HomeMy WebLinkAbout2004-P07149 - plumbing �ITY OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: p07149
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(952) 249-4600 Date Issued: 1i6i2ooa
SITE ADDRESS: 865 Partenwood Rd
I.ong Lake,MN 55356
P I D: OS-117-23-43-0002
DESCRIPTION:
Proposed Use: , Kesidentiai
Pernut Class: Plumbing
Pernut Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 2,700.00
State Surcharge Fee: $ 135
TOTAL FEE: $ 36.35
APPLICANT: Welter&Baylock Inc. OWNER: R Greene&J Piccard
1509 E Hwy 13 865 Partenwood Rd
Burnsville,MN 55337 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCFS AND SfATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT P ITE IGN RE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-AUUlicant, 1-Monthlv Renorts, 1-AssessinQ, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATTON
1. You may apply for plumbing permits by mail or in person at the City offices.
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 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 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
_� Residential Commercial
JOB SITE: � 6,S� I�a r�e n�..�o o �Q ,/�d Zip: �.�3 S(o
Owner's Name: �r e et�e� Telephone Number:
vlailing Address: City: Zip:
Contractur's Name:Gc)e/�e� .f- ,(3/a v/a ck Telephone Number: 9Sa-�t�a- �6 F�I
Mailing Address: /So9 E }�w y /3 City: ,(���5 url(-e� Zip: ,3".5'33 7
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory 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 35%p0
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
a 70 0 , � v x .oi2s $ ,3 .
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. �70 v,0 C� x .0005 $ /� .35�
(contract 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) $ ,
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fviced 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 mazket value of such items must be added to ihe 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
correct.
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Applicant's Signature: ' ^ � Date: �` � - h�
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DATE TIME v
CITY OF ORONO CALLED IN
INSPECTION NOT CE SCHEDULED 3-Il-o
PERMIT NO. COMPLETED
ADDRESS �� ��/�C i'��<'I G�C��cQ
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//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 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
W 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FIN 36 FOUNDATION/REMOVAL
� W NTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL AETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next�inspection 24 hours in advance. (952� 249-460�
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OwnerlContrer�"fo�nn�.si�e:
Inspector. � � �
White Copy/lnspector's Fild Canary CopylSite Notice