HomeMy WebLinkAbout2001-P03951 - plumbing �� PERMIT
, C I TY O F O RO N O Permit Number:
2750 Kelle y Parkw a y- PO Box 66 P03951
Crystal Bay, Minnesota 55323 Permit Type: FlXtures
(952) 249-4600 Date Issued: 6itsi2ooi
SITE ADDRESS: 2275 Longview Cir
Long Lake,MN 55356
P I D: 03-117-23-22-0007
DESCRIPTION:
�,--.�_,
Proposed Use: n��;u�li�iat
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required: Uther- (1ce Maker)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 550.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: SOUTHTOWN PLUMBING OWNER: Steve&Deborah Buchholz
6636 PENN Ave S 2275 Longview Cir
MINNEAPOLIS,MN 55423 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.
G�,�.� � �� ' G�"/�i�e�c� �J�
T I I NAT� , SSUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
�an-!5-�:0 0� 28am Frcm-C!'`' OF ORONO +9F2�4a4616 T-246 P JO4;0�� �-465
�"I'�'Y OF' 4�ON0 APPLICATIOy FOR PLLTYTB.TI'�1G Yk,RMI'I `5' �
Bax 66 (2750 Kelley Parkway) � �__ . ,. � .� � �
Czystal Bay, ��f 55323 ��
c�:rr��, �'Q.�_'�
1. You may agply for plu�bing permiu by mail cr in person at the City offices.
2. Pcraut �a:ds wil! be seat by returc �:l after a roview is compl�t�d. P�RMY"fS .�RE NOT VALID
UNTIL YOU RECENE A P�RMTT. �U�T NOT BEGIN UTrfIT.. 'THE P��1�1iT CARI� Ia
PGST�p O]V 'THE JUB SI'�.
3, Ylumbiz:g pe.�nits mc�y be issutd�N�.'Y ro licansed plumbTng co�traczars and ro �roperry ou�n:IS ICS1s1D$
m the ciwelling.
4, when any aew constniction or retuo<leliug is involvcxi, a sepuate auildE�g pos�ic must b� obraitsad.
5 A;1 work zuust be Cone in accordanct cvith We �tate Code requiremeuts.
6; .a11 wark m�sc be inspected and air tested txfore:t i�covered. Call ?A�9-460C. 24-huur r�a�ice :equired•
Ynn��uctio�is Compiet� all itet�s oc� this ap�ti�ation. Compute the perm.it fee'' `Sign �.d date
t�e cerdficatian. INCO�vI�''L�,'TF AP�I�CA'T`IC7NS R�IL.L, NC?1'AE l?ROC�SCED.: If yo�z haw�e
questious, cail 2tt9-460�. ' `
P'lease checF: ot�e: I�ew ,A.ddition Repair Y +� ReFlace
� Resid�eti�l Commercial
��� �'3'�T�:� �� �-.!'Zj,'�T fJ1F'iy,J �...1/�r! �� �y _� '_7i1�'___'__ _�._..
�?wmer's ri'atne• �__�__.._.� Tekphone Nuxnber: _----- --
IV�.ailinm d4ddress: _� �- . . (;i � Zip: _
E:ontra�tor's i�Iame�����,�J,�_,w-��u".t��;, �, �.`-.;:��\�eiephone riwnber: ���-:S�{�._�:3�-7
14�T�lIn� �,.ddr+eSs: (.��_�--�-�-���' - �(;� �'� Cl#�y; .�;,, . ,.���`�.� - �1P' ����fa.�
P1,'tnvCBLtiG FTXT`�,TRE SC�i�U'�E
FIXTL`�E BSA'iT 1ST 2ND I �'JTI-I£R � FIXTU�t� ( BSM7' iSZ' � 2Nll OT�-I�R.
