HomeMy WebLinkAbout2004-P07927 - plumbing ITY � R N PERMIT
C O O O O
2750 K�Iley Parkway - PO Box 66 Permit Number: Po�92�
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: 9�g�2ooa
SITE ADDRESS: 3775 Bayside Rd
L.ong Lake,MN 55356
P I D: OS-117-23-24-0111
DESCRIPTION:
�_
Proposed Use: Kesidential
Pemut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 193.13 Valuation: $ 15,450.00
State Surcharge Fee: $ 7.73
Misc.Fee: $ 1.50
TOTAL FEE: $ 202.36
APPLICANT: Southtown Plumbing Inc. OWNER: Ross&Barbara Erickson
6636 Penn Ave S 3775 Bayside Rd
Richfield,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.
r
/'�LGi.(� vr
APPL[CANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
�ar-13-��:4 09:2'eR from-�I'Y OF OkONO +9F22dad6�S ?-542 ? �02/003 F-607
CITY OF ORdNO APPLIC 4TION FOR PI.UMBL`�1CY P�RMIT
Bo� 65 (2750 Keliev I'arkway}
Crystaf Ba}�, !�'liV 55323
�;� . .� v ¢R�Tt�
1. Yo�.i may appIy fuT plumbing permies by c*�ail or in persor, at thc Ci!}� ofiices.
�. Permit eards will bt sen�by returu mail afcer a review is compieted. P�I2MTTS ARE NOT VALID�(JNTIL
YOY1�ECEIVE A PERMTT. WC3RK M(.'ST*IOT B�GIN LJV?l�.TH_E P�RIv(IT�h�RU IS POST�D ON
TH� 1n�SIL�.
3. Plumbing p�rmits may be issued 0[vLY to licer,sed plurahing contraewrs nnd t�properry o��vner� tesidirtg
u�,the dwclling.
q, «,'he.n any ne:w construction or rzmodeling is involved, a separace bu�lding permit must be obtair.ed.
�, A11 wor� musc be done ia accord�lnce with ths Scate Cade icq�iremen�s.
b. A;1 wc>rk musr be inspecte4 and air cested �efore ic is CUVtfCa. C2liI �3�«.) :'4�•a600. 2�l hour no�ice
�eyuirr.d.
ra�st�-�ic ��n� Complete aJl items on ttus applicadori. Comnure che permit fee. Sibn a�u�date tt�e
certification. TI�CUh1PLETE APPLICATI()i�'S 1�%Tr.L NOT' E3E PROCESSED, If you have
qts,�:stions, caU �952) ?49-4600.
Please check one: Ne�v i� Addition __ Repaii' _� Replace
�Resi�ential Commerciai�
rC3B SI'T�:_ _ 7 7�2___�__►`�_`�-�1f��-�.___ -- L"p'-----
(>�ner's!�iame• Telephonp N�unber:
'�lailing Address: _ -- _- _C1�`� __ z�P:
Contractor's iVame:�_ i � �
� TetephoneNumber: `�`�„3c�S- 7
ti'Cailing Address:(�_�C.� e vt�. i���- ���City:�c.��`u� ZiP��`�SYa�-
pL 1�!'�1BT_.VG_FiXTt'RE S(��I?�
FL�;:'i;F.E �SMT i lST 2.ND 07HER FTXTURE $SMT F�T F�'� O"rH�.k—
` TYPE _J��____
�r � ! FL f'�. ----�� --- —_
T� Pf ___l�.
�
'`V:ucr C ioscc _I.�, � Fluor Drains _ _--
Lsv�to�� � � � � ' Sewer E'ector
Barrrub o� Laundry Tra � I __ -
� Washer �
Shower _ —'
_Kitchcr, Sink �_ Water Hea[er � _ __ _
_
�
`��Y �s� ( � Water Soficncr _ _
Dishwa�her � _ , We' t Bar `_ _. --
SJI:o�ks � __ -- Misc (list) � �_ _
:a�-13�•2J04 02:2�.R Fronr,t'`' OF OP,ONG
+99224od6;6 T-642 P )03/003 F-60?
