HomeMy WebLinkAbout2008-P12016 - sump pump ` � ` PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p12o16 .
Crystai Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued: 5/1/2008
SITE ADDRESS: 1749 North Farm Rd Unit#
Long Lake,MN 55356
P��� 27-118-23-41-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plutnbing
Permit Type:
Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Miscellaneous Fixture-Sump Pump
FEE SUMMARY: Pernut Fee: $ 122.50 valuation: $ 9,800.00
State Surcharge Fee: $ 4.90
TOTAL FEE: $ 127.40
APPLICANT: Leon Duda Plumbing OWNER: Mr. &Mrs. Quiram
208 17T'h Ave N 1749 North Farm Rd
Hopkins,MN 55343 Long Lake MN 55356
THE UNDE I D HE BY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AG D AL ORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESO LD NG DE REQUIREMENTS.
APPLI ERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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2750 Kelley Pazkway �� �����,� �`�� �� � ����,�� �
��� Crystal Bay,MN 55323 � �� �`���+ ��-�„ N� �"�� ;
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
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1. You may apply for plumbing permits by mail 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
VALID UNTII..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 it is covered. Call(952)249-4600.
(24-48 hour notice required)
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Residential ❑Commercial(Approval Required)
❑New �ditional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need prior aparoval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
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Site Address: � C /1'1 /e�
Owner: ��- ��� �����}M Mailing Address: ���� ��r��-�.
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City: D�fl�✓t� ZIP. �.3.�(0
Home Phone:��� ��7' `37�f Alternate Phone: G ��� 02�Q-����
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Contractar: �. �4` f��� Contact Person: � c�/��q �
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Address: ���^�� � �"' State Bond#:
City: � Y�/''S Zip:��� Expiration Date: /Z�?/�� �
Phone: �����6�.��0.3� Alternate Phone: IUI� 22-� �`�y
❑ Insurance-Current: t,�
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FIXTURE BSMT 1 2 OTI-IER FIXTURE BSMT 1 2 OTI�R
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory / Sewer Ejector
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Bathroom Laundry Tray
Shower Washer
Kitchen Sink / Water Heater
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Disposal ' Water SoRener
Dishwasher / Wet Bar
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Sillcocks Miscellaneous �
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❑ Yes,this section applies
The replacement of a Residential fixture or apnliance 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 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
' . . ,
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25% f contract price with a(Minimum Fee of$35.00)
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x.0125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surchazge(Minimum Fee of$.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) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 value 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.
The undersigned hereby applies to the City for iss nce of a Plu�nbing Permit, agrees to do all
work in strict accordance with the o inan s o he City and the regulations of the State of
Minnesota., and certifies that a s me s m e on this application are complete, true and
conect.
Applicant's Signature: Date: J �/U "
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��\ `�/� "�J DAj E TIME �
OF ORONO CALLED IN � / ��/��
INSPECTION N TICE SCHEDULED ��� D --�
PERMIT NO. � COMPLETED
ADDRESS l 7� / /�l. �F-�I�YYJ �„d�
OWNER CONTR. �f f' //����
TELEPHONE NO. `� a � �
� DESCRIPTION P�� -�,�Y7� �� '
� 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 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU�YES_NO
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTIOIV TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
� INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnedContractor on site-
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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CITY F ORONO CALLED IN
INSPECTION TIC SCHEDULED �; O�
PERMIT NO. � COMPLETED �
ADDRESS T
OWNER CONTR.
TELEPHONE NO. N!(.C,J' �!�� D�d�' � ,T
� DESCRIPTION ' �--` ,
� ❑ FOOTING ❑ MECH ICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ ME NICAL FINAL ❑ LAKESHOREM/ETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OflDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. a 1 ct L)�s
White Copyllnspector's File Canary CopylSite Notice
�/ C!•� TE TIME ✓
CITY OF ORONO CALLED IN �
INSPECTION TIC SCHEDULED
PERMIT NO. � COMPLETED
ADDRESS
OWNER TELE HONE NO.
CONTRACTOR �
� DESCRIPTION
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOO BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP p COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE�/��
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
�1 ��G PERMANENT
❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OFDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on sit
Inspector. l`��
White Copyll�spector's File Canary CopylSite Notice