HomeMy WebLinkAbout2003-P06964 - plumbing � PERMIT
CIT,�.. OF ORONO Permit Number:
2�t�0 Kelley Parkway - PO Box 66 P06964
Crystal Bay, Minnesota 55323 Permit Type: FiX�res
(952) 249-4600 Date Issued: l0�30�2003
SITE ADDRESS: 3720 Jacobs Mill Rd
Long Lake,MN 55356
P I D: 32-118-23-24-0008
DESC RI PTION:
Proposed Use: Kesicientiai
Pernut Class: Plumbing
Permit Type: Fixtures Pernut Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
Homeowner taking out permit-recommended that contractor pull-said this was ok
FEE SUMMARY: Pernut Fee: $ 171.03 Valuation: $ 13,682.00
State Surcharge Fee: $ 6.84
TOTAL FEE: $ 177.87
APPLICANT: Owner/Self OWNER: Greg Carlson
� 521 Willow Dr.N.#203
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.
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A LICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Aqplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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OC7 29�2003. 15�.02 P m2 ,
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GITY UF ORONO � APPUCAT{ON FOR PLUMB[NG PERMIT
. Box 66(2750 KeAey Parkway) , .
�� Crystal�ay,MN 53323 � ,
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CIEZiE QI ORMATtON � ;. � • ,
1: You may appiy for plumbi�g perm�ts by mail or m person at the Gty oifices.
� 2, � Permit cards wNl be sent by returti� mail a}ter a revtew is compk4od. P'�RMITS ARE NOT VAL1D iJN'i7L YOU
. RECENE A P�RMtT. WORK b:IJST NOT BE(l�1 t,�TlL T7iE PERM[1' CARp is�"1�D ON'rH__E_iQ6
51
3. Plumbing permits fi&y be issued ONl Y ta licensed plumbing contractors and to property owners residing tn ihe
, . dwel�ing.
, 4. W�hen airy.new construction or mnodeling is lnvo{ved,a separate building permit must be obtalned.
;i, All work rtiust be dane in accordance wiSh the S�itc Code requirements.
6. All work must be inspected and air tested befote it is covered. Call (952) 249-4600. 24-trour nntice required.
�nstrucfions Complete all items. on th3s application. Compute the permit fec. 5ign and date the
� certiHcatian. INCOMPLEI� APPUCATIONS W[LL NOT 8E PROCESSF.D. H you ha� questions;
Ga11(952) 249-4800.
Ptease check one: New Addi6on Repair Rep�ace
' t/�esidential Commer�c�al
,jOB 51TE: 3?024 tlaca'ls ItiI i(( (�• zpp: SS3S�o '
' dwner's Name:: C-���r�•{s� Telephone Numt�er: (�5�-3{�7-?i0_�«/(.7�n3-�3p-1,7�
MaiNn�Aadress: �i wi lls� �• City: Lon (a,k,� Zip: S53 5{a
Contractor's Name: P�4 L a.n��s C' � ' i� Telep one Number: &7:7-5��-�v�3�
' Mailing�AdQress: /�zo� w Sw ty: Cp�� Zip:
. . . . � , . L'�r . � . . , . ,
PLUMBiNG FIXTU�2E SCHEDULE
� FIXTIJRE BSMT 1 ST 2ND OTHER FIXTZJRE BSM t S 2ND OTF#ER
; TYFE FL FL TYi'E T T FL `
FI.
Water Goset � Floor Drains
Lavefo � Sewer E'ector
Bathriib a l,aund Tra
Shower Washer �
ititchen Sink 1 Water Heater �
Di osal ( Water Softener
Dishwaaher � Wel Bar
• Sfllcocks � � ( Misc Iist
• R.O:i
'pCT-29-2W3� 15��-' � ' ,
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� � �ERM�'1'�:�C�LCt)l:A2L�S�:. .. - ,
, ;:
2002 St�tt 8�ei� �Xes,Tt�s S�tton Appl�es ,.
. �� '('he,�ep�rtient of a�R� ae-idential flxtuee or��that,meets all three af tKe follov�ing reqtirements: ; ,
. � ` ��' j�g;n�reqaire modification fo etectricat or gas setvice• . �
� :,..
, ..
. � , . Z) Has,a:�'of,�300.00 oc lesa; � 16e ca�t of the tixturn or appliance: and
;� � ,j ��' Ile cir repiaced,by ihe�ianernaner or licenced contraetor•. ,
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. :1 ; . .., .,.. ,,•.. , 15 00
� , � Skip next section, '. Cost of Permit $ - .
, . State Surcharge � .50
� Mail In F�e � t �"0
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If above does not aPp1q,.[�ol�ow guidelines bdow:
� � . : . 1; Cantract Pr1�'' is .O i 25 96 of job with a 1NinimtM++ �ee of($ 5 1
. ` �13,�8.2 xA123 S� ��"71.43 .
, (contract price) (minimum$35.40)
2. State Surchar¢e.*"`Add the State Buiiding Code Division a(M�nimnm Fee of$.50)
� �/3��sZ a .0005 � ��7
� (oantract Price} (m3nirnum S.50)
3. ��sta�e�.,nd�� (O�1Y mai(-in applicdtions) $ 1.50__
4. TOTAi:.PERMIT�EE (Add iines t-3 above) , � ��`7.8? �
;, , * COM'RAC't' PR10E or,�OB COS'� means the actual � esthnated doll�r amaint charged for the pe�mitted wi►ric
)nclwding materlais,labur.pto(it.a�nd o�er Fixed costs. 3�is the smouM to be cbar�ed to the custom�r for 16e wore.
done. If any m�icrial, e4ui�m�t. labar,or mafelletion are furnlsAed by the owner,, tenanl or arry other parfy
' rrasanabie market vsiue of such ikms must Ue added,ro the estimakd rnst nr contract price ta penmit fee.
purpoy�s. {n the eYent that there'is a dispute on the amauat of tb�jnb rnN, the City maY repiitst the submissbn
�f a sfgned copy af the actual coritract.
f• The STATE SURCHARa� � .0�� of the o�ntract prlce under �I,000,00(� or 5.50-whichever is grester.
For vaivations over$!,W0,400 cali the DepaAment of Mspedian Serviees for the pricc.
The undersigned hecebY apPl"ies to the City for issuanc�e� re'��� F�heits�t�of Minneso�taWand
in strict accardance with the ord�rrdnces of the Caty an �
cer4ifies that a11 statements mad on t�is application ar�complete,irue and correct.
Date: /4���—03
APP19c�aYs Signatnre: ' .
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TIC SCHEDULED !D- .'O D
PERMIT NO. COMPLETED
ADDRESS �7Z� v��, F-�—
OWNER CONTR.
TELEPH E N . 3� �� �P l-33
� DESCRIPTION � 1v�
� 01 FOOTING 11 MECHANIC I 18 EXCAWGRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINL 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
ti COMMEN S:
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� RKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE
W CORRECT WORK$PROCEEp ❑ISSUE CERTIFICATE OF OCCUPANCY
� �O CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECAVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN ❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call forthe nex 'nspection 24 hours in advance. (952) 249-4600
OwnerlContra i e:
Inspector. �
White CopyAnspector's Ffle Canary CopylSite Notics
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Po�9b� �� DATE TIME
CITY OF ORONO CALLED ifd" L-�f �'�/
INSPECTION NOTICE scHE�u�E� � ���-� �.;�_
PERMITNO. r�(v35% COMPLETED
ADDRESS �.� 7 Z-�-' <_TC� C C�E�S I�// /�'�
OWNER CONTR. � ��� �a`��s°Y'
TELEPHONE N0. �
2D - Z8"Cv - �n133 `o .
� DESCRIPTION ����h � ��'� �
� 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
Z 04 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI i 23 SEPTIC FINAL 35 HARD COVER REMOVAL
�'0"P BING FINA �� 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
OwnerlContra��n '
Inspector.
White Copy/lnspector's Fi Canary CopylSite Notice