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HomeMy WebLinkAbout2007-P11497 - plumbing PERMIT CITY OF ORONO 2750�i�elley Parkway- PO Box 66 Permit Number: p11497 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 9/26/2007 SITE ADDRESS: 500 Oxford Rd Unit# Long Lake,MN 55356 PID: OS-117-23-41-0015 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing /"� Permit Type: Fixtures Permit Sub-type(s): DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 175.00 valuation: $ 14,000.00 State Surcharge Fee: $ 7.00 TOTAL FEE: $ 182.00 APPLICANT: MMH Plumbing OWNER: Albin&Susan Nelson 3060 62nd Street 500 Oxford Rd Waverly,MN 55390 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 ORDtNANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �` �-,,, u� ��.-•�'� APPLICANT PERMITEE SIGNATURE UED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � � , FOR CITY CSE O'.VLY , ��� City of Orono �Q � � P.O.Box 66 Date Received: Permit# a�, ,,,, 2750 Kelley Parkway �r�•'•. �- Crystal Bay,MN 55323 Approved By: Amount$: ' �� ,��=� j � „��+a�k u (952)249-4600 ��� CITY OF ORONO—PLUMBING PERMIT (All Commereial permits must be approved by the IIuilding Official or Inspector) GENERAL 1NFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 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 State Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT Check A11 T'hat A 1 ) �Residential ❑Commercial(Approval Required) ❑New �Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need nrior approval and may need CUP.(Per Orono City Code,Chapter 78,Article N) Job Site/Owner Information: Site Address: � C% � Q y( �c•�� � �'� Owner: ��� �- S�S��� i�j e�S�h Mailing Address: City: U f v r�U Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: 1/Y� v� ��- QI�� �� "y �'ontact Person: ���-� 1•��h� �- Address: ��1 c�C G ��� � � 5�'� State Bond #: � � �� �Sy � City: �c:�u c� �� Zip:�`1(� Expiration Date: 1- 2C c 4S Phone: �.i 1 -3 cP 3- � g�� Alternate Phone: ❑ Insurance—Current: !�.,,,C, ; c�.� ����• (�� 1 � � � � � � . , �. � , ... R�.� � � �� , �.�, FIXTURE BSMT 1 2 OTI-IER FIXTURE BSMT 1 2 O"I`HER TYPE FL FL TYPE FL FL Water Closet � Floor Drains a � Lavatory � � I Sewer Ejector �� �� Laundry Tray Shower � V Washer ' ' � Kitchen Sink Water Heater Disposal Water Softener Dishwasher � Wet Bar � Sillcocks Miscellaneous � — PERTvIIT FEE CALCULATION(S) BASFD OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appiiance 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;excludinQ the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip ne�ct section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 , , ,. �R k, . �,.���'�� e .�,�,� ,.r.- � ��� � � _ . _.v .. . �, ,M � , . • If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) � . � x.0125 $ (co tract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on 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 installations 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 Building Department at(952)249-4600 for the price. F'LUMBING PERMIT AP�LICATION AC��:�;'1��� � �g� � ;�, "�� 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: � - ,2. � � v � Reset Form ' 3 I� Q.DAT.��_ TIME � CITY OF ORONO CALLED IN 7 «p INSPECTION IC SCHEDULED ^«��0 7 � PERMIT N0. � COMPLETE ADDRESS OD OWNER CONTR. �rn �' p�� TELEPHONE NO. l l a �� 3 �D�SO � � DESCRIPTION��d �►1 � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS � 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J O a � O ti W � Q � 2 W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITtONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. Call for the next inspeation 24 hours in a ance. (952) 249-4600 OwnedConVactor o s' e- Inspector. � � �� White Copyllnspector's File Canary Cop ISIte Notice �� � A TIME CITY OF ORONO CALLED IN I� INSPECTION NO CE SCHEDULED - � � PERMIT NO. COMPLETED ADDRESS OWNER CONTR. TELEPHONENO. �la� �3 �O�O n � DESCRIPTION �i����J �� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � � O >. � O � W � Q � Z W � W � j d W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN �NSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CAL TO ARRANGE ACCESS. Call for the nex nspection 24 hours in advance. (952� 249-4600 OwnerlCon on si : ' Inspector_ White Copyllnspector's File Canary Copy/Site Notice I DAT TIME " CITY OF ORONO CALLED IN I'�J�.�r,� 6�l ��� INSPECTION NQ�I���n� SCHEDULED I I'Z-0�U7 3:.Q�f'Y�1 PERMIT NO. ��� `t`� COMPLETED ADDRESS � � OWNER CONTR. � � TELEPHONE NO. �2� �� J 0 ���� �_. � DESCRIPTION ~ � ❑ FOOTING ❑ MECHANICA RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTAIL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O .�.J� � v W � Q � Z W � W � � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � PHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next in pection 24 hours in advance. (952� 249-4600 Owner/Contr r si e: Inspector. White Copyllnspector's File Canary CopylSite Notice d`�^ DATE TIME CITY OF ORONO CALLED IN 7 Z INSPECTION NO I SCHEDULED — 0 D.'O� PERMIT NO. � � COMPLETED ADDRESS S�O �/�� � r OWNER CONTR. �� TELEPHONE NO. �l a l�h� �d O 0 � � DESCRIPTION �` L�� ��`'� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTtC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING Fil ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c��, COMMENTS: � W a J O �. � O � W � Q � 2 W � W � J d W� ORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W O CO RECT WORK 8�PROCEED ISSUE CERTIFICATE OF OCCUPANCY � 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUiRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContra or site: Inspector.�� White Copyllnspector's File Canary Copy/Site Notice