TYP�, PL �T� IYPE ��L �L
_- .__ �_ ��_ _ _ �� ___ � - -
. ._ _.__ _ �.:..___�__
Water C;oset � Flac,r Dc'ain.s '
l.avacory ���� Sewer Ejectcor ,
__..__,_�_�_ _...__1_.._.__
Batt,cub Lauadry Tray
Shower ° WAasher
�Kicchen Suil: y T �_ � �� Water Heater { _^ T,
L�isposal � water Softener
Dis��'ashar � Wet Bar
FSillcaks Misc (i:stj � �
iC.,e ���tA�'ei�
�an-15-270 09:29:r �rcm-�I'Y OF OP,ONO �9:22da4S16 ?-,d6 P J06i005 F-d63
��xNrr�' r�E.�AY-�iT�ATIO:J
1. i.2S�O of Cs�ntracc Price* os Ntin'rmum Fee ($35.00�
_ _ `�:.�._�=_%� x .4125 �
(coatract �rice,l
2. Scate Surcharae. *� Add the Scate Building Code IJivisiou
Surcfiar,ge tc� each pernit. __ x .dOQS $ � �
tconccact pria}
or $.��, whichever is great�r
3. Posta e ar�d_#�andli� (On:y mail-in applicatio�s) $ 1.50 ___
�. TOTAI. PI;RNIIT FEE {A,dd lines 1-3 above) $ __ __�
�' CON'TRACT PRICEi nr JOB CQS7 mean:y the actual or estimated dollas emownt chnrged fos thc perm�tted
wor�c inctudiag materials, taboc, profit, aud othcr fu�d costs. It is the amount co be charged to the
custower Par the work done. If any maccrial, eqaipment, labor,or installation are furnished by�he owner,
tenant oz �ny other parry the ;easoaable market ti�alue of auch itetns awst tx added to tht ea[imaced cos:
ar con�ract price tor pesuiit fae pua-�oses. ln the eveut chaz tkere is a disputc�a the a.tt�ouat of tha job r.�s�,
the Ciry may reyuest the subinissicn of a sigued copy of tbe attuai contritt.
�
*� The STA'fE 5URCHARGE is .()U4S of ehe cantnct psia unde: S1,OOO,OUO or $.SO - w�ichever is
greattr. For valuacions over 51,000,000 ca?i the Depact�nenc of Inspectional Sorvices far t6e pria.
The undcrsigncd hereby app:ies co the City for issuance af a plumbing Penuit, agrees to do aIl
woric i� stnct acc�rdance with xh� �,dirianc�s of the City and rhe re�latio�s of the State of
Min�nesota, a�d cerzifi�� ��t all st�t me e an this applicatinn are cornplete, t�e �rid
correct. �
Ap�licanC'sSignaturG� _ _,� - — — Uate: �
T
1un-1�-2001 09:28am from-C!?Y OF ORON� +9622484616 T-2d6 P.?a3/005 F-486
Scr..l3.Q4 WGF�I"fS OF'SZFBJEC'IS OF i).�TA
Sakd. 1. '1°ype of data. 'fhe righa af iadividutiY oa Wbam�he daea i�swt�d or w bc�wrcd shRll�as ics i'vnh iu ttau secaoa.
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Subd.2. Inforxnation required to be Eivew iadiridinl. An iaQividuyl axkcd ro ssQpiy psirutc ar couhdenoaf datn cauceming himsxif sbsll
6c iqformed oF. (s3 ehc purposa aad 3a�nded use ot cAe teques�ed dxta wi�ia Ehc collcetiay Swtc agepey.polidc�l subdivisien.or srstewidc�ytte�;
(b)whcrLer tse cs�y tefuse or is(egal�y cequiasd eo suppiy t�.e requesu4 daa;(c)u+Y kaowc caascqucacc acising from his supP�Y�d or refusia8 m�+PP�Y
, pivace occonfedcncal dan;xrd(tl}ihc iCend�of otl:crpersons or earioes auWorsxed by siace os fsdecal!sw to rescivc the ct�eta, '1'his nccqc:immtac sa:ll
aot apply whsn an indiviQuxt is a�cced tcs ivpply invesdEaave daea,puczuu+c tu saeaaa 13.82.sabdivtsioo S�ta s Isw cutawcuuttt o"facer.
Tnc cortvrissiar.er�f rcrer,ue mnv eisce the nocce wqb;w,rod ttader this subdivision fn t,hc ; ividuat irteame rtx or p�Qe�c_v_�c_ez[w:.c�
ir�structions'vu�Ead o�o:�thost lortns. '
Subd.3. Aeeesc to daaa by iodivadual. Upan ee�ucss ra t respastsible auahoriry,an iadividual saatl be ir,for�cd w6tchsr he is t�iubjec:
ef sarcd Qaca on indivEdu�:s,and+rkte�hr.r ic is classified is publie,private or cor�fidcn�al. Upoa hfs fvt�er reqttuG aa irdividual wbo is t�e s�bject
af sto�ed p�ivar.e ar Qublic dan�an i�dividu::s shaII be shown�he dam waFhoae aay charSa co him and.`if hc Qcsizcs,ahall be informed nf ttsc caaecat
aad mcaaing a�chsc daca. Af�r aa indiric�ual bas Deen shevnx�c priv�t%daa stid intortard vf iu meania�.tPae data need no�bc disclased m�fer
siz mon�hs diereatur untess a Cispvre or acdcr pursuant to t'his teeaoa is pcnQlag ar mddiaona!data oe tka iadiYidca!l�as besn eoll�cc,-d os e�azd,
Tho resFonsib;e au�oriry shal:provrde copies oC t�.e private aryublic dan vpon�eques�by�hc i.-�Qividuai subjcsc of thc dam. 'fhe respassibtc au�ori.y
may tequire the ttquesacg pecson ta pay thc acwxl cosss of raalriag.ccniPyici;,anC cGmpiiiau�he copies.
