HomeMy WebLinkAbout2004-P07399 - plumbing PERMIT
CITY OF ORONO Permit Number:
2750 fGelley Parkway- PO Box 66 P07399
Crys�al Bay, Minnesota 55323 Permit Type: FiX�es
(952) 249-4600 Date Issued: aii6i2ooa
SITE ADDRESS: 380 Leaf Street
Long Lake,MN 55356
PID: 04-117-23-23-0027
DESCRIPTION:
Proposed Use: Kesidenhai
Pernrit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Mulriple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 262.50 Valuation• $ 21,000.00
State Surcharge Fee: $ 10.50
TOTAL FEE: $ 273.00
APPLICANT: Precision Plumbing Inc. OWNER: ��ony Thomas Homes
4409 Mason Ct NE 4100 Berkshire Lane
St.Micheal,MN 55376 Plymouth,MN 55446
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.
. �!Y�-- ��� /Z�j
APPLICANT PERM[TEE SIGNATURE v -� D BY SIGNATURE
Couies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthlv Reports, 1-A�essine, 1-Finance Page 1
CITY O��ItOI�O A►PPF.�CA�'�QN FOR PI,UMBING PERMI'�
Box 66 (2750 Kelley Parkway)
�rysta� �ay, l!� 55323
G��iI.INFQRMATIUN
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cazds will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YdU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THB PBRMTT CARD IS POSTED ON
THE.JOB STTE.
3. Plumbing permits may be issued ONLY to licensed plumbing contraeWr$and to property owners residing
in the dwelling.
4. When any new construcrion or remodeling is involved, a sepazate building permit must be obtained:
5. All work must be done in accordance with the State Cade requirements.
6. All work must be inspected anci air tested before it is covered. Call (952) 249-4600. 24-hour notice
required.
InstructiQns Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WII.,L NOT BE PROCESSED. If you have
questions, call (952) 3�9-4600. :
Ple�se check one: � New Addi�ion Repair Replace
Residential Commercial
JOB SI1'E• .-_3�`S`(,.1 �e-�� �.S 7`� . 7�p; .
Owner's Name: ��.,,� T}r,om,�s �k� � Teleghone Number:
1Viailitag Address; City: L n1 Zip:
Contractor's Name: Qre�,i s,�. {�L,�.�-•,6n� ���. Telep one Number: �,.z-3 ���a�e�
Mailing Address: y3t/ �7,�s�w t•v ,,�E _ City; ��,�.�c� Zip; �'-,5.��
P'�I;TIV�ING FIXTURE SCI�DULE
FIXTURE BSMT 1ST ZND OTHER , FIXTURE B5MT 1ST 22ND,: OTHER
TYPE F'L FL AI"c� TYP� ;FL, pI, � . : �x., �
Water Closet o2. n2 l�loar Drains � -�J
.Lavat4 � . ;Sewcr E'ector � --__:._�__��_
��r��� 3 � �� T� t �
Shower Washer '� I. '
Kitchsn Siz�k t { 'Water Heater )
Dis sal Z- i Water Softener ,
Dishwasher � � Wet Baz �
Si�tcocks �' 'Z Misc(list)
PER11��� FEE Ct�CU��TI��T(�1
20Q� Sta�e Statute ❑ �'es, �his SectiQn t�pplies
The replacement of a Residential fixture or appliance that meets all three of the following
requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excludin�the cost of the fixture or appl�ance:
and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50 _
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. rontract Price* is .0125 % of job with a Minimum �ee of ($35.00)
,�/C'�,�� x .0125 $
(contract price) (minnnum$35.00)
2. State St�rcharge ** Add the State Building Code Division a (Minimum Fee af$ .50)
x .0005 $
(contract price) (minunum$ .50)
3. Post�e �nd �iandlin� (On1y mail-in applications) $ 1:50
4. TOTAL PERMIT FEE (Add liaes 1-3 above) $ .
* CONTRACT PRICE or JOB COST means the actual or estimated dollar aznount 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 installation aze furnished by the owner,t�n�nt 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 conirtct.
** The STATE SURCHARGE is.00OS of the contract price under$1,000,000 or $.50-whichever is greater.
�or valuations over$1,000,000 call the Department of Inspecrion Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do ail
work in strict accordance with the ordinances of the City and th� regulations of the State of
Minnesota, and certifies that a11 statements made on this appiication are complete, true and
correct.
Applicant's Signature: -�✓t l� G Date: ' G' �, .
�
�.�-�L � �
/ � ��J� TIME
CITY OF ORONO CALLED IN J
INSPECTION NOTICE SCHEDULED �� 3:oa
PERMIT N0. i'07.39� MPLETED
ADDRESS D
OWNER C NTR.
TELEPHONE NO.
� DESCRIPTION 1`��
� 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING
Q 02 FRAMWG 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS
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
v 07 DEMO-FINAL 15 SEPTIC INSTALI. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
h COMMENTS:
�
W
a
j �
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
�
d
W� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEEO ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL AETURN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
Owner/Contrac e:
Inspector.
White Copyllnspector's FI Canary Copy/Sib Notice
�!-�! TIME 1/
CITY OF ORONO CALLED IN ��
INSPECTION N TICE Q SCHEDULED -�o� -O '3D
PERMIT NO. % COMPLETED
ADDRESS ��D �� S�' .
OWNER CONTR. �l�PC(S�D� PLCu�L.�
TELEPHONE NO. �� Z"��- �5��
� DESCRIPTION L�Ll���lat�Q� �' ��u.�
� 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS
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 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
y COMMENTS:
�
W
4
j �
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
�
d
W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (952) 249-4600
OwnerlContr s te:
Inspector.
White Copy/lnspector's Fil Canary CopylSite Notice