—whiche��er is
greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
.A. 5 ,: :�PI�UMBING:PERIvIIT�1PPL�CATZQN 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
Minnesola, and certifies that all statements made on this application are con�plete, true and
correct.
Applicant's Signature: �� /�`�� Date: 3"� + d 7
3
�� ✓
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO�T CE/� (y SCHEDULED � '�'� •
PERMIT NO. +`��V d I� COMPLETED
ADDRESS �>l s�5 T�t CC' ��S ;����( I /�,
�
OWNER CONTR.I�Iu�_ (�%,��d" ��G•%»�.
TELEPHONE NO. 7Gr' <'� � 3 ��I��G��
� DESCRIPTION ,�C� /I"ZC'C:' ��
� 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
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
� 07 DEMO-FiNAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
4Qi��LUMBING 23 SEPTIC FINAL 35 HARD COVER REMOVAL
_�__,
J IUBtNG FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:•
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W�LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-46��
OwnerlCon r s te:
Inspector. _
White Copylinspector's Fil Canary CopylSite Notice