HomeMy WebLinkAbout2003-P06770 - plumbing CITY OF ORON PERMIT
2750 Ke"le Parkwa - PO BOox 66 Permit Number: P06770
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Crystal �jr, Minnesota 55323 Permit Type: Fi��es
(95�<)'�49-4600 Date Issued: 9i16�2o03
SITE ADDRESS: 2775 Shadywood Rd
Fxcelsior,MN55331
P I D: 21-117-2 3-24-0009
DESCRIPTION:
Proposed Use: xesidentiai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Mulriple Fixtures
DETAILS:
Approved per resolution#:
Separate pemuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 52.50 Valuation• $ 4,200.00
State Surcharge Fee: $ 2.10
Misc.Fee: $ 1.50
TOTAL FEE: $ 56.10
APPLICANT' Vogt Heating&Air Conditioning OWNER' �chard&Deloris Little
� 3260 Gorham Ave � 2775 Shadywood Rd
St.Louis Park,MN 55426 Excelsior,MN 55331
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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Reuorts, 1-Assessin¢, 1-Finance Page 1
RECE11fED
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� g�P t 6 2003
• _-_- �:= CCTY 4r oRONO
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CITY OF ORONO APPLICATION FOR PLUMBING PERNIIT
Box 66 (2750 Kelley Parkway) �
Crysfal Bay, MN 55323
GENERAI�1NFORMATION
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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTII, THE PERMIT CARD IS
POSTED ON THE JOB STTE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dwelling.
4. When any new consiruction or remodeling is involved, a separate building permit must be obtained.
5. All wo.rk must be dane im accordance w�th the State Code sequirements.
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: .� �-� .j�Ot arY��s/vr�c�/�� . Zip:. S'�.�2 �
_ _..
Owner's Name• - Telephone 1�Tumberc
Mailing Address: " �.�I i �� � Crt3': C�r b Ny Zip: S's��/
Contractor's Name: p� e i;✓ - ,��v Telephone 1VTumber:
Mailing Address• 6�' c�3'a�' .� City: f'��r'� �' Zip:�yy,�, SS�/x�
t,s S'�"`�1 t/�/�
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) �
F�t'�r e wo�'-e.,� �- Se��.�r eX1`�eN��or�
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PERMIT �EE�AL.CUI.ATI6N
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
'�'Z ao> �. x .0125 $ s�.,��
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. ��od x .0005 $ �, Jl,�
(conuact price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ S�t f�
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted
work including rr�aterials, lahor, profit, and other fi�ed co3'}s. It is the amouat to be charged to the
customer for the work done. If any material, equipment, labor,or installation 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 Ciiy 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 Inspectional 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: �-/:.S'-�,�
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DAT TIME
CITY OF ORONO CALLED IN ;,�-���°�
INSPECTION NOTICE SCHEDULED ---�Zr��'--.�1�
PERMIT NO. �ir��7 C� COMPLETED
ADDRESS �r7'�S ��c:��(--��c_.c-ZX�/� �
OWNER CONTR. 1���Q'�l`F� �i�•f
TELEPHONE NO. `1�� � ��— �� ��� /" �t�h
� DESCRIPTION v � �'�-LQ-� " �Yl^t,IVY( rLC�(/1
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMWG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TAEE REMOVAL
Z04 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 COMPL4INT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUM8ING FINAL (((��, 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�L YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-46��
Owner/Con n ite:
Inspector. �
White Copyllnspecto�'s File Canary CopylSite Notice
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DATE TIME �-/�
CITY OF ORONO CALLED IN ����
INSPECTION N TICE SCHEDULED D-/ - �2 '�o
PERMIT N0. 7 COMPLETED
ADDRESS �75 � O v
OWNER ONTR. �U t
TELEPHONE NO. �� Z �Z �
� DESCRIPTION !" I�� V�S�"'� -1`�'r"�
� 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the n xt inspection 24 hours in advance. (952) 249-46��
OwnerlCo c n ite:
Inspector. -
White Copyllnspecto�'s Ffle Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED � _�'�
PERMIT NO. PD�07 7O COMPLETED
ADDRESS 7 �
OWNER �f C�IL ONTR.
TELEPHONE NO.
� DESCRIPTION � '
� 01 FOOTING 11 MECHANICAL 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� RKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE
W ❑CORRECT WORK 8�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOFi REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next nspection 24 hours in advance. (g52) 249-4600
Owner/ConVa� '
Inspector. `
White Copyllnspecta's File Canary CopylSfte Notice