HomeMy WebLinkAbout2000-P02076 - plumbing �
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PERMIT
CITY OF ORONO PERMIT TYPE: Plumbing
2750 Kelley Parkway - P.O. Box 66 Permit Number : �oao��
Crystal Bay, Minnesota 55323 Date Issued: O1/13/00
(612) 249-4600
SITE ADDRESS: 495 Oxford Road
Orono, MN 55356
H.N.B.
OS-117-23-41 0011
DESCRIPTION: Plumbing 14
REMARKS:
FEE SUMMARY: Valuation $8,000
Base Fee $100.00
Surcharge 4.00
Total Fee $104.00
CONTRACTOR: LeVahn Brothers OWNER: Kilbane
12700 Bass Lake Rd
Maple Grove, MN 55369
THE UNDERSIGNED HEREBY REQUEST PERMISSION TO MAKE THE REAL IMI'ROVEMENTS SPECIi'IED AND
AGREES TO DO ALL WORK IN STRIC'T COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT/PERMITEE SIGNATUR� I UED BY: SIGNATURE
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CITY OF ORONO APPLICATION FOR PLUMBING PERNIIT
Box 66 (2750 Kelley Parkway)
Cryst:,l Bay, NIlv 55323
GEivERAI. INFORMATION
1. You may apply for plumbing permits by mail or in person at the City o�ces.
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 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 r�quirements.
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 WII.L NOT BE PROCESSED. If you have
questions, call 249-4600.
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Please check one: New Addition Repair ��� Replace
� Residential Commercial
JOB SITE: `�1�� ���d r C1 f� Zip: �
O«ner's Name: «t` � A Telephone Number:
Mailing Address: Cit�-:O e� ;�o Zip:
� Contractor's Name: L�4 y,�� �r�� Telephone Number: �(d2 �S �- Q'�q�
Mailin g Address: �a�c�o ��s�, c-�� Cih-:{�►�(r��,,�� �r,r��Zip: �S'3 G 9
PLUMBING FIXTURE SCHEDULE
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FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet 1 3 Floor Drains j
Lavatory 3 Sewer Ejector
Bathtub � Laundry Tray �
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Shower � Washer S��
;; Kitchen Sink l Water Heater '�r �
Disposal Water Softener
- Dishwasher Wet B�.r
Sillcocks Misc (1Lt)
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PERl�iIT I�'EE CALCULATION
1. 1.25% of Contract Price* or 'nimum Fee 35.00
�C�� x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e 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 chazged to the
customer for the work done. If any material, equipment, labor, or installation aze 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 Pemut, agrees to do all
work in strict accordance with the ordinances of the Ciry and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
' � �,v—���v��-- � - Date: �� � � 0�
Applicant s Signature:
DATE TIME
CITY OF ORONO CALLED IN __?=S�
INSPECTION NOTI SCHEDULED
PERMIT NO. O��� coMP TED• �� � ��v -�—
ADDRESS `75 �
OWNER CONTR.�� L'�
TELEPHONE NO. ���^ ��� �
� DESCRIPTION
l� 01 FOOTING 11 NIECHANICAL RI 18 EXCAV/GRADING/FI�LING
� 02 FRAMING 13 MECHANICAL FINAL 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 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO- L 15 SEPTIC INSTALL. 22 FOLLOW-UP
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_ PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J LUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� OMMENTS:
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� �IORKSATISFACTORY:PROCEED -' PROJECTCOMPLETE
W ❑ CORRECT WORK 8 PROCEED ' ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WIL�RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C] INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlContractor on site-
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inspector.�/��
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT E SCHEDULED 3"�l" � �
PERMIT NO. ' D����D COMPLE ED ,?�1� �Cl
ADDRESS "1�� 6X�G�
OWNER CONTR. ��ICJ��lirl���TV� S
TELEPHONE NO. ���� ���C�
� DESCRIPTION ��G'`�=� �lc�V' b�'-c�`�"1'1
ly� 01 FOOTWG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q OS 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
4Q.i 9 PLUMBING RI__� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J .10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
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� G CORRECT 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
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. 249-46�0
OwnerlContra r on site:
Inspector.
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White Copyllnspector's File Canary CopylSite Notice