HomeMy WebLinkAbout2000-P03159 - plumbing PERMIT
C I TY O F O RO N O Permit Number:
2750��Cel ley Parkway - PO Box 66 P03159
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(612) 249-4600 Date Issued: loi2oi2o
SITE ADDRESS: 405 Oxford Rd
LONG LAKE,MN 55356
F I D: OS-117-23-41-0022
DESCRIPTION:
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PI'OpOSeCl USe: nc�iucii�iai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Single Family
DETAILS:
Approved per resolution #:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 118.75 Valuation: $ 9;500.00
State Surcharge Fee: $ 4.75
TOTAL FEE: $ 123.50
APPLICANT: L.J. PLUMBING OWNER: F DENNISON SHAW JR ETAL
12315 61 ST Ave N 405 OXFORD RD
PLYMOUTH,MN 55442 LONG LAKE MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOT �3UILDING CODE REQUIREMENTS.
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A PLI A ITE I NATURE ^ IS D BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
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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 retum 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 pernuts 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 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 249-4600.
Please check one: New �� Addition Repair Replace
� Residential Commercial
JOB SI'TE: d� � �/�OI Zip:
Owner's Name: �,,�.�,e� . � Telephone Number:
Mailing Address: p �� City: U�'�� Zip:
Contractor's Name: — � Tele hone Number: '7�3-5���.CoS-�
Mailing Address: /a-3�S- (p(s r ,��.��� City: �� Zip: ��Y��
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory Sewer Ejector
Bathtub 1 Laundry Tray 1
Shower 1 Washer �
Kitchen Sink l Water Heater
Disposal ( Water Softener
Dishwasher � Wet Bar j
Sillcocks �— Misc (list)
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PERMIT �EE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) -? �
�j��') `"' x .0125 $
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(contract price)
2. State Surchar�e. ** Add the State Building Gode Division fG �--
Surcharge to each permit. �5 CTG� x .0005 $ `7. � �
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (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 uistallation 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 pernut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciry 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 de on this application are complete, true and
correct.
Applicant's Signature: Date: � � �
DATE TIME �
CITY OF ORONO CALLED IN �1� �' �D `
INSPECTION NOTICE SCHEDULED �/���on
PERMIT NO. ��- `�� COMPLETED � �' '�� :�v
ADDRESS �-fC� S C%X-r� r-`� �Z'`'�
OWNER ����'/���TR.�,L�ZP /� C �`�S 7'-
TELEPHONE N0. ``�k��� - � ���
� DESCRIPTION �`� ����z��b� � ^
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/ ADING/FILLING
� 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_
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W�I VPpRKSATISFACTORY:PROCEED ! : PROJECTCOMPLETE
4Y ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
I� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlContract r on site:
Inspector.�/,�6�L ���1�lS
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN I Z- �i L� � �
INSPECTION N TICE SCHEDULED �� �
PERMIT NO. � �J�S�I COMPLETED �� -'�
ADDRESS �v� Ox�"�✓d ��
OWNER CONTR. L �. 1�I�rnb 1 n ca
TELEPHONE NO. � �.�^ -SS=3���.�`>��
� DESCRIPTION
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADWG/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 tAKESHORE/N/ETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� O,�,Q,� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OR TO M EET YOU:_YES_NO
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W ❑WORKSATISFACTORY:PROCEED : PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
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O�ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlContractor on site:
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Canary CopylSite Notice