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HomeMy WebLinkAbout2006-P10504 - plumbing PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P10504 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 10/26/2006 SITE ADDRESS: 85 Old Crystal Bay Rd S Unit# Long Lake,MN 55356 PID: 04-117-23-21-0004 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: Permit Fee: $ 100.00 Valuation: $ 8,000.00 State Surcharge Fee: $ 4.00 TOTAL FEE: $ 104.00 APPLICANT: Servin Plumbing OWNER: Scott&Michelle Miller 71235 240th Street 85 Old Crystal Bay Rd S Dassel,MN 55325 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. W/--d 61/4) APPLICANT PER ITEE SIGNATURE ISSUED BY SIGNATURE Copies: I-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 FOR CITY USE ONLY City of Orono � P.O.Box 66 Date Received: Permit# 0 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: <4. ` o of (952)249-4600 o CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT (Check All That Apply) jgfResidential ❑Commercial(Approval Required) ❑ New 0 Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: S QLD C1135141" Yak Rt • Owner: SO TT S1 Gt1 d}'S Mailing Address: City: 0 (ZO 0 Zip: Home Phone: Alternate Phone: Contractor Information: S r(Z'l N P�urna,�b I;\ S Grk,LL' Contractor: Contact Person: Address: 712.3c c2t-l6 - ' State Bond#: X37306 f C6A City: SCeL Zip: 5c326 Expiration Date: n t.,. �q )-o o� Phone: \;LO ' 2) 5" -OI a0 Alternate Phone: Sao- Q$ 0 _Luke ❑ Insurance—Current: 6 'NA\ 1 4 .:> PLI�IVIBING.FIXTT7RES BING`INSTALIED' F, .a> FIXTURE BSMT 1" 21'1 I) OTHER FIXTURE BSMT l ' 2N1.) OTHER TYPE FL FL TYPE FL FL Water Closet I Floor Drains Lavatory I / Sewer Ejector Bathtub I Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar / Sillcocks Miscellaneous ��' ;+ Y ti's t�� 3 } �,{t�.r� 1y��O{It "�p,'� 4 "t.�'#�.s:,+�' .r S SNS'.E �qP. 1 ^�^' �'k�y„S+** ni 'G,.S +S .L'"�F' S'- M f R aqq�'4r) 4 'x,°' Ar+ �„+C{, f 4�''� �F '` y Y t +�i i1 F' 1 V `5 .. .! W L; � y d� '� 7 ti.�.FS�iy� !, 4i d `}'�.+`f'4 4 4 Y i SED O '2OOZKT4+ i K E ❑ 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;excluding 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 ,.RERIVIIT FLE c LCUL TIONS)`'-JOBS OVEN$5`OO OQ ;;., . If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) cVU(', `-° x.0125$ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of S.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 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 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 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: / Date: Ib id4(ob 3 DAT TIME (.7/ ITY OF ORONO CALLED IN -�� INSPECTION NO E SCHEDULED i 6 5.1 o Pm PERMIT NO. �QSUy COMPLETED �� ADDRESS 3 C1/C ' ( 6�L(S� L%-"l / n S� OWNER nCONTR. ._ e Ce (4, P/c,/,t,6/7 TELEPHONE NO. C) `Z ( ) C/( Ce (11J DESCRIPTION V�(7 w --(lid k. W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS cl" O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 1.,_ 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 4:7--.1 0 FINAL 36 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: ec a COCC 66<' 1 1:1e/4-6cc0 W CC Q W Z W c d W WORK SATISFACTORY:PROCEED El PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY O ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR C7 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n t inspection 24 hours in advance. (952) 249-4600 Owner/Contractor ite: Inspector. WA White Copy/Inspector's Pile Canary Copy/Site Notice 1 q TIME CITY OF ORON CALLED IN `J / DATE INSPECTION C SCHEDULED (7/ 3 /7�j /D. ,D PERMIT NO. O CO, PLETED ADDRESS , d/C i / j OWNER /ONTR. TELEPHONE N). 1r °/- 3 37- ,33_fO 33 DESCRIPTION Yd r c79 - ..!� O- t4 ❑ FOOTING 0 MECM IRI 0 EXCAV/GRADING/FIWNG Q ❑ FRAMING 0 MEC CAL FINAL 0 LAKESHORE/WETLANDS H 0 INSULATION 0 WOOD BURNER/FIREPLACF/�) 0 TREE REMOVAL cl 0 WALL BD. 0 WATER HOOK-UP (�� 0 SITE INSPECTION IC 0 FINAL 0 SEWER HOOK-UP (I 0 PROGRESS F.. 0 DEMO-SITE 0 SEPTIC MAINT. 0 COMPLAINT `'t 0 DEMO-FINAL 0 SEPTIC INSTALL. 0 FOLLOW-UP IL ❑ PLUMBING RI 0 SEPTIC FINAL 0 HARD COVER REMOVAL 0 PLUMBING FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: j A. mos ; ,-i- , r d.LA R. ._Ar Jr - le A ; I A 'DQ K Q I v f3 ACCeSS 13fc & V-ei- or -1. r ee,4S Zentv..ec1 Fir OAA FieS 1 wfl-i-rr / rtieS i4Jc e4 ?c 5 s 6 FF S n^otz-a_S J 2 C, 6 ^.s LuRK SATISFACTORY:PROCEED 0 PROJECT COMPLETE �� W 0 CORRECT WORM&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY C *CORRECT WO CALL FOR REINSPECTION TEMPORARY V BEFORE COVER NG PERMANENT ❑CORRECT E CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTO WILL RETURN ❑STOP ORDER .CALL INSPECTOR 0 CITATION ISSUED ❑INSPECTION R IRED.CALL TO ARRANGE ACCESS. Call to(the next inspection 24 hours in advance. (J52) 249-4600 Owner/Contractor on GAJ s�tei��6s. White Copy/Inspector's File Canary Copy/Sib Notice