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HomeMy WebLinkAbout2007-P11545 - plumbing PERMIT CITY OF ORONO Permit Number: 275�a Kefley Parkway- PO Box 66 P11545 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952)249-4600 Date Issued: 10/8/2007 SITE ADDRESS: 875 Partenwood La Unit# Long Lake,MN 55356 P��� OS-117-23-34-0013 DESCRIPTION: Proposed Use: Residenrial Permit Class: Plumbing Permit Type: Fixttues Pemut Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Sepazate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 150.00 Valuation: $ 12,000.00 State Surcharge Fee: $ 6.00 TOTAL FEE: $ 156.00 APPLICANT: Manatee Plumbing OWNER: Gregory&Agbueszja Hatfield 11525 199th Circle 875 Partenwood La Silverlake,MN 55381 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. CT�� APPLIC PE E SI A SUED BY SIGNATURE Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 r , � � � � � � City of Orono � ��t��� ��� ����;������� � "� � � , � � � ' ���� � P.O.Box 66 ��� �-� �a������ ������"�� ��s''�� � 2750 Kelle Parkwa �"�"" � �'° ` �'' � � � �„ a t r �°�� � Crystal Bay,MN 55323 �� '� `� ,�� � ��� �, � � ;"��a (952)249-4600 '�`��"��`�:;.��������."�a:_. �` ;��'�;..,:���� � CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) rkeE� :v�a'(. � 'C;' � [�' } g`,�� ,�Y '��'*:- l. 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 UNTII.,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) ''��. � �b�S',� ��'" � t �Y�,� -f ��. �`r as �t '� e+c��` � a 7 : A t �%�.x�F2�,-"��k �.,s�s�� � � ����,�� ��a" : x �^�� a �.�g�'�f �'� � 4.c *�°����° � �.� �� t � � � • � ���� � �'����`�'� �'""�'��P �" �� a �.'' �,.. � �� �3,� ��" ��� F�. �� � �. . �, *.>��. �tate ,?�'k, a� .. �' r,l r.�. ' r.��� �..� �!.�, �k °,,+ �^.,^ s��.� ,.�,� . . .. . � . .� ...�..,� � � . .. .. , . . .. � .0 ,..,§.- ,. y � _ ,a �Residential ❑Commercial(Approval Required) ❑New ❑Additional �Repairs �Replace ❑ In Accessory Structure? *You will need arior aonroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) ��� ��'� k f� S'i *t �' � �� s� � tt"�'9 � �� ,:'_Y,> .Z:. , ,.t",S�.:S..i, ������. ��: ��<�;+��` Site Address: ��S �t.�r�e Y.�J c�oc� �-- �'1 Owner: ['1�� �Q �d Mailing Address: City: � r C��1 O Zip: Home Phone: Alternate Phone: `�t� �j. �s �LY�.�:�Yj t �?���a•LR$����k`� 1 r ,ad. ��� J'.?�ina �:.,i � �y.�a I �f. � Contractor: �'lo��aa.« ���r„��0�� S Contact Person: ���g flq��,cC Address: (1 S a.5 l q5'��` ;,, lP State Bond#: c�o S q a 3 Q n-� City: S � �v e r l�1`c Zip:$�_$� Expiration Date: � � - 31-� � Phone: CQ t a-�S�o�11'l� Alternate Phone: ❑ Insurance-Current: 1 1 . FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OTI�R TYPE FL FL TYPE FL FL Water Closet � Floor Drains Lavatory � Sewer Ejector Bathroon�}�b � Laundry Tray � Shower I � Washer I Kitchen Sink ^ Water Heater � 0�— Disposal a Water Softener Dishwasher a Wet Bar Sillcocks Miscellaneous ❑ 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;exciudine the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next 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 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) ia, ��� X.o�25$ (contract 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 dollaz 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 installations aze 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. 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. ApplicanYs Signature: Date: /p., � � '� � 3 �� DATE TIME ,y���(/� `CITY OF ORONO CALLED IN •lQ�'� � r'"� � INSPECTION N C SCHEDULED tU•LL�� �3�� PERMIT NO. ��� COMPLETED ADDRESS � �►v�J�bL- � OWNER CONTR. TELEPHONE NO. ��Z ^I�7`� � 6 [ Z— � DESCRIPTION ' � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINA ❑ LAKESHORENVETLANDS O ❑ 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 � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ WARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COM TS: a � � J � O � � O � W � Q � 2 W � W � � O W� RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOH REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next' pection 24 hours in advance. (952) 249-46�0 Owner/Contra sit : Inspector. White Copyllnspector's File Canary CopylSite Notice C � D � � TIME � CI OF ORONO �iN ���� � INSPECTION NOT CE, j � scHE�u�Eo ��� PERMIT NO. cS`t� COMPL � ADDRESS � 1 �7 C��'�t ���� A � � (�) OWNER CONTR.��i���TC_1/Yt b TELEPHON�E NO. I �"��� ` � I —]� � DESCRIPTION ���'�� F— t �1G�G • � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ 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-FINA� ❑ SEPTIC INSTAIL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J O �. � O � W � Q � Z W � W � � d W� �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-460� OwnerlConUactor on site: Inspector. �o�o,����%'�C White Copyllnspector's File Canary CopylSite Notice