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Home My WebLink About2001-P03442 - plumbing - * _ � PERMIT C I�� F O RO N O permit Number: 2750 Kelley Parkway - PO Box 66 P03442 Crystal Bay, Minnesota 55323 Permit Type: P�umbing�rer (612) 249-4600 Date Issued: �i3i2ooi SITE ADDRESS: 583 Park La LONG LAKE, MN 55356 PID: 06-117-23-41-0047 DESCRIPTION: � ,__.�_, PPOpOSeC�USO: ►�csiucuuai Permit Class: Plumbing Permit Type: Plumbing eter Permit b-type(s): Water Heater � DETAILS: / Approved per resolution#: �' �" Separate permits required: % r` F' NOTICES/REMARKS: �I FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 900.00 State Surcharge Fee: $ 0.50 Misc. Fee: $ 1.50 TOTAL FEE: $ 37.00 APPLICANT: Norblom Plumbing Co OWNER: GINA RNELSON 2905 Garfield Ave South 583 PARK LA Minneapol�is, MN 55408 LONG LAKE MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF�D AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITI-I ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �% ��'�f // /��/� / � �� YYl�.�'1 �Q y� ,�� F` !L.- "Y'f' v r I APPLICANT ERMITEE SIGNATURE ISSUEDBY SIGNATURE Copies: City,Applicant,Assessor,Finance Page 1 . L _ y .. .�b'� . ,..: e _!g��i 41 ') Ejs:�� CITY OF ORONO APPLICATION FOR PLU1IZBING 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 cazds 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 sepazate 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 X. Replace �_ Residential Commercial JOB SITE: J�J �� L-�v�C. Zip: Owner's Name: � l;�,�� St�;�,,�t Telephone Number: (�SZ�y7S 1'�7�{ Mailing Address: �3 �Q,�-K ►�,� City: C�ir-cmc% Zip: 553s� Contractor's Name: /Uor6l�m �l��6;r�<; Telephone l�umber: (��Z)�Z7-yo33 Nlailing Address: 290� G,cc,�-,�r/�,/I�ve.50. City. ��_ ZiP: SSyo�' PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS;�1T 1ST 2ND OTHER TYPE FL FL TYPE FL FL Wacer Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater � Disposal Water Softener Dishwasher Wet Bar Sillcocks Misc (list) r x . � � . L a PERMIT FEE CALCULATION l. 1.25% of Contract Price* or Minimum Fee ($35.00) �o� � X .oi2s � 3c. �� (contract price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ • � (contrac[ 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) $ �37 _ O G � * 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 cus[omer for the work done. If any material, equipment, labor,or installation are furnished by the owner, tenant or any other party the reasonable market v�liie 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 th.is application are complete, true and correct. Applicant's Signature: —2 Date: t z/Z 2(�' � , _ �l"Y� � �D E TIME CITY OF ORONO � c,aLLED IN � "t'� � ' INSPECTION OTIC r �HEDULED � � PERMIT NO. J � COMPLETED �� , ADDRESS S�3 ��✓�— �� • OWNER CONTR. �_LY�J��,�,�I�� TELEPHONE NO. � � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 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. 21 COMPIAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q LUMBIN 23 SEPTIC FINAL 35 HARD COVER REMOVAL J � NAL 36 FO,UNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �,1�t��ar��.-� d•� � ��, W a � � O � � O � W � Q � 2 W �i W � � d W ❑WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN i CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. 249-460� OwnerlContractoyq it Inspector. � �� White Copyllnspector's File Canary CopylSite Notice v DATE TIME CITY OF ORONO CALIED IN INSPECTION T SCHEDULED PERMIT NO. � COMPLETED v 'v� -�U ADDRESS �� OWNER CONTR. � TELEPHONE NO. ` � 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 TFEE REMOVAL Z 04 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 PLUMBING RI 23 SEPTIC FINAL 35 HARO COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � a j lj` � 0 � � 0 � W � Q � Z W � W � � � �NORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT OCORRECTUNSAFECONDiTIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOH �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnedContractor on site: Inspector.��dGt.!/IT White Copyllnspecto�'s File Canary CopylSite NoNce DATE TIME CITY OF ORONO CALLED IN INSPECTION N �/�� SCHEDULED O /U�� PERMIT NO. `� COMPLETED 0� '�v ADDRESS � �—�-- OWNER CONTR.�Q a� / ��1�� TELEPHONE N�� 7 �� a 7�� r / � DESCRIPTION �� / U/�v�L l� 01 FOOTING 11 tv1ECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti Q 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 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 � C MENTS: � , , s� � C (.�vt� vC�� e t� o � C �� t� .S'- � - W � Q � Z W � W � � d W� (�C�!,WOflK SATISFACTORY:PROCEED �_' PROJECT COMPLETE W �7JCORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O/❑ CORRECT WORK,CAL�FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN INSPECTOR WILL RETURN C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContr t r on site: Inspector. �� v1 White Copyllnspector's File Canary CopylSite Notice