HomeMy WebLinkAbout2003-P06167 - plumbing PERMIT
CITY �F ORONO Permit Number:
275� �elley Parkway- PO Box 66 P06167
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 4/9/2003
SITE ADDRESS: 550 Park La
L.ong Lake,MN 55356
P I D: 06-117-2 3-41-0099
DESCRIPTION:
Proposed Use: Kesiclentiai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernrit Fee: $ 243.56 Valuation• $ 19,485.00
State Surcharge Fee: $ 9.74
TOTAL FEE: $ 253.30
APPLICANT: Plymouth Plumbing&Heating OWNER: Karen Duenow
6909 Winnetka Avenue N 550 Park Lane
Brooklyn Park,MN 55428 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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Covies: 1-File(SiQnitures Reauired), 1-Avplicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
.
�ITY 4F ORONO AI'PLICATI4N FOR PLUMBING PEI�IVIIT
Box 6F (2750 Kelley Parkway)
Crvsta� Bay, MN 5�323
GENERAI, IlVF'ORMA'FION
1. You ma}� apply for plumbing permits by mail or in person at the City offices.
'?. 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. Plumbina pernuts may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dwelling.
4. When any new construction o: remode:ing is involved, a segarate 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
� r�esidentiai Commerciai
JOB S�'I`E: �j v �(' (,� Zig:
�wner's Name: �`
� Tetephor�e Number: �7� _��(p �
Mailing Address: � (�►^i City: � `� ip: -�j J�a,(.�
Contractor's Name: L�� � �� �� ��` Telephone er� ;�3 — ?j�"7
Mailing Address: (�q(� � v� �.- � City: ��C:.� ip:
PLLT1VgBING FIXTLJRE SCgIEDULE
FIXTURE BSMT 1ST 2ND OTHER FiXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � �. Floor Drains
Lavato�� 3 Sewer Ejector
Bathtub � Laundry Tray (
� � � � � � ,,. L_ � � � �
Jllowci I � � � I-il V�aSiicr � I � �
Kitchen Sink � Water Heater �
�
�isposai � Water Softener
Dishwasher � � � Wet Bar � � �
�.,,__�,_. � � �,�,..� � � �
Jtt��(��1�� 1 I I � T�iSC i_iiai� � I 1
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P�RI`.��T rEE ���,��J:.�TI�?�r
l. 1.25% of Contract Price* or 1��inirnum Fee ($3�.00)
� � � �j �� � .0125 $ �� � ��P
(contract price)
2. State SurcharQe. ** Add the State BuildinQ Code Division
Surcharge to each permit. ����.(� x .0005 $ a, ,.�
(contract price)
or $.50, whichever is greater
3. Postaae and Handlina (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ _�,rjj�; �j�
Cv'r�T;�.',�T PRICE or JOB COST me��s tlle a�tual c:estimated dollar amount char,ed for the perr.�itted
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 Ci�y may request the submission of a si�ned copy of the actual contract.
�`* The STATE SURCIIARGE is .0005 of th� conuac� price und�r �i,00U,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of lnspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
�vork 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
COT?"e�C.
Applicant's Signatu : Date:`�I �� �
� DAT � . / - TIME v
CITY OF ORONO CALLED IN :�I� D�j
INSPECTION N ICE SCHEDULED �
PERMIT NO. COMPLETED
ADDRESS �r�} '�-��' ��..(��
OWNER �CONTR. �L�j]�'`;�l.`1-VL �I�l.t�.�j,
TELEPHONE NO. ' � �- '�� I,l�-���
� DESCRIPTION � ��-�''`� �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/G DING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEM PORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlConUac�o}�site:
Inspector. v
White Copyllnspecto's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALIED IN 1- �'d
INSPECTION NOT E, SCHEDULED ��� 2 -03 /1�vo
PERMIT N0. �� COMPLETED
ADDRESS � �GC � LGLftx.
OWNER CONTR. ���=��rJVh.
TELEPHONE NO. �l� �� � � � �.����
� DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAI 19 LAKESHORE/WEfLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 OEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLU 23 SEPTIC FI 35 HARD COVER REMOVAL
J LUMBI AL � 36 FOUNDATION/REMOVAL
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� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIHED.CALL TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (g52) 249-46��
OwnerlConV n e:
Inspector. �
White Copyllnspector's Fiie Canary Copy/Site Notfce
✓
DAT TIME
CITY OF ORONO CALLED IN Jo`�- -O
INSPECTION OTICE SCHEDULED I � -0 .'GO �1iJ
PERMIT N0. Gr COMPLETED
ADDRESS ��
OWNER CONTR. �.
TELEPHONE N0. ��'�f ��CP ���o�
� DESCRIPTION
� 01 FOOTING i i MECHANICAL RI 18 D(CAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 27 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
i09 PLUM RI 23 SEPTIC FI 35 HARD COVER REMOVAL
LUMBING FINAL 36 FOUNOATIOWREMOVAL
2 CTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANCaE ACCESS.
Call for the nex �inspection 24 hours in advance. (952) 249-4600
OwnedContr on 't •
Inspector.
White Copyllnspector's File Canary CopylSite Notice