HomeMy WebLinkAbout2002-P05633 - plumbing PERMIT
�C i i�Y O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 pos633
Crystal Bay, Minnesota 55323 Permit Type: FiX�res
(952) 249-4600 Date Issued: 9�i9izoo2
SITE ADDRESS: 4545 Wayzata Blvd W
MaplePlain,MN 55359
PI D: 30-118-23-31-0005
DESCRI PTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Pernut Type: Fixtures Pernut Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 500.00
State Surcharge Fee: $ 0.50
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TOTAL FEE: $ 15.50 ' �� �.I � � �,��
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APPLICANT: Owner/Self OWNER: Glen&7ane Slaughter
M� 4545 Wayzata Blvd
Maple Plain MN 55359
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-�REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICANT PERMITEE S NATURE D BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATTON FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIN 55323
GENERAL INFORMATION
1. You may apply for plumbing pemuts 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 249-4600. 24-hour notice required.
952
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 X Addition Repair Replace
� Residential Commercial
Jos sITE: �54r.� 'v�1,��zt1� (�-�rD , C�R�Uo zip: S53S`�
Owner's Name: en n 51 c+, 1�}� Telephone Number: '7(r,3� y�9- !Z oZ.
Nlailing " �:ldress: _ _ �5�f 5 vJA� r� �3 L✓n City: 0,�2 otio ZiP� 5 S 3 SG7
ContractL r's l�;ame: Telephone Number:
Mailing Address: City: Zip:
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet X, Floor Drains
Lavatory X Sewer Ejector
Bathtub Laundry Tray
Shower X Washer
Kitchen Sink Water Heater
Disposal Water Softener T�
Dishwasher Wet Bar
Sillcocks Misc (list)
9
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PERMIT �EE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
X .ol2s � 35, od
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ �
(contract price) �=' �:
or $.50, whichever is greater � F
3. Posta�e and Handlin� (Only mail-in applications) $ � 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) ��� 37. OC�
,
.
* CONTRACT PRICE or JOB COST means the actual or estimated dollar arr}dunt chazged for the permitted
work including materials, labor, profit, and other fixed costs. It is tlie 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 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 Inspectional Services 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 statem�nts made on this application are complete, true and
conect.
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Applicant's Signature: ./.L(.��M� <�� Date: � �� ���
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CITY OF ORONO "TE TIME
CALLEDIN
INSPECTION TICE SCHEDULED z9-o 3 / ;00
PERMIT N0. COMPLEfED
ADDRESS W Za� �C�
OWNER�D�ri-/1i !2[.t ONTR.
TELEPHONE NO. 7� ' i 79'���
� DESCRIPTION_ i'�i')'���
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNEWFIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
_�LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL ,,/ 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:v YES_NO
y COMMENTS:
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� jd WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
W �❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46�0
OwnedContr r�n site:
Inspector.
White Copylinspecto�'s File Canary Copy/Site Notice