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Home My WebLink About2004-P07887 - plumbing , t PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Po�gg� Crystal Bay, Minnesota 55323 Permit Type: FiX�ures (952) 249-4600 Date Issued: si26i2oo4 SITE ADDRESS: 601 Park Lane I.ong Lake,MN 55356 PID: 06-117-23-41-0048 DESCRIPTION: Proposed Use: Kesidentiai Permit Class: Plumbing Permit Type: Fixtures Pernut Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 37.50 Valuation: $ 3,000.00 State Surcharge Fee: $ 1.50 TOTAL FEE: $ 39.00 APPLICANT: Owner/Self OWNER: Shane&Kristine Rudd � 601 Park Lane 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 SI'ATE OF MINNESOTA BUILD CODE REQUIREMENTS. � " � ' �7ic�aC-� APPLICANT E ITEE SIGNATURE SSUED BY SIGNATURE Conies: 1-File(Si¢nitures Required), 1-Anplicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 t • CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for plumbing pennits by mail or in person at the City offices. b j 2. Permit cartls will be sent by return mail after a review is completed. PERMITS ARE NOT VALfD UNT1L YOU RECENE A PERMIT. WORK A�IIST NOT BEGW UNTIL THE PERtVIIT CARD IS POSTED ON THE ]OB i SITE. ; 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the � dwelling. } 4. When any ne�v construction or remodelina is involved, a separate building permit must be obtained. � 5. All work must be done in accordance with the State Code requirements. 6. All worlc must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice required. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOi1�1PLETE APPLICATIONS WILL NOT BE PROCESSED. [f you have questions, � call (952) 249-4G00. Please checl< one: New Addition Repair �� Replace Residential Commercial JOB S[TE: f�G�� ' _ Zip: ��C� Owner's Name: � '� Telephone Number• d .`� � � Mailing Address: �'1 City:G',Y��G Zip: —� Contractor's Name: Telephone Number: Mailing Address: City: Zip: PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1 ST 2ND OTHER FIXTURE BSM 1 S 2ND OTHER TYPE FL FL TYPE T T FL FL Water Closet Floor Drains Lavator � Sewer E'ector Bathtub Laundr Tra Shower Washer � Kitchen Sink Water Heater Dis osal Water Softener Dishwasher Wet Bar Sillcocks Misc list � , PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes, This Section Applies The replacement of a Residential fixture or appliance 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; excludin� the cost of the fixture or app(iance: and 3) Is improved, installed or replaced by the homeowner or licenced contractor. � � Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail In Fee $ 1.50 � ---------------------------------------------------------------------------- If above does not apply, follow guidelines below: a I . Contract Price* is .0125 % of job with a Minimum Fee of ($35.00� �`s��> x .012 5 $ � (contract price) (minimum �35.00) 2. State Surchar�e. ** Add the State Buifding Code Division a (Minimum Fee of $ .50) x .0005 $ ' (contract price) (minimum$ .50) � 3. Postage 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 arnoiu�t charged for the permitted worl< 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 ihe V. reasonable market value of such items must be added to the estimated cost or contract price For permit iee F purposes. ln 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 $.50-whichever is greater. For valuations over$I,000,000 call the Department of Inspection Services for the price. a 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 the State of Minnesota, and certifies that all statements made on on are co e correct. �/ Applicant's Signature: - Date: � , Reset Form /��' DATE TIME � CITY OF ORONO CALLED IN �� INSPECTION NO E SCHEDULED �- 2-��-��/ ��' � PERMIT NO. O COMPLETED ADDRESS �OOI �C%�� a.`� OWNER uc�� CONTR. Q��-Y� TELEPHONE N0. �So� �7.3 � ��;'� � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIL�ING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WA�L BD. 12 WATER HOOK-UP 17 SITE�NSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBIN 23 SEPTIC FINAL 35 HARD COVER REMOVAL J BING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � j O � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETItRN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 Owner►Cont s e: Inspector. White Copyllnspector's File Canary CopylSite Notice �� DATE TIME 'V CITY OF ORONO CALLED IN � INSPECTION NO ICE SCHEDULED l0-lI-o� ��M PERMIT NO. U� COMPLETED /� � ADDRESS �O� l �GLr � LC� i'(:� OWNER �v�l� CONTR. G7�� TELEPHONE NO. ��oz �`7 J� �y� � 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 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 � �7 15 SEPTIC INSTALL. 22 FOLLOW-UP _ _ 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 36 FOUNDATION/REMOVAL OWNE NTRACTOH TO MEET YOU: YES_NO sn MENTS: � W a � � O a � O � W � Q � Z W � W � � � J�KSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W�❑�CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUIRED.CAL�TOARRANGEACCESS. Call for the next ins "on 24 hours in advance. (g52) 249-46�� OwnerlContra or Inspector. White Copy/lnspector's File Canary CopylSite Notice