HomeMy WebLinkAbout2007-P10824 - plumbing PERMIT
CITY OF ORONO Permit Number:
2750 Kelfey Parkway- PO Box 66 P10824
Cr�istal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 3/20/2007
SITE ADDRESS: 1580 Long Lake Blvd Unit#
Long Lake,MN 55356
PID: 26-118-23-33-0031
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTiCES/REMARKS:
FEE SUMMARY: Petmit Fee: $ 150.00 valuation: $ 12,000.00
State Surcharge Fee: $ 6.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 157.50
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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APPLICANT PERMITEE SIGNATURE ISSUE BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, l-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
FOR CITY i1SE ONLY
' g�� City of Orono
t O' O P.O.Box 66 Date Received: Permit# �' ���`'
�..,,,, 2750 Kelley Parkway
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� { � Crys[al Bay,MN 55323 Approved By: Amount$:
��,�`oi�y� (952)249-4600 -� y �
� 2001
CITY OF ORONO—PLUMBING PERMIT y'I��'��ORo �
(All Commercial permits must be approved by the Building Official or Inspector) �
GENERAL INFORIv1ATION
1. You may apply for plumbing permits by maif or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VAL1D 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 construction or remodeling is involved,a separate building permit 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 if is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
Check All That A 1
[`�Re idential ❑ Commercial(Approval Required)
� New Additional
❑ ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need arior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/ Owner Information:
Site Address: I` ; ��; i� ,.�',t `i�-l`, �
Owner: �.��� ���t��Y����1�.�� �1--1��,� . Mailing Address: ., � .� .� -�C;4��'� '� �.�C.
City: ��ri�s;�t�r1 Zi �� ��r-.,.,
P� � � ,:L
Home Phone: �� ' ' �' �' - � �� :'_',' %�_ Alternate Phone:
Contractor Information:
Contractor: ��}P�,�;ear'Y�� 1�-�t���t�E��•��'Y�;�.Contact Person: � �-('��rn �ke�
Address: I�',D��-�� 't��;�Y �)2��ex 'l����� State Bond #: ('�,(�[�'Z r ��
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City: ����a�<:, Zip:�:�5.3'��-J Expiration Date: 1 z-�?�i �(�(�
Phone: �;z- �)Z15- �`�Z�='-;� Alternate Phone:
❑ Insurance—Current:
1
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains � �
t� � L
Lavatory � 1 ' } Sewer Ejector
` '"1
Bath�eem t�>� 1 Laundry Tray '
Shower � ' Washer
Kitchen Sink ' Water Heater '
Dispasal � 'vVater Softener
Dishwaslier 1 Wet Bar
Sillcocks ; Miscelfaneous
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PERMIT�," �' LCUL�� (;�N�S)
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$ASED OF�' ;,;,,,,,��;ST.�„T ,�, ATUE
❑ 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;excludine the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or license�l 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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If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
� ( �-,t.�L'l1� t.�. x.0125 $ ��.)('. tl.'
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fcc of$.50)
I._-,(_ ( 'F. .� 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) $ f i � ] `;�`
■ * CONTRACT PRICE or JnB 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 installations are furnished by
the owner, tenant or any other party, the reasonable market vafue 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 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 Department at(952)249-4600 for the price.
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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 Signature: 1,,�'�; (?,�_ I/ i . �.., Date: '; I % �
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�/\ C� DATE TIME (/
CITY OF ORONO (/,,�� CALLED IN �
INSPECTION NOTI ��J SCHEDULED �
PERMIT NO. COMPLETED
ADDRESS ��SCV � `'��� t- ��- g��
OWNER CONTR. .� ��-r�
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TELEPHONE NO��, � i�� '-� � � �' ' � -� �"� �'� -- i� �' � �
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� DESCRIPTION '�- v` � 7 � � � t �
l� 01 FOOTING 11 MECHANICAL RI 1 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINA� 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL ` / 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:�L YES_NO
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� COMMENTS:
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GW ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑C RRECT WORK&PROCEED �: ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W4LL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46�0
Owner/Contractor on site:
Inspector. ��/J'�'
White Copylinspector's File Canary CopylSite Notice