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HomeMy WebLinkAbout2005-P08790 - plumbing PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p08790 CryS�al Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 5/31/2005 SITE ADDRESS: 400 Leaf St Unit# Long Lake,MN 55356 PID: 04-117-23-23-0010 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: l NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 225.00 valuation: $ 18,000.00 State Surcharge Fee: $ 9.00 TOTAL FEE: $ 234.00 APPLICANT: Precision Plumbing Inc. OWNER: Anthony Thomas Homes 4311 Mason Lane 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. � �'�. � _ AP AN ITEE SIGNATURE I UED BY SIGNATURE � Copies: 1-File(SignaturesReguired), ]-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1 FOR CITY USE ONLY City of Orono � 04��0 P.O.Box 66 Date Received: Permit# � � a„+;, 2750 Kelley Parkway ' a y���'S= � Crystal Bay,MN 55323 Approved By: Amount$: md 1��'`�o�o` (952)249-4600 �'assoe CITY OF ORONO -PLUMBING PERMIT (All Commercial permits must be approved by tlie Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing pennits by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Peimit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing pernuts 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 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. Call(952) 249-4600. (24-48 hour notice required) TYPE OF PERMIT (Check All That Ap ly) �esidential ❑ Commercial(Approval Required) ,�New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior aaproval and may need CUP.(Per Orono City Code, Chapter 78,Article IV) �Job Site/Owner I�iformation: Site Address: �-1 L �4.-S'� �1� _ Owner: Av��l„�;,�v �,�5 �-m^"'' Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �fe.0 i Si�YIJ ���G�nE '�iI C . Contact Person: i�/i/lL Address: 'i�-j�� /��gS�'%✓ � State Bond#: �L� � �`� �7J � ,.�- City: �S� �c��� Zip: 5��37` Expiration Date: !Z -3 i -�.� '�yFs� ; Phone: (�i Z- �-�1 - `7�/�, Alternate Phone: 7� 3 - `{°�7 �� ,� ❑ Insurance-Current: /�,��;7/ .:�jS � , 1 � � � � �� � �: � F �; � � ��� . . . ��� � a��� � :� . PLUMBING FIXTURES BEING INSTALLED ,` FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL ��4���� Water Closet � � l � Floor Drains l � Lavatory i f ,� Sewer Ejector Bathtub ` � � Laundry Tray ' Shower � W asher I Kitchen Sink �' Water Heater ' Disposal � Water Softener Dishwasher i Wet Bar ` ' � ! Sillcocks Z Miscellaneous PERMIT FEE CALCUI,ATION(S) BASED OFF - 2002 STATE STATLTE ' ❑ Yes, this section applies 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 seivice. 2. Eas a total cost of$500.00 or less; excluding the cost of the fixture or appliance: and '. 1s-i�p�t�ed;-i�t-alled-o���p�aeed-b��he-lior-�eo�er-or�ie�xsed-sont�ac�o�. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 --- I�Iail-�n-�ee-(�f-A�plisab�e-�—� 1-.-50— Total Permit Fee $ ""� l �//J//.�/^7 I/ S�/�/�r,�- (Permit Fees Continued On Next Page) � , , � � ; � , G y � � ,� � � � � F : � �: . ' PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 ; If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of conhact price with a(Minimum Fee of$35.00) D00.0� x .012� $ (c itract price) (minimum$3�.d0) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) x.0005 $ (conh•act price) (minimum$ .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 actual 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 d1e work done. If any material, equipment, labor or installations are futnished by the owner, tenant or any other party, the reasoiiable market value of such items must be added to the estimated cost or con�act price for pernvt fee puiposes. In the event that there is a dispute on the amount of the job cost, the City may request the subrrussion of a signed copy of the actual contract. ■ ** The STATE SURCHARGE is .0005 of the conn•act 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 ° ' � The undersigned hereby applies to the City for issuance of a Plumbing Pei-mit, agrees to do all work in strict accardance 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: r`-- Date: `� � 3/�C�S 3 �i,� �'��� ✓ D E TIME CITY OF ORONO CALLED IN � S O5 INSPECTION NOTIC SCHEDULED � ,�-,�--3 PERMIT NO. � COMPLETED � ADDRESS � � OWNER CONTR.�`��-G`�L�7 UL6Y►'�'_;� TELEPHONE NO. CO�J� �3(�q�9i� �� � DESCRIPTION C�f��� ��� �'���� � lL 01 FOOTWG 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 � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED C_� PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�� CITATION ISSUED G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952� 249-46�� OwnerlContrac 'te: Inspector. White Copyllnspector's Fi Canary CopylSite Notice ✓ �i:� TE � TIME CITY OF ORONO CALLED IN INSPECTION N SCHEQULED ' ��� PERMIT NO. � COMP r o ADDRESS � OWNER CONTR. r� TELEPHONE NO. ��?�!��'�I ���� � DESCRIPTION � 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 Z04 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 23 SEPTIC FINAL 35 HARD CWER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMME T : 4 � �� � �tl l� o � � ��� a � � � � 5 � W � - Q � Z W � W � � � d � ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETl1RN ❑ CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952) 249-46�� OwnerlConU ite: Inspector. < White Copyllnspector's Fil Canary CopylSfte Notice � �� T TIME �/ � CITY OF ORONO CALLED IN ���� � INSPECTION NOTICE SCHEDULED '� 1" � PERMIT NO. �t:J�'1 R'C-� COMPLETED ADDRESS �'f O � S,�` OWNER CONTR. TELEPHONE N0. C� �c� " �CP � � ��l� � DESCRIPTION .� i\� � �/'`a--�', • � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINA� 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 FINA� 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMEN S: a � �� � � � � � — O � � O � W � Q � Z W � w � � a W WORK SATISFACTORY:PROCEED L, PROJECT COMPLETE � ❑ CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n t nspection 24 hours in advance. (952� 249-4600 OwnerlContr n 't : Inspector. White Copyllnspector's File Canary CopylSite Notice