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Home My WebLink About2002-P05458 - plumbing PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P05458 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 7/30/2002 SITE ADDRESS: 420 Orchard Park Rd Long Lake,MN 55356 PID: 32-118-23-23-0006 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: $ 200.00 Valuation: $ 16,000.00 State Surcharge Fee: $ 8.00 TOTAL FEE: $ 208.00 APPLICANT: Mid-City Mechanical OWNER: Bill Peterson 9103 Davenport Street NE 420 Orono Park Rd Blaine,MN 55449 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. (7)' eS2A /2:";3 APPLICANT P RM EE SIGNATURE ISSUED B SIGNATURE Conies: 1-File(S&nitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing. 1-Finance Page 1 Apr;26-2002 01:54pm From-CITY OF ORONO +9522464616 T-122 P 002/006 F-434 4 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 it 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 (952) 249-4600. 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 (952) 249-4600. Please check one: ✓ New Addition Repair Replace V Residential �, Commercial JOB SITE: yao OvGua9.Q at l_IL k a Zip: Owner's Name: Telephone Number: Mailing Address: City: Zip: Contractor's Name: (hip ern{ 04GCuiy/v>I tAL Telephone Number;163-15-g- `7i ov Mailing Address:cll t?.3 c zT ST. .., _City: 'RA A i.,,,c.. Zip: ss 44/7 PLUMBING FIXTURE SCBEDULE FIXTURE I BSMT 1 1ST l 2ND 1 OTHERj FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Bwy i Water Closet I( — ,• a -- -- Lavatory I K�rte.h i S — Sewer Ejector -A' '— Bathtub -p -t- a - ` e�;1 v�N - Shower e.. cZ - 1Washer -GI- -- 1 _ Kitchen Sink "9- I -_ Water Heater t — Disposal '-& l — ener .Q -- _ Dishwasher -e I — — Wet Bar I s(a 1 Sillcocks & Apr/6-2002 01:54pm From-CITY OF ORONO +9522484616 T-I22 P 003/006 F-434 s PERMIT FEE CALCULATION(S) 2002 State Statute Yes, This Section Applies The replacement of aResidential 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 licenced contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 _ Mail In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contractjrice* is .0125 % of job with a Minimum Fee of($35.00) _ /(Qt 000 x .0125 $ 0200OC (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50) /4 OOP x .0005 $ • 00 (contract price) (minimum$ .50) 3. Postage and Handling (Only mail-in applications) $ _ � 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ,30S-. 00 "' 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 Inspection 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 •11 statements made on this application are complete, true and correct. i lir Applicant's Signature: Date: DATE TIME CITY OF ORONO CALLED IN INSPECTION,I9OTICE /5-Fix SCHEDULED - �- '-4'° PERMIT NOw O 5 `7` COMPLETED ADDRESS 4 ? (9/tchor OWNER 1 K' L p CONTR. 6'0C TELEPHONE NO. T(0 3 757 /00 • DESCRIPTION LAI 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS H 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 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT ' 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP MBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = BING FINAL 36 FOUNDATION/REMOVAL v OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc ec)K - GOV?\4e-Ae cc cc 0 Q W C W W d 2 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE W CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY 0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for thext inspection 24 hours in advance. (952) 249-4600 OwnerlC or site: Inspector. 1 White Copy/inspector's File Canary Copy/Site Notice 7 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT CE SCHEDULED l2--Cr-U� 1 PERMIT NO. f 5t/ COMPLETED n � ADDRESS `�2O Cra /eV Pa(c i- . OWNER CONTR. X.-Aid L(_e.d._• TELEPHONE NO. /� 7 ' J 7 S 7 710 0 DESCRIPTION / 1_._i-, F7 ;, Lu 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 4. Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS " 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT *4 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP st IQ 09 PLUMBING RI 23 SEPTIC FIN 35 HARD COVER REMOVAL 10 PLUMBING F. • 36 FOUNDATION/REMOVAL • • �O• O MEET YOU. YES_NO Z o COMM . cc W a ccO >. cc O W cc Q W Z W cc 2 ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ti BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContrac nie: CAA Inspector: -Ls White Copyllnspector's File Canary CopylSite Notice