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Home My WebLink About2003-P06337 - plumbing PERMIT CITY OF ORONO Permit Number: �751� Kelley Parkway - PO Box 66 Po633� Crystal Bay, Minnesota 55323 Permit Type: Fix�ureS (952) 249-4600 Date Issued: si2oi2oo3 SITE ADDRESS: 2771 Shadywood Rd EXCELSIOR,MN 55331 P I D: 21-117-23-24-0059 DESCRIPTION: Proposed Use: Kesidential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Water Heater DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,150.00 State Surcharge Fee: $ 0.58 TOTAL FEE: $ 35.58 APPLICANT: John Anderson Plumbing Co. OWNER: R G&M 7 OGLE 19840 Lakeview Ave. 2771 SHADYWOOD RD Deephaven,MN 55331 EXCELSIOR MN 55331 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �� 1 , d, ��:- � ,�' ,� �l _ �%�'l�'��t ,�� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE / Copies: 1-File(Sienitures Required), 1-Anolicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 • CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL IlVFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. � ': 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 the State Code requirements. 6. All work 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. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: New Addition Repair Replace Residential Commercial j JOB SITE: �7� � �!� �;�f y �„��o d ��, Zip: � Owner's Name: ��c G�a�-d �`'� /�. Telephone Number: Mailing Address:� � s «� s�,�� ,E'�.l: City: G%-v �c, Zip: Contractor's Name: .a'�� n t�s�� PI w,,,,/�-�q c�� Telephone Number: ys-z-y�y-y y�y Mailin Address: / ' ' Ci �. Zi g Iy85�o��.<nU�ew ��s� ty:�� hwv � p: ��r33� PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavato Sewer E'ector Bathtub Laundrv Tra Shower Washer Kitchen Sink Water Heater Dis osal Water Softener a Dishwasher Wet Bar Sillcocks Misc (list) r / PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes, This Section Applies The replacement of a Residential fixture or ap�liance 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 appliance: and 3) Is improved, installed or replaced by the homeowner or licenced contractor. s Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00) �/ 5��, oc� x .0125 $ 3�� v (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50) x .0005 $ � 5'7.� (contract price) (minimum$ .50) 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ •�,5� * 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 installation are 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 Department of Inspection 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. Applicant's Signature: Date: $/.`� �3 ,J � � A��' z ✓ � DATE T1M� �rj CITY OF ORONO CALLED IN "' " ��7-' � INSPECTION N ICE SCHEDULED — —L7" PERMIT N0. 3 COMPLEfED ADDRESS I �' Cc. C OWNER �L �� CONTR._JO{`Ja� ,� rSU�1 ��, TELEPHONE NO. =� 7 � �� DESCRIPTION ��r �'��-�-��' ��-�C.�-�--� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADINC/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 _ �9 M�►� 23 SEPTIC FINAL 35 HARD COVER REMOVAL J LUMBING FINAL 36 FOUNDATION/REMOVAL WN TORTOMEETYOU:_YES�NO � MENTS: �' f � % ._� W � e � � O � �°LS � 0 � W � Q � 2 W � W � � O ❑ PROJECTCOMPLEfE ❑ ISSUE CERTIFICATE OF OCCUPANCY ON TEMPORARY PERMANENT HOURS. p pHOTO TAKEN ❑CITATION ISSUED GE ACCESS. n 24 hours in advance. (952) 249-46�0 Canary CopylSite Notice � DATE TtME v CITY OF ORONO CALLED IN - '� -T-- INSPECTION NOT SCHEDULED - < l� PERMIT NO. coM eo ADDRESS c� UO OWNER CONTR. d. TELEPHONE NO. `7�''S�� 7�_��I�� DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER7FIREPLACE 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 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W ABl�tfifi 23 SEPTIC FI 35 HARO COVER REMOVAL J 1 MBING FINA 36 FOUNDATIOWREMOVAL O CONTRACTOFi TO MEET YOU:_YES_NO h COMMENTS: � W a J O �. � O � W � Q � W � W � j d � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � O CORREGT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORUER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Ca11 for the nex inspection 24 hours in advance. (g52) 249-4600 OwnerlContr n i : * Inspector. � White CopyllnspectoPs File Canary CopylSite Notice