The czspens'sb�e c�croriry shatI eomply ir,uncdia�ety,3f possibtc,wi�h aqy rcqucst made pursuaszC to qhis suDdivi�sion,ar wiffiin five dsy�of
t�e daie of thc rcqc:est,exsiudicig SaAsrc.+ays.S�ndnys attd iegai holidays,lf iminsdiau eampliancc is aa pessible. Yf hy ca�vt coaagly widt rha�squac
withla tl.as sime.ha sball so inform We iauiiYn4ua1,auad ptaq have an additi8nal fivc day3 wi�ssl w{ucb�o eotupiy witlt th¢ltqucst,cxcludiug Saat�l�ys.
5und9yi us�d k�s!holid�ys. • .
$ubd.4.•Precedure�w6e�daC►is aat accurate ar oomplete. An indiviCua�may�onust tha axuraey ur oompleuness oPyvbiic or privam
dara cor�cemi::g kfmseif, Ta aXec'�isa chis nghs,an individual s4a11 nadfy in�r,nr�g�c rospestsibte ausTcor'sty doser.l9"+0$tba naaue of die disagseaaeas.
Tho rrspar.3rbl<Yuthodry shsll wiihaa 3A days ci0icr. (a}eomc�thc data faurKi ca be isac:uncc vr ineomplau and atecsx�pt�acaTy puc rec;pienu gf
i.n�ceursu vr ineomqie[c dau, {nc;uQ'tng ncipicnb i�amed by rl:e indiridua::Or(b)natify die"ssdividua�l�kat be btlieves che dsrs Eo be cvnsCw Da�a
Sn d'upux sha:i bc disclosed aNy°f t��tn individaal��StlitlL<Jli Gl dL39ljRCtf.C6!lS{RCIuQbd�vll'h�C tIlSclo�e3 data.
7he dtutm:.'�adOn ei dit tesponsibls authvri�y tnsy De app<aled pisrsssaac w�ke provisioru vf the adminis�san�e pmeadure act ieladng w
conxs+sd cssc.s.
1DATA PRIV�..C:Y ADVISO�'_
In sccorda,�ce w�th M.S. 13.Q4.Subd.2, "Rig�Zts af subjects a£data",we would lilce to;ufortu you that your rzqucst
foc a pecu�,it or Iietr,se fro�tht Cic�� Qf Oroe�a or auy' of its depaz�naens may requixe yau to furceish aercain private or
coafxdeaciai irtt'ormatioa.
You are zlotified tklat: '
1. The informati.ou you tumisb ws13 he used tp decerm�iuc youa qualificatean fo[ehe petmit nr]icense rtques�ed.
2. You may refvse to supp3y da�a, but r�fuszl may reqvi;e �►at the City dGny che permiK or?iceus�.
3. The infonna[ioa may be s�s�r�d e'vith other Pocai,stase or federal ageacis� ca che CXctut aec�ssary to process
che pet�.it ox lic.ense.
4. �f your z�qucsced pear.ic ob IEce�se iequ�ues Couneil activu co approv�, some in�.�orcaatioa may bexo�e
public.
5. You 2.avc ce:saiu �ignts ucxdec M:S. 13.84 (ayai3abI� npos requtst) Co review private data oa yourself.
6, �'our full nazn� is required co process this applicacioa or permit.
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Signaat +
� / DATE TIME
CITY OF ORONO , / CALLED IN
INSPECTION NQ�CE � SCHEDULED �' � �3�
PERMIT NO. `� � � COMPIETED v" -6 Z"3 �
ADDRESS �(�-�ti�-�
OWNER -� CONTR. ���✓L-
TELEPHONE NO. lU I�• ��P � `, �� 7
r-
� DESCRIPTION U
� 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
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PFOGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING 23 SEPTIC FI L 35 HARD COVER REMOVAL
v UMBING FINAL 36 FOUNDATION/REMOVAL
� TOR TO MEET YOU: YES NO
� COMMENTS:
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W�ORK SATISFACTORY:PROCEED �pROJECT COM PLETE
❑CORRECT WORK&PROCEED (❑ ISSUE CERTIFICATE OF OCCUPANCY
� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
Own�erlCon����#or on site:
!
Inspector. �1 , �
White Copyllnspector's File Canary CopylSiie Notfce