HomeMy WebLinkAbout1997-009225 - plumbing - PERMIT
CITY OF ORONO PERMIT TYPE: Pi NE: NG
2750 Kelley Parkway- P.O. Box 66
0032ztl
Crystal Bay, Minnesota 55323 Permit Number:
Date Issued: / /
(612) 473-7357
SITE ADDRESS:
470 OLD LONG LAKE RD
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P. I . N . : -118-23-34-0012
DESCRIPTION:
28 FIXTURES
Plumbing Permit Type FIXTURES
Plumbing Work Typn RESIDENCE
4 WATER CLOSET 6 LAVATORY 2 BATHTUB
2 SHOWER 2 KITCHEN SINK 1 DISPOSAI
1 0 I HW SHE R SILLCOCKS 2 FLOOR DRAINS
1 fAUNnRY TRAY 1 WASHER 1 WATER PE - E-
1 WET BAR 1 UNDEFINED/RI 1 UNDFFINFD
REMARKS:
FEE SUMMARY:
VALUATION $12, 480
$156 .00
Sur charge 24
Total FPe $162. 24
CONTRACTOR: - Applicant - OWNER.-
BENZ-RYAN PIUMBING l-1 24231144 PILIAR HOMES
14746 SOUTH ROBERT SiL FAST LAKE FJ
ROSFMOUNT MN SS068 WAYZATA MN 5S391
(612) 423-1144 (612)47S-4902
THE UNDERSI6NED--HEREBY REQUESTS -PERtiiSS4PW14:::!!'0 fHt-::$*Ylt..-1- 0*RID9ETIENTS
SPECIFIED AND AGREES TO DO ALL 'WORK-IN, STRICT COMPLIANCEWITH ALL CITY OF
ORONO 1,..1ROINANCEb AND STATE OF MJNNEEOTA SU tbOli,* CODE :REW 1REMENTS -
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PLI ANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
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 the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call 473-7357. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: 4_ New Addition Repair Replace
Residential Commercial
JOB SITE: ,(� I / LGA , (1{' ,Q Ziu:
Owner's Name: /[(Lei
i IS Tele hon Number: -/ -
Mailing Address:,ias--t- ice, City: Wt I Zip: 65-3q/
Contractor'sNamt- L91, , T lephdneNumber:4 . -1i44-
MailingA.ddress: /4,14.5 1� r City: ip: s'S rJ 'O
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL �
Water Closet / j Z Floor Drains 1 4 et a l`�p"
Lavatory 1 1 4 Sewer Ejector r
Bathtub Z Laundry Tray /
Shower C I Washer C
Kitchen Sink f` Water Heater
Disposal I Water Softener g I
Dishwasher I Wet Bar r
Sillcocks 12- 111iCs1(�st) 4
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
I Z C vU x .0125 $ � ,00
(contract price)
2. State Surcharge. ** Add the Slate Building Code Division
Surcharge to each permit. l'''124-00.00 x .0005 $ 40 ,2-÷
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ ----�-�&--
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ / 2 . z-4—
*
2 . z 4—
* 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 installation 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 Department of Inspectional Services 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:
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DAT TIME
CITY OF ORONO CALLED IN '/ `7Y /1% 30 a.."7INSPECTION NOTIC / SCHEDULED /.r-9 7
i_4237)6,&
PERMIT NO. 70?..? COMPLET `vi `—SJ '
ADDRESS /1/7/76) Q2 • /
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OWNER iCONT . .k
A.....41�i�
TELEPHONE NO.
7f.:7 -5 - / Iqq
DESCRIPTION
tt 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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
v 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
`0515CUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBTIWFTNAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
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Wcr. ORKSATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED L ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 7 PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContracto a/te:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
DATE7TIME
CITY OF ORONO CALLED IN a -D ``7/�7 /?!. 36 pm
INSPECTION NOTIC / SCHEDULED / /o-97 /.c
PERMIT NO. ? S COMPLET
ADDRESS f G�
OWNER CONTI
•
TELEPHONE NO. a 3 -//1/
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
'T 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREJWETLANDS
• 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
= 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
I` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J ► MBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
•' ER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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WORK SATISFACTORY:PROCEED 7 PROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED C: ISSUE CERTIFICATE OF OCCUPANCY
• ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L PHOTO TAKEN
INSPECTOR WILL RETURN
S CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins tion 24 hours in advance.473-7357
OwnerIContractorsite
Inspector.
White Copyllnspector's File Canary Copy/Site Notice