HomeMy WebLinkAbout2004 - P07228 - plumbing PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P07228
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 2/11/2004
SITE ADDRESS: 2601 West Lafayette Rd
Excelsior,MN 55331
PID: 21-117-23-21-0003
DESCRIPTION:
Proposed Use:
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 261.25 Valuation: $ 20,900.00
State Surcharge Fee: $ 10.45
TOTAL FEE: $ 271.70
APPLICANT: Thompson Plumbing OWNER: Mr. &Mrs.Bowers
15001 Minnetonka Ind. Rd. 2601 West Lafayette Rd
Minnetonka,MN 55345 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.
VVl/lM/l p e
APPLICANT PERM EE SIGNATURsOSSUED BY SIGNATURE
Copies: 1-File(Sienitures Required), 1-Applicant, 1-Monthly Reports. 1-Assessing, 1-Finance Page 1
Nov-15-2002 08:1 earn From-CITY OF ORONO +9522494616 T-456 P.002/003 F-155
',
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
•
t'IIVER RMI TT i
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 i VALID UNTIL
YOU RECEIVE A PERMIT. WORK MUST N•T :EGlN UNTIL . ' : T 1
sSIT . owners residing
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property
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.
te the
and
e
Instructions
ation INCOMPLETE APPmplete all items on LICATIONS WILL Ns application. OT BE PROCESSED.ESSED Sign If youthave
e
certification.
questions, call (952) 249-4600. _
Please check one: New )c Addition Repair Replace
X Residential Commercial
JOB SITE:a_l.01 *- r Zip: X33)
Owner's Name: r go".)c 1 •e- Telephone Number:
Mailing Address: ,Q l cA W e+ZO _City:_I rt s' Zip: X53-1
Contractor's Narne e_im Telephone Number:gSa-°t33-'M
Mailing Address:t'ot ' 1t 1--,\-—City: -IGS. Zip: 553%_t5 _
PLUMBING.X1X11I E SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPEFL FL T_YPE
Fl- FL
Water Closet I AF1-oor Drains
Lavatory 1 c _ Sewer E,ector
{
Bathtub --6- L r Te
stri4 irii I
_ _ .�
Shower -c e
I
Kitchen Sink Water Heater
Dimaal I ljater Softener
Dishwasher
Wet Bar r_- -J ,._� —..
Sillcoeks _ , Min (list) 1 i
Nov-15-2002 08:18an From-CITY OF ORONO +9522494616 T-455 P.003/003 F-155
i •�
PERMIT FEE CALCUATION(S)
2002 State Stage I Yes, This Section Applies
The replacement of a • sit,,,tial fix k, • • •• •: that meets all three of the following
requirements:
1) „S.AQI require m••'ficatio• to electrical or gas service.
2) Has a tokal cost of$51i.00 .r less; excluding the cost of the fixture or appliance:
and
3) Is improved, installed ,r 'laced by the homeowner or licenced contractor.
Skip next section* Cost of Permir $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
•
If above does not apply, follow guidelines below:
1. ContraetE* is .0125 % of job with a Minims 'ee of($35.00)
ao19 co x .0125 $ (01.
(contract price) (minimum$35.00)
2. State Sclharaf. ** Add the State Building Code Division a (Minimum Fee of$ .50)
oZq 9.Q1) - x .0005 $ I OMS
(contract price) (minimum$ .50)
3. Posta d.,Haidling (Only mail-in applications) $ -
4, TOTAL PERMIT FEE (Add lines 1-3 above) $ a11. 1C
' CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials,labor,profit,and otter 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.
5* 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 Signa xure� C�rr�ct__tea/Yd.-in
Date: ._.:Qt
4-3
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION liQ TICS SCHEDULED a—47-'40(1-' isO
t'n
PERMIT NO. -7d 8 r`oCOMPLETED
ADDRESS o2(o0 I C • L' ,.i ,
OWNER , C. TR.- ‘?1dY`—/
TELEPHONE NO. j�
E DESCRIPTION T
Lu 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
W
ccCC
a
U-
W
CC
W
Iii
WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
CC
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
u BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContrac ort site:
Inspector. v(DA(
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN Lf-/ (4
INSPECTION NOTICE �y/ SCHEDULED 1/-2 7-0'f /:3 c
PERMIT NO. ! 2_2- COMPLETED
ADDRESS .2 1p h I tiO h s - tck-i ,t--4,go
OWNER CONTR. 7 C )2 c>•-•
TELEPHONE NO. 9s--- , 933 7 7 / 7
3 DESCRIPTION
Ll.. 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
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 COMPLAINT
✓ 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
1 LUMBING FI _ti
✓ FINAL 36 FOUNDATION/REMOVAL
Z OWNERIiC NTRftE,'FOFTTO MEET YOU:_YES_NO
o COMMENTS:
cc
a `cc
4-v0 x- N _ ice° //
va,
0
>.
O _ ---2 t •,4 V
CCit - 6,4;6.7/ /
IQ
it
Q
W
Z
W
CC
2 ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
W ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
0 CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerIContra$tor on ite:
Inspector. _ 4
White Copyllnspector's Fi e Canary Copy/Site Notice
ZD E. TIME
620
CITY OF ORONO CALLED IN