HomeMy WebLinkAbout2005-P08973 - plumbing • � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p08973
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 7/19/2005
SITE ADDRESS: 1925 Lakeview Ter Unit#
Long Lake,MN 55356
PID: 27-118-23-42-0014
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Pre-Manufactured Home,Fixtures Already Set
FEE SUMMARY: Permit Fee: $ 43.75 Valuation: $ 3,500.00
State Surcharge Fee: $ 1.75
TOTAL FEE: $ 45.50
APPLICANT: Manatee Plumbing OWNER: Joe Lemmerman
11525 199th Circle County Rd 18
Silverlake,MN 55381 Delano,MN 55328
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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APPL AN ERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l
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FOR CITY USE ONLY
,�` City of Orono
� O4�`�'O P.O.Box 66 Date Received: Permit#
�,,. 2750 Kelley Parkway
1{t��'' Cr stal Ba MN 55323 Approved By: Amount$:
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CITY OF ORONO -PLUMBING PERMIT
(All Commercial pennits must be approved by the Building Official 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 retuin mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE 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 plumbing contractors and to property owners
residing in the dwelling.
4. When any new consh-uction 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 must be iiispected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
(Check All That Apply)
�Residential ❑ Commercial(Approval Required)
�New ❑ Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
�b Site/ Owner Information:
�
Site Address: '� �� z � L-�ke v',�iJ � ��
Owner: {-�o�'�'�e� � Y .1 c3 � � l-�'wrri+�i�'^1Glailing Address:
City: �r�r1 � Zip:
Home Phone: Alternate Phone:
Contractor I�iformation:
Contractar: �1'1��nc��.�.P �QT�.,vn�,�;�� ContactPerson: � e
Address: � 1 S Z.S �� � t� C. 1 rC.�e State Bond #:
City: 5��v-��- ���-� Zip:�g,� Expiration Date: �
Phone: �l2-� S �- l I 7 z Alternate Phone:
_ ❑ Insurance- Current:
1
DATE TIME r
CITY OF ORONO CALLED W —��� - '�-7'�,�
INSPECTION NOT C F s SCHEDULED � /V:�c�it�f
PERMIT NO. COMPLETED
ADDRESS � �f 2_� (�,(Ct?vt��(,v �Q/'.
OWNER CONTR. ,����/,;��
TELEPHONE NO. �2%� 7�(� �/ 7 Z
� DESCRIPTION N� r ��" �
� 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 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 RI� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED CI PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CQRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next i pection 24 hours in advance. (952� 249-4600
OwnerlContra r it :
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
r,� �— /�AT TIME �
� CITY OF ORONO CALLED IN �I ?�
INSPECTION I SCHEDULED 3��'�/
PERMIT NO. 7 COMPLETED
ADDRESS
OWNER CONTR�/���-Q�� �
TELEPHONE N0. ��Z 7 s�0 �� 7��
� DESCRIPTION CJ,x���- ��
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 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 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORKSATISFACTORY:PROCEED PROJECT COMPLEfE
� ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call tor the nex inspection 24 hours in advance. (J52� 249-4600
OwnerlContra i :
Inspector. —
White Copyllnspector's File Canary CopylSite Notice
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' ' PLUMBING FIXTURES 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 Lauudry Tray
x
Shower W asher
�
Kitchen Sink Water Heater I
Disposal Water Softener I !
Dishwasher Wet Bar
Sillcocks Z Miscellaneous
�
_ PERMIT FEE CALCULATION(S) '
BASED OFF - 2002 STATE STATUE `
❑ Yes, this section applies
The replacement of a Residential fixture or appliance that meets all tluee of the following requirements:
1. Does not require modification to electrical or gas seivice.
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 Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicablej $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
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` � PERMIT FEE CALCULATION(S)—JOBS OVER$500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of conn-act price with a(Minimum Fee of�35.00)
3,5�� X .o�zs $ ;
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
; t
x.0005 $
•� (contract price) (minimum S .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 achial 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 vahie of such items must be added to the
estimated cost or connact 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 conn•act.
■ ** 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 Building Department at(952) 249-4600 for the price.
PLUMBING PERMIT APPLICATION AGREEMENT
a
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
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: Date: 7'— �����
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