HomeMy WebLinkAbout2001-P03450 - plumbing i '* PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po3aso
Crystal Bay, Minnesota 55323 Permit Type: Fi�es
(612) 249-4600 Date Issued: i�s�2ooi
SITE ADDRESS: 577 Park La
LONG LAKE, MN 55356
P I D: 06-117-23-41-0046
DESCRIPTION:
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PtOpOSOC�USO: n��iucu�iat
Permit Class: Plumbing
Permit Sub-type(s): Fixtures>3
Permit Type: Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 77•50 Valuation: $ 6,200.00
State Surcharge Fee: $ 3.10
TOTAL FEE: $ 80.60
APPLICANT: City View Plumbing OWNER: DENISE L DUENOW
1880 B Wayzata Blvd W 577 PARK LANE
Long Lake,MN 55356 LONG LAKE MN 55356
TI-IE UNDERSIGNID 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 BUII.DING CODE REQUIREMENTS.
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T"�fT�3v'��TiT� ISSLTED 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 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 pemuts may be issued ONLY to licensed plumbing contractors and to properry owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a separate buildinQ 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 i[ 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 SITE: S� L�N� Zip:
Owner's Name: � �.., ��,E Telephone Number:
Nlailing Address: S' � City: p,eo�/p Zip: `
Contractor's Name: � � Telephone number: 9Sa-y�3-d'�9 3
�iailing Address: .o, City:Lo,�G L,,E-,r,� Zip: SS3SL
PLLTNiBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSbiT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � / Floor Drains
, Lavarory / Sewer Ejector
Bathtub Laundry Tray
Shower � Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.041
��a.00.
0 o x .0125 $ �7-] .s v
(contract price)
2. State Surchar�e. ** Add the State Building Code Division i �
Surcharge to each permit. b� o1m c _ o a x .0005 $ �j
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ r-�-59-
4. TOTAL PEKMIT FEE (Add lines 1-3 above) $ � „ l��
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 Ci�y 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 $1,000,000 call the Department of Jnspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and �
conect.
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Applicant's Signature: r � � /�'��r►�$-?f�c��-Date: /�y�oo )
DATE TIME
CITY OF ORONO CALLED IN �_
INSPECTION N TIC,�.�.\ SCHEDULED �� 3 'GC�
PERMIT NO. �JJ v COMPLETED � '� ,�_'C� v
ADDRESS S7Z ��� G�-�-
OWNER CONTR. C��!VLt��
TELEPHONE NO. -G ZJ� � G ��
� DESCRIPTION
lL 01 FOOTING 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
Z04 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
� 0 - L 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBIN 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATIONiREMOVAL
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Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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d �LWORK SATISFACTORY:PROCEED �i PROJECT COMPLETE
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� Cl CORRECT WORK 8�PROCEED �' ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� 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. 249-460�
OwnerlContractor on site:
Inspecto�/�C�"� C��
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO - t �CALLED IN �!�" �� . C`�
INSPECTION N TI�� 1/ SCHEDULED ��� �� �
PERMIT NO. �� S � COMPLETED � i 3d
ADDRESS �7 c�.
OWNER � • ��-�`'`� CONTR. (� ,
TELEPHONENO. ISoZ � 7 �-- �i�7 ��
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� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBIN 23 SEPTIC FINAL 35 HARD COVER REMOVAL
LUMBING FINAL 36 FOUNDATION/REMOVAL
C�UR TO MEET YOU:_YES_NO
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W��WORK SATISFACTORY:PROCEED �ROJ ECT COM PLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector.�����
White Copyllnspector's Ffle Canary CopylSite Notice