HomeMy WebLinkAbout2000-P02217 - plumbing �
�! - �� - PERMIT
C1�1i� t�F ORONO
�2750 Kelley'Parkway- �PO Box 66 Permit Number: Po22i�
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(612) 249-4600 Date Issued: 3�i��2oo
SITE ADDRESS: 3745 Jacobs Mill Rd
LONG LAKE,MN 55356
P I D: 32-118-23-24-0011
DESCRIPTION:
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PI'oposed Use: nc�iu�iivai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Single Family
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 199.94 Valuation: $ 15,995.00
State Surcharge Fee: $ 8.00
Misa Fee: $ 1.50 MAIL IN
TOTAL FEE: $ 209.44
APPLICANT: Matthew Daniels Inc. OWNER: Brad Adams
15230 Carrousel Way 3745 Jacobs Mill Rd
Rosemount,MN 55068 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS.
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PPLI E T R I D BY SIGNATURE
Copies:City,Applicant,Assessor,Finance Page 1
r ' �� � INSPECTION RECORD
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 permit Number: Po22i�
Crystal Bay, Minnesota 55323
(612) 249-4600 Date Issued: 3�i��2oo0
SITE ADDRESS: 3745 JacobsMillRd
LONG LAKE,MN 55356
APPLICANT: Matthew Daniels Inc.
15230 Carrousel Way
Rosemount,MN 55068
Proposed Use: Residendal n,w....:.o__i. �...,.�,...
�.a....��,u„-�yY.,���.Single Family
Pennit Class: Yiumbuig
Permit'I�pe: Fiatures
Separate inspections required:
Building: General:
Plumbing: Rough plumbing Fina1 plumbing
ALL INSPECTIONS MUST BE CALLED 24 HOURS IN ADVANCE. THIS CARD MUST BE POSTED IN A
CONSPICUOUS PLACE ON TI�PREMISES ON WHICH THE WORK LS TO BE DONE.
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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GENERAL INFORMATION !
1. You may apply for plumbing perm.its 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 r
POSTED ON THE JOB SITE.
3. Plumbing pemuts 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: A11 work must be inspected ar.d 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 cert�cation. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: �New Addition Repair Replace
✓ Residential Commercial
JOB SITE: �3'yh�.�' JQ�0,6� /1�i l� le� Zip:
O�vner's Name: Qn�he j,�v�I Telephone Number: 95�, 3�g_ �6,3
Mailing Address: 6S3S'/✓a.�Eha,� �Q� City: Zip'55.3
Contractor's Name: M�{h P w �cznie�s. !n/� Telephone Number: � _
Mailing Address: /5�3o C��rrn«�e1�� City: �emourt�'ZiP� 55'008'
PLUMBING �IXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet / �' 3 Floor Drains /
Lavatory / Sewer Ejectcr I
Bathtub � 3 Laundry Tray � '.
Shower Washer �
Kitchen Sink � Water Heater
Disposal � Water Softener
Dishwasher Wet Bar
Sillcocks � Misc (list)
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PERMIT I EE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
/5,'995:00 x .0125 $ /9q. 9�
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. �� �5.'DO x .0005 $ �.00
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE � (Add lines 1-3 above) $ ao9•`� .
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer for the v�ork done. If sny material, equipment, labor,er installation 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 purposes. 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 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 Tnspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Pemut, 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
conect.
Applicant's Signature: 1 Date: 3
"� DATE qTIME
CITY OF ORONO CALLED IN �" �/ �' `) /- G�
INSPECTION TICE SCHEDULED 7-1 2-�� �.�3 �
PERMIT NO. ��+ COMPLETED — ��`" �,�
ADDRESS 5 �✓' � � �� � � �� �
OWNER �-� -��i-�-� � CONTR. �A� dJ �Gt�'t-i-�.�a'
TELEPHONE NO. � S� `� �3 �7� 2'
� DESCRIPTION
l� 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
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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J 1 PLUfYIBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN
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� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
Owner/Contr tor on site: �
Inspector.� ,
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED L1'a-1 �
PERMIT NO. Z COMPLETED �—�—Z�-� 2-= 3v
ADDRESS `�"��-I� � �ti C�:%��5 'tl� ��� ��
OWNER CONTR. ��'1�'� ��-��
TELEPHONE NO.
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� 02 FRAMING 13 MECHANICA�FINAL 19 LAKESHORE/WETLANDS
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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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
f] INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContractor on site:
Inspector.�.1��✓'
White Copyllnspector's File Canary CopylSite Notice
'/DATE TIME
CITY OF ORONO CALLED IN ry/� CC�
INSPECTION NOTICE SCHEDULED y/5</o0 :�< � 3 c7
PERMIT NO. ��l� COMPLETED � - 't=r> �r'--= ��
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OWNER CONTR. �%�l'!.�����`�
TELEPHONE NO. �J�- ��-3 -�O�7
� DESCRIPTION /�,� �%���
l� 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 L 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING R� -E'ZLc..0 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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INSPECTOR WILL RETURN
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❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspector.���CC.�G �-F-�I�
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N SCHEDULED .3"—�� � ����
PERMIT NO. ��7 COMPLETED �� —�d S�^��d
ADDRESS � a cob5 i'rJ<<�� �
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TELEPHONENO. �S� �l�-3'� 3�7�
� 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 OS 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 R 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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INSPECTOR WILL RETURN
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Call for the next inspection 24 hours in advance. 249-46��
OwnerlContr c or on site:
Inspecto�'/��-C C,c�.�C'f �
White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORONO CALLED IN 3" 3� vJ � ���
INSPECTION NOTICE SCHEDULED E-'� �d��'
PERMIT NO.� COMPLETED �� 6 � G��
ADDRESS � I�f..J` �:�� ..c,E!(!
OWNER L��`i'I �d�tl%� ��.�.-��'J CONTR. �> � '�z
TELEPHONE NO. �P-�� ��.3 ,3 �.�
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� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-Fll�IA� 15 SEPTIC INSTALL. 22 FOLLOW-UP
_�MBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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OwnerlContractor on site:
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Inspector.f���L--� C%� �1 �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN 3� d�
INSPECTION NOTICE SCHEDULED .� .�Z- o� �3 : C�v
PERMIT NO. r1 COMPLETED S�'�Z�"�C .�' U G
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OWNER CONTR. � � -G
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ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICA�FINAL 19 LAKESHORE/WETLANDS
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� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 0 L 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING R ` 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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Call for the next inspection 24 hours in advance. 249-460�
OwnerlContra�tor on site:
Inspector. /G��� �'�
White Copyllnspector's File Ca�ary CopylSite Notice