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Home My WebLink About2004-P07846 - plumbing PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P07846 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 8/18/2004 SITE ADDRESS: 25 Orono Orchard Rd N Long Lake,MN 55356 PID: 35-118-23-33-0004 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: Bergman Plumbing Inc. OWNER: Michael&Deborah Benedict 21181 Xeon 25 Orono Orchard Rd N Jordan,MN 55352 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 SIGNATURE 7 ISSUED BY SIGNATURE Conies: 1-File(Si&nitures Required), 1-Applicant, 1-Monthly Reports, 1-AssessinE, 1-Finance Page 1 CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelle Parkway) Crystal Bay, MN 5 323 GENERAL INFORMAT ON 1. You may apply f r plumbing permits by mail or in person at the City offices. 2. Permit cards wi I be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A P RMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. I 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 Corn lete all items on this application. Compute the permit fee. Sign and date the certification. INCO PLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call (952) 249-460 . Please check one: New Addition Repair Replace Residential Commercial JOB SITE: ,?SdR,...n.e, ccRa%A,ei g,0 1J Zip: ‘515-,35-6.- Owner's Name: ,M? !L'h Ae/' /�e./.7edie. Telephone Number: Mailing Address: ..,y/ii . City: c:),....90 Zip: .5",5-3,>-4=> Contractor's Name: Aevg -.44,.9' /l visr,B in Telephone Number: 4'502-el3a.-e--%G=.3 Mailing Address: a 4/7 r Y ' ,i ,,t,v e City: 1\020,1,/1 Zip: ,5-s3sa PLUMBING FIXTURE SCHEDULE FIXTURE • BSMT 1ST 2ND OTHER FIXTURE BSM 1 S 2ND OTHER TYPE FL FL TYPE T T FL FL Water Closet ...zr- 02 3 Floor Drains 2- Lavatory Sewer Ejector , Bathtub ( 2 Laundry Tray Shower ( Washer i Kitchen Sink I Water Heater f Disposal Water Softener I Dishwasher I Wet Bar Sillcocks V- Misc (list) PERMIT FEE CALCULATION(S) 2002 State Statute 7 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 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. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00) G" x .0125 $ (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of $ .50) x .0005 $ (contract price) (minimum$ .50) 3. Postage and Handling (Only 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 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 all statements made o is application are complete, true and correct. Applicant's Signature: '� -� Date: / Reset Form jug/ 2.-- DATE TIME V CITY OF ORONO CALLED IN S'-18-0 INSPECTION NOTICE P i SCHEDULED ? 20 4 __9^...... PERMIT NO. -To cc v COMPLETED n ADDRESS ( ZO,t/U Ordcit K-� OWNER qsa CONTR.> �3/!�G(M ,l(Ot.�, TELEPHONE NO. 9 c9 C)O 3/ .3 • DESCRIPTION vGr� ��/ ii L 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 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 cr 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP • 1` . 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 1 t ;tit;tit - 'AL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS:cc a _�(��J�/ tom_ cc jACIAAr_ datf. Vtiii",7 -C1 CD di\ CLIftlIt,( O itcl 170 ."1-CiAold, e_W ' V z W cc d W2 WORK SATISFACTORY:PROCEED CI PROJECT COMPLETE W CDCORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952) 249-4600 Owner/Cor o s e: Inspector . CQt&A/t' White Copyllnspector's File \• Canary Copy/Site Notice ,ti, QQT� ,,, � TIME CITY OF ORONO CALLED IN J(" __ INSPECTION NOTICE / SCHEDULED R -.7-cY O PERMIT NO. P6-78`�r!9 COMPLETED ADDRESS a: 3 1Oi2OA)v O,-e4 — �C-e4 OWNER CONTR. &,g n12�a� TELEPHONE NO. ` s -69) d C.L 3/39 DESCRIPTION A 6 if' 1-&b1 1 W 01 FOOTING Y1-IDfE 18 EXCAV'(,`K�ADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 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 LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc a cc Cel I cc cc W cc ORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE W IDCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C)O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor : Inspector. White Copy/Inspector's File Canary Copy/Site Notice 3 — I DATE TIME CITY OF ORONO CALLED IN )t A/b� INSPECTION NOTI�S .-¢/f/_ SCHEDULED /0 fiwN PERMIT NO. /f,-��J f�71- COMPLETED �Q / ADDRESS �5 Orov G ('�v- led A! OWNER CONTR. TELEPHONE NO. 95 a0•Cin — 3/ '' is DESCRIPTION lae_� fib/ h (L•7 /Xr V/ tet( :z I, 1U 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREANETLANDS y 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 Z 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP LU09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOUR/ YES_NO o COMMENTS: cc Lu cc (.9 40 62)qe,k/ ZAA' .q0(911‘_ Ay.O cc 2 oJCi, l .\_, Cco W cc Q u.,1....Lu z W tz O W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contract Inspector. White Copy/Inspector's File Canary Copy/Site Notice (4 (� 2 I DATE TIME ✓CITY OF ORONO CALLED IN /- 75-6S INSPECTION NOTICE SCHEDULED /-01 7-.0._5 Q.24 nA PERMIT NO. ib'7xLi(P COMPLETED n ADDRESS /2 :5-- aov -) 2 ( ,1 C4-- i(J2- ' C` '/1/ OWNER CONTR.�.—e 712 TELEPHONE NO. 7 3 ..- 3,P 5-D '/ Dai/ E DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING H02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREETLANDS /W 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 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 0 UMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W Q. cc O >. cc 0 W CC Q W Z W CC 2 WORK SATISFACTORY:PROCEED ElPROJECT COMPLETE CC W ElCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 11CORRECT WORK,CALL FOR REINSPECTION _TEMPORARY V BEFORE COVERING PERMANENT El CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner!Contra isite: Inspector. White Copylinspector's File Canary Copy/Site Notice