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HomeMy WebLinkAbout2005-P09012 - plumbing � � � PERMIT C��Y �F ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Po9012 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 7/27/2005 SITE ADDRESS: 285 Leaf St Unit# Long Lake,MN 55356 PID: OS-117-23-14-0001 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixhues Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 81•25 valuation: $ 6,500.00 State Surcharge Fee: $ 3.25 TOTAL FEE: $ $4.50 APPLICANT: B&C Plumbing OWNER: Mahnaz Aghamirzai 990 Sth Ave SE 285 Leaf St Hutchinson,MN 55350 Long Lake,MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � f� `��� APPLICANT PE EE SIGNATURE SUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1 'F`ORCITY USE;UNLY ' �0� City of Orono � P.O.Box 66 Date Received: Permit# �'� � 2750 Kelley Parkway ' � a a� ;, � Crystal Bay,MN 55323 Approved By: Amount$. '� '" `$, (952)249-4600 � CITY OF ORONO-PLUMBING PERMIT (AU Commercial permits must be approved by the Building O�cial or lnspector) GENERAL INFORIVIATION , _1.Yousnay agply_.for.plumbing permits.by.mail or in personai_the�it}r.offic�s_Applications_will tze_— ___ ._—_.__ reviewed and a pernut will be issued within two working days. 2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMTT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED-ON THE JOB SITE. 3. Plumbing perxnits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new consiruction or remodeling is involved,a separate building pernut must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. �all(952)249-4600, (24-48 hour notice required) :. TYPE OF PERMIT ; Check All That A 1 [� Residential ❑ Commercial(Approval Required) ❑New ❑Additional [�Repairs [g'�eplace ❑ In Accessory Structure? *You will need urior approval and may need CLJP. (Per Orono City Code,Chapter 78,Article N) `"Job'Site/Owner.Information:; , Site Address: '2�.5� L ed�F J�7'�- Owner: /�1,�1`+�/1/�Z A�A�r�Z/�/ Mailing Address: City: Zip; Home Phone: Alternate Phone: Contractor Information: Contractor: �J�G �c�r6 i+`��G Contact Person: Address: T v �'�l�s� State Bond#: City: l����K��'�k/ �ip:5'3�' Expiration Date: Phone: 32v�2 34�6�a� Altemate Phone: 3Z0 -- YZ�-�'o/y ❑ Insurance-Cunent: �i!'"o� -(�`��'P�1,� 1 � PLiT11/lBI�N'G�`FIXTLIRES�EING i�TS"T'AL-LED =; - FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet / 2 Floor Drains Lavatory / � - Sewer Ejector Bathtub ! Laundry Tray Shower � Washer j Kitchen Sink j Water Heater Disposal � Water Softener Dishwasher � Wet Bar Sillcocks Miscellaneous r P�Rl�i1'��E�AL��A�`,�3���s x �. ` �x `� � � ` � ' .� ;B�SE C�F� �fl����A"�'��'I'�A�. � �� l� ,_ , . , � , �,.� � � ! ❑ Yes,this section applies � The replacement of a Residential fixture or apgliance that meets all�three of the followmg requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excluding the cost of the fixture or applian�e: and 3. Is improved,installed or replaced by the homeowner or licensed contractor, Skip next section,if this applies; Cost of Pernut $ 15.00_ - State Surcharge $T.50 Mai1-In Fee(If Applicable) $ 1.50 , Total Permit Fee $ (Permit Fees Continued On Next Page) 2 _ , � PER1VIiT F�E CAL�i3I.,ATIQN.S ,-JQg�-OVER$5t10 00 .: , r If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) �� �S�OQ e� x.0125$ (contract price) (minimum$35.00) 2. STATE SURCFIARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) - - - - - - �`'�" G�S'�o '` X.000s $ (contract price) (minimum$ .SO) 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 permitted 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 installarions 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 pemut 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. Foi valuations over$1,OOO,Q00 call the Building Deparhnent at(952)249-4600 for the price. ,�,��.�.VlV,[�tNC P��MIT A�'EL�CATIO�#`:��ItEL�E3.�T , " . . �� j :.:� 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 stat ents made on this application are complete, true and correct. Applicant's Signature: Date: � 2 ? �� 3 D T TIME � CITY OF ORON CALLED� � �� INSPECTION TI �/a O� S HEDULED � PERMIT NO. D I L��LETED ADDRESS � G � OWNER ��-nl rZL2.r�CONTR. ¢"G � TELEPHONE NO. � DESCRIPTION �` � �`�'^ � 01 FOOTING 11 MECHA 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 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 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURIJ ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours irt advance. (g52) 249-46�� OwnedContract 't : Inspector. White Copy/lnspector's File Canary CopylSite Notice U� �� DA E TIME '✓ CITY OF ORONO CALLED IN Z � a5 � INSPECTION NOT E SCHEDULED � PERMIT NO. ���`' COMPLE � � A��RESS ��J OWNER CONTR. ������-�X��- TELEPHONENO. ��'�r�O �r����,YL2� �3� -c��ov � DESCRIPTION ��� i . ����_ - ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/G ADINGR /FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 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 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 PIUMBING FINA� 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W 0. o !��Q�e � � � 0 � W � Q � Z W � W � j d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETUFN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContrac n s te: Inspector. � White Copyllnspector's le Canary CopylSite Notice