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Home My WebLink About2007-P10899 - plumbing w PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P10899 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 4/18/2007 SITE ADDRESS: 540 Old Crystal Bay Rd S Unit# Long Lake,MN 55356 PID: 04-117-23-42-0023 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Plumbing Undefined DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: reroute drain with PVC and disconnect/fill old draw tank FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 400.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 15.50 APPLICANT: Owner/Self OWNER: George Funk&Judy Rogosheske MN 540 Old Crystal Bay Rd S 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. / APPLICANT PERMITEE SI' ATURE el ED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 FOR CITY USE ONLY � City of Orono O`r P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway t Crystal Bay,MN 55323 Approved By: p� V ' Amount S: E> (952)249-4600 K'!1-0') 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) %Residential 0 Commercial(Approval Required) �� . New ❑Additional 0 Repairs ►. eplace ❑ In Accessory Structure? *You will need prior approval and may need (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: / / / Site Address: S 9-o Q/df �p S ��c ( �( yy W( Ca- _ Owner: 6C-or g -[ 1—'c A.k Mailing Address: City: Lchn -C Zip: 5 .5", .5 Home Phone: 5 L—9-7 5 ? Alternate Phone: 752 —2 2-1- 30 S Contractor Information: �n, Contractor: P U C S e ( r Contact Person: 1 ✓4kdd�ris (' e,„,, Cd State Bond#: City: 1-1.1t',) 61 4_ Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 Henry Funk 540 Old Crystal Bay Rd So Long Lake Mn, 55356 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathroom Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous A4._ fro 01-e_ �!� w Pv C- 4/ 4/ s Cd e cf/ G( v!4 dv'gw 4-ufv/( PERMIT FEE CALCULATION(S) BASED OFF-2002 STATE STATUE JYes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: G V✓� � Does not require modification to electrical or gas service. e- 2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance:and �V 1,.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) Mt S k,tie k v t? (it,/ .e by aJ r4.Nc) 2 Henry Funk 540 Old Crystal Bay Rd So Lona I F.Akp Mn, 55356 PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of cotract price with a(Minimum Fee of$35.00) GtprI.x /v0 x.0125$ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.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 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. PLUMBING PERMIT APPLICATION AGREEMENT 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 • .. on this ap lication are complete, true and correct. , Applicant's Signature: `,.kathi Date: t1 ? ? Reset Form 3 3sek_ / +ATE�� TIME V CITY OF ORONO CALLED IN INSPECTION s ICE SCHEDULED 7110 8 Ol D ' ,44_ PERMIT NO. r4/: COMPLETED ADDRESS 1,, ! Inef ,21/2" A.7-7—,75.- OWNER % `•�� /�cfl�CO R. TELEPHONE NO�/ 9:5 �7� ,35-,/ E DESCRIPTION "6-1/0-9-1 � 7/i I - 4, [J FOOTING I] MECHANICAL RI 0 EXCAV/GRADING/FILLING h 0 FRAMING 0 MECHANICAL FINAL 0 LAKESHORENVETLANDS 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 TREE REMOVAL Z0 WALL BD. 0 WATER HOOK-UP 0 SITE INSPECTION ' 0 FINAL 0 SEWER HOOK-UP 0 PROGRESS Z 0 DEMO-SITE 0 SEPTIC MAINT. 0 COMPLAINT v 0 DEMO-FINAL 0 SEPTIC INSTALL. 0 FOLLOW-UP LU ❑ PLUMBING RI 0 SEPTIC FINAL ❑ HARD COVER REMOVAL v 0 PLUMBING FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO EET YOU:_YES_NO to) COMMENTS: cc W Q. CC TPA' corI4PSed — Fsltect N. cc O u. W cc Q W Z W CC W.�WORKSATISFACTORY:PR. EED PROJECT COMPLETE 0W ❑CORRECT WORK&PROCE:r ❑ITISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FO.REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITI•N WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETtl•N ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CA L TO ARRANGE ACCESS. Call for the next nspection 24 hours in advance. (952) 249-4600 Own /Contractor on -it-: (-AN f Ins tor. f A A White Copyllns. .or's File Canary Copy/Site Notice