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HomeMy WebLinkAbout2007-P10703 - plumbing PERMIT CITY OF ORONO Permit ►vumber: 2750 Kelley Parkway- PO Box 66 P1o7o3 Crystal B�ry, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 1/19/2007 SITE ADDRESS: 1570 Long Lake Blvd Unit# Long Lake,MN 55356 P��� 26-118-23-33-0008 DESCRIPTION: Proposed Use: Residenrial Permit Class: Pluxnbing Permit Type: Fixtures Permit Sub-type(s): Mulriple Fixtures DETAILS: � Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 175.00 valuation: $ 14,000.00 State Surcharge Fee: $ 7.00 TOTAL FEE: $ 182.00 APPLICANT: Precision Plumbing Inc. OWNER: Michael&Stachia Fey 4124 Mackenzie Ct 1570 Long Lake Blvd St.Micheal,MN 55376 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. , � , � _ %�c " ,�_ � �'1 C � f�,� AP L CANT PERMITEE SIGNATURE ISSUED Y SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 R � FOR CITY USE ONLY City of Orono ' g'�'�' P.O.Box 66 Date Received: Permit# ��•. � 2750 Kelley Parkway ����t. '-� � Crystal Bay,MN 55323 Approved By: Amount$: '�,a (952)249-4600 t,��p4� CITY OF ORONO—PLUMBING PERMIT (All Commercial pertnits must be approved by the Building Official or Inspector) GENERAL IlVFORMATION ` ' ` ' 1. You may apply for plumbing pernrits by mail or in person at the City offices. Applicarions will be reviewed and a pemut will be issued within two working days. 2. Pernut cards will be sent by retuin mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construcrion or remodeling is involved,a separate building pernut must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work inust be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE'OF PERMIT . (Check All That A l ) �esidential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs ❑Replace � ❑ In Accessory Structure? *You will need prior anuroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job;Site/Owner Ixiformation:' Site Address: �� 7� �-�U �^��'ie, �� uC�o Owner: C.(,�" (11 �(.L�X�S ���Mailing Address: City: �C� Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: � vVY7�l —��^�• Contact Person: v�r Address: �Ic�y .ke�'1�.+1, G�-• State Bond#: City: � Zip:�� Expiration Date: Phone: �'y q� ' �y� Alternate Phone: �o? -3�- �yicP ❑ Insurance—Current: 1 � t Y .PLITII�ING�FIXTURES��EI.N�''r`�TN�TA;L�,'ED'�, , ?, � _.. t�- o p�- r� :: ;� Y �%, .: : 4 , Y`v '�'$ .I.. Y � ,...,.'' FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains ' t � a Lavatory Sewer Ejector ( 1 3 Bathtub � � Laundry Tray � � Shower � J Washer J Kitchen Sink f Water Heater ` Disposal Water Sofrener 1 Dishwasher ' Wet Bar � Sillcocks a Miscellaneous �s ��,,�rti ;+ Y� s N �,q'."�� S{,�a e� S �' � z �� r*��t'�^i�°��5r9���F� .r � R�t* �{: 41i.L A ` y��-+1 � 4.�J±j Y"M'"`yµ�YE/� �i�,������'�1 T�� ��p������,� �� � �..t^ �'�w�.�,'e�'� f 4�. �g�� ,+� f 'p /� (�/� TT �� 3 ��4` �a�M a`�`� �t��'"�,q �*'�*�yFi"3���1:1��.4a� .,,�4lV����� ,�,�'r��t.J��`�'� �y � ,.k t� � #`�.� .✓ c ?,g4�n�...:..rrr � ..�.:•:�,., C..N-'9�n� .kwr..�,f-sP . . ._� . .� �r.... a..., a� e' ,F:e.r"..� ❑ 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 service. 2. Has a total cost of$500.00 or less;excludin�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 Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 i = ^ '-=�� ; :1?�RMTT F�B CA,L;C[TI.>A'�ION S ,�=JOB� OVER�t$500 00-: ., . If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) ��'���� x.0125$ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $�� ■ * CONTR.ACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted work including materials, labor,profit, and other fixed costs, It is the amount to be chazged 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 piuposes. 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 Building Deparhuent at(952)249-4600 for the price, ;���,.._;> ��.s�,.�����4�� A�IG P,�g�t"�'.�:?��IG;A'��t��'±��GRE��[BI�T� ' �`f h : > � z� ; 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 Sign re: Date: � 3 ,�,�� �/ Cl.✓I,I1 � �DATE TIME ✓r CITY OF ORONO C' ca,LIED IN -� �, �1 INSPECTIO TI SCHEDULED � 1 �1 PERMIT N0. D COMPLETED ADDRESS C 5 O LU� l�.K- � OWNER CONTR. GrC15�ar� TELEPHONE NO. � a- 3 �O 9 ' �O � DESCRIPTION -i,�t` � � ��� � `� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y O 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 G 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PlUM81NG FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o �-�� , r ��- � � ,� � � , ;� �- �,s�:�+ � � 0 � W � Q � z w � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ' W,�CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor o�,sit � Inspector. r/ S White Copylinspector's File Canary Copy/Site Notice �1 V f ��Ej /�� TIME CITY OF ORONO CALLED IN � � INSPECTION NOTICE SCHEDULED ..%��7 PERMIT NO. � � O�COMPLETED ADDRESS / C L ` � �/�L ,�/l/'� OWNER CONTR. �P� • �`Ct,CG � TELEPHONE NO. -' �c� � 3�� - � �� f} r Ui� � DESCRIPTION t � ���/�'1� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLIN Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � Q4 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS 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 COVER REMOVAL J 10 PIUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a j ��1fl���O�� d l�l� " 43G.G�'e �'"fCl�s2 o • �� .T�S..T s I� S � - 0 � W � Q � z W � W � j d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALI.TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice '� \ ^' ' I`l� D � TIME ,.� CITY OF ORON� CALLED IN � �"'�`'�` 5 � INSPECTION NOTI SCHEDULED ��I � PERMIT N0. ���� COMPLETED ADDRESS � ��� lSY� �C— ���'i-� OWNER CONTR. �✓PL'i���lt� TELEPHONE NO. ��� I � ' � Lf"1 � �•`� L���l� � DESCRIPTION �I t.� i'Y)b �i��� l� 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 COMPIAINT � 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 � OWNERICONTRACTORTOMEETYOU: YES_NO � COMMENTS: � W a � �. /'�,�a �4.e�c� ��.5'f` � '►� 0 a � � ��J � S,`� ,�s f�s ���� � �� W - � Q � z W � w � � a ` , � f�WORK SATISFACTORY:PROCEED I_� PROJECT COMPLEfE i � W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR D INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on site: Inspector. r%�D.S White Copyllnspector's File Canary CopylSite Notice