HomeMy WebLinkAbout2007-P10873 - plumbing - PERMIT
CITY OF ��RONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P10873
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 4/6/2007
SITE ADDRESS: 1580 Long Lake Blvd Unit#
Long Lake,MN 55356
PI D: 26-118-23-33-0031
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Fixtures Permit Sub-type(s): Plumbing Undefined
Permit Type: �
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 15.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 15.50
APPLICANT: Stewart Plumbing, Inc. OWNER: Shawn Hendrickson
13025 George Weber Dr. Suite#1 1580 Long Lake Blvd
Rogers,MN 55374 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.
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APPLICAF�V PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Sigrzatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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� ' I�012 CITY USL' ONLY
'�"� City of Orono � �
��� �� P.O.Iiox 66 Date Received: Permit#
`�;;:.,�„ 2750 ICelley Park�vay —
a '���'�`�'�'� Cr stal Ba
�ll`1 >.`::'� �,''I Y Y,NiN�5323 APpruved By: Amount$:
�'�w�i'���'yo/ (952)249-4600
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CITY OF ORONO —PLUMBTNG PERIVIIT
(All Commercial permiYs must be approved Uy the Building Official or lnspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
�eviewed and a pennit will be issued wifliin two working days.
2. Pernut cards will be sent Uy return mail afler a revie«is completed. PERiV1ITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THr
PEItMIT CARD IS POSTED ON THE JOB SITE.
3. Pluinbing pernuts may be issued ONLY to licensed plumbing contractors and to property owners
residing in the d��elling. �
4. When any new co�ishuction or zemodeling is involved, a separate building permit must be
obtained.
5. All work nnist be done in accordance with State Code requiren�enes.
6. All work must be inspected and air tested before it is covered. Call(952) 249-4600.
(24-48 hour noticc required)
TI'PE OF PERMIT
(Check All That Apply)
�j Residential ❑ Conunercial(Approval Required)
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❑ New ❑ Additional ❑Repairs ❑ Replace
❑ In Accessory Struchire?
"k Y�GU VYI'I''a :lz2ti �ii i0C uj3jil'iS'v'21'f iiIlCl IIIil)/riC'(;U l.iJr. �YCI Vi0I10 Cl'ly'1,0�iC;, l�iiclp�P,I'7�,!=\TiiCli;1`'�j
�Job Site/ Owner Infonnation:
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Site Address: (>��� �C°-✓�'�--,���� \� ��� •
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Owner: � (� �cn.5�T t''Ct� Cy�� Mailing Address:
City: _ Zip:
F-Iome Fhone: Altei-nate Pllone:
Cor�tractor infcrmatio�:: �
Contractor: �l�E�-"a����v,ti13�tiC, �n�<. �ontact Persor�: ��^ ,"• I�• l L L�,�
Ac�dress: ;3�`25 C��,ec,r �vC�=�,U��I State Bond ;�: a�'SC'.'C 1'�'1
City: � ��,r��S Zip: ����7�1 Expiration D�te: _
Phone: �� ��;.���/��� -���'��3 3 Altei�late Phoiie: ��� �L��-�C�7
❑ Insurance— Cun�ent: �
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. . . PLUMBING,'FIXTIJRES BEING TNS�ALLED � .
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Draais
Lavatory Sewer Ejector �
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
,'� � =PERIVITT�`EE CA�;C�.A;T�Q�T(S) ,,' � = � , , :
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� > ' BASED QFF. ;2042:'ST,ATE ST.ATUE �. , °`. '` ;
� Yes,this section applies
The replacement of a Residential fixture or appliance that meets all tlu�ee of the following requirements:
1. Does not require modification to elech�ical 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 Applicable) $ 1.50
Total Permit Fee �
(Permit Fees Continued On Next Page)
2
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� , PERMIT FLE CAI�CULATION(S)-JOBS OVER $500.00 �
If above does not apply; follow guideliues below:
l. CONTRACT PRIC� * is 1.25%of conn�act price with a(Minimum Fee of$35.00)
x.0125 $ �
(contract pricc) (minimum S35.00)
2. STATE SLIRCHARGE *�^ Add the State Bldg Code Div. Surcharge(A�Iinimun�Fee of$.50)
x .0005 $
(contract price) (minim�nn S .�0)
3. I'OSTAGG&HANllLING(Only on Mail-Ii1 Applications) $ 1.50
4. TOTAL YERNIIT FEE (Add Lines 1-3 Above) �
� * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted «�ork 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, equipme�nt, labor or inst�111ations are furnished by
the owner, tenant or any other party, tlle reasonable market value of such items must be added to the
estimated cost or connact price-for permit fee puiposes. In the event that there is a dispute on the
amount of the job cost, the City may request the subnussion of a signed copy of the achial conh�act.
_ *'` The STATE SURCHARGE is .0005 of the conhact price under �1,000,000 or $.�0—whichever is
grer�ter. For valuations over$1,C00,000 call the Building Department at(952)249-4600 for the price.
� PLUMBING PERMIT"APPLICf�TION AGREEMENT � ;�
Tlie undersigned hereby applies to the City for issuance of a Plumbing Pei7nit, agrees to do all
worlc in strict accordance with the ordinances of the City and the regulations of the State of
P�inriesu�a, anii ceriifi�s liiat ail siatcinet�i3 tl�adc vii tilis appiicatioii a�e coi�i�iete, �iue and
correct. � ,=��
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Applicant's Signature: � � � � Date: �/ �
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��ciTY OF ORONO v" � � GALLED IN �
INSPECTION N ICE �� SCHEDULED �� �
PERMIT NO. COMPLETED
ADDRESS
OWNER CO R.
TELEPHONENO. � �Dj� :��L�— (���--I
� DESCRIPTION ���~'�rn� �
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
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 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER R�MOVAL
J 10 PLUMBING FINAL �� 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:�.YES_NO
� COMMENTS: �,
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GW p�lORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r� pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnedContractor on ite:
Inspector. ��l /_ �
White Copyllnspector's File Canary CopylSite Notice