HomeMy WebLinkAbout2005-P08584 - plumbing PERMIT
CITY OF ORONO � Pe�mit N�mber:
2750 Kelley Parkway- PO Box 66 Posss4
Crystal Bay, Minnesota 55323 Permit Type: Fix�es
(952) 249-4600 � Date Issued: ai�i2oos
SITE ADDRESS: 2760 Shadywood Rd
Excelsior,MN 55331
PID: 21-117-23-24-0040 '
DESCRIPTION:
Proposed Use: Kesicienriai
Pemut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Mulriple Fixtures
DETAILS:
Approved per resolurion#:
Separate permits requi�;,d:
NOTICES/REMARKS:
Don't issue perxnits until resolution signed
FEE SUMMARY: Permit Fee: $ 112.50 Valuation• $ 9,000.00
State Surcharge Fee: $ 4.50
Misc.Fee:
TOTAL FEE: $ 117.00
APPLICANT: Joe's Plumbing,Inc. OWNER: JeffEngler
23375 Drake St.N.W. 3330 Martha Lane
St.Francis,MN 55070 Minnetonka,MN 55345
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 REQUIREMINTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required). 1-Atrolicant,1-Monthlv Revorts, 1-Assessin¢, 1-Finance Page 1
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� ��it Ct�r us�anLY
' City of Orono 'I
O�O'�� P.O.Box 66 Date Received: ��'Permit#'���`f,'
2750 Kelley Pazkway
� ; _� P Crystal Bay,MN 55323 Approved By: ArnounC'$:
���o� (952)249-4600
CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMt�TIC3�'�1
1. 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 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 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)
TYFE OF PERMIT
Check A�1 That A 1
�Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need arior apuroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
7ob Srte/Owner�nformation:
Site Address: 2�60 Shadywood Rd
Owner: Mailing Address:
St Francis �
C1Ty: Zlp:
Home Phone: Alternate Phone:
Contracfior Information� '
Joe's Plumbing,Inc. Susan Isle
Contractor: Contact Person:
23375 Drake St NW 25313150
Address: State Bond#:
St Francis 55070 12/31/OS
City: Zip: Expiration Date:
Phone: (�63)427-7132 (763)286-7809
Alternate Phone:
Q Insurance—Current:
1
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet 1 Floor Drains
Lavatory 2 Sewer Ejector
Bathroom Laundry Tray
1
Shower Washer I
Kitchen Sink � Water Heater
Disposal 1 Water Softener
Dishwasher 1 Wet Baz 1
Sillcocks Miscellaneous
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r`,A „�Y �
❑ 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;excludine 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)
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
9,000.00 x.0125 $ 112.50
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50)
9,000.00 x.0005 $ 4.50
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 118.50
■ * 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 customer for the work done. If any material, equipment, labor or installations are fumished 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.
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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.
Applicant's Signature: Date:
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D��� TIME
CITY OF ORONO CALLED IN
INSPECTION NOT E ��� SCHEDULED -1��i� �
PERMIT NO. � COMPLETED
ADDRESS -� �CvC� �G��t-�'-y�,�C�°, �'
OWNER CONTR. \ �-
TELEPHONE NO. � �" � ` l
� DESCRIPTION -Z
L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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
v 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
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED r 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
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe nex .inspection 24 hours in advance. (952� 249-4600
OwnerlContra n i e:
Inspector.
White Copyllaspector's File Canary Copy/Site Notice
��/. DATE TIME �
V ITY OF ORONO CALLED W ��
INSPECTION NOTICE SCHEDULED l'�
PERMIT NO. ��� COMPLETED ��
ADDRESS ���D �
OWNER CONTR. � .
TELEPHONE NO. �� 3 - d'� - ��3�
�
� DESCRIPTION i
� 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 OS FINAL 14 SEWER HOOK-UP O6 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 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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��WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WFLL RETl1RN ❑CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector. l��P( /�� QS
White Copyllnspector's File Canary CopylSite Notice