YER1�'r_�'�;E CALCL�'I..A'I'ION(�
0 2 State r e � �'es, This Sectian Applies
The replacement of a Resident' �xture ar a�pl� nce that tz�eets all three of tY:e foilowing
requ iremtnts�
1 j _ ��es not require modificatinn to electrical or gas service.
2) Has a t t• cos of 5500.00 or less; e�lud�g the cosc of rhe fixcure or appliance:
and ,
3> Ys improved, installed or rcplaced by the homeo�.�n�r or liceru:ed contractor.
Skip next sectio�; Cost of Permit � ._ _ _15.00
Stau Svrcharge $ .50
Mai3 In 1 ee $ _____ 1 j 0
If above does n�t �pply, follow guidelines below:
1. Contra��Priee* i.s .0125 °l of job with a :1�iinimum Fee of �.00
— �-�-���� x .012 S $ ._ ! `l3, l�--
(concrac; pricc) (rninimum S35.UU)
... State Surcharge, �`* Add thc State Building Code Division a (Minimwn Fee of$ .501
—=-�--�.1.� �� x .0045 � _ _ � 7 ..r.-
(cenrracc pricc) �minimum $ .SG)
3. PostaQe and Hanc�ling �Only mail-in applicatiar.$) $ „� 1 50
4. T01'AT. �'ER'�1IT FEE (Add lines 1•3 above) S d O � `��
• CUN7RACT PR.ICE or JOB COST means t};t actual or ascimated do.la��amounc charved fnr die permitted
v��ork including rr,aceria;s, labor,profit, tr:d other Gxed costs. It is[he amount to bc charged to the cus:ome:
for che u�ork dune, (f any ma:rr;al, equipmzr.t, lab�r, or ins�aUacion ate furnished by ehe owntr, trnant or
��y ochcr parry che rensonable markec va]ue of such items must be added co the es�imeted cosr or conaact
pr�ce for peiniu tee purposes. In rh�evenc cha�el:ere is a dispute on thc arnount of:he job cost, t,`�r;Ciry r.i3y
r�quut tl�e submission of a sigiied cop�of�re actual contcaet.
+` '1'he STATE SL'RCH�RGE is .0005 of�T:e contract price utder 31.000,000 or �.50 - whichevc�r is grea�ec.
For va]uarions over$1,OOO,C00 call the Depa�rmcnt of Inspect;cn 3er;ices frn chc price.
The urulersigned hereby applies to thc City for issuance of a Plumbing Permit, a,grees to do a11
work in scrict accordance with the ordinanees of tht City and the reguiations of the State of
Minnesota, and certifies that all staterr, n�s e on � app;ication are complete, true and
correct. �
Applicant's Signaturc: I?ace:
V
�� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO ICE SCHEDULED �Z '� a:a�
PERMIT NO. � 7 � COMPLETED
ADDRESS �775 /`'`��
OWNER CONTR. U�i"t (`�
TELEPHONE NO. [O l Z D ��,���D��
� DESCRIPTION ���`'`'"'v
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 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 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES�NO
� CO M ENTS:
� �
a vtil O r"
�
�
O
� l � u 1,(� � (�
0
�
w
�
Q
�
z
W
�
W
�
�
d
W WORKSATISFACTORY:PROCEED f-i PROJECTCOMPLETE
� ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR !� CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46QQ
Owner/Contra o ite:
Inspector.
White Copyllnspector File Canary CopylSite Notice
� D�E TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED —���D ��
PERMIT NO. 7 COMPLETED
ADDRESS S
OWNER CONTR.
TELEPHONE NO. ��a ��� �s 7
� DESCRIPTION 1� � — v �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/ ING
Q 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA�
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 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 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
j
d
W WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED '-1 ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (952� 249-4600
OwnerlContr ite:
Inspector.
White Copyllnspector's Fi Canary CopylSite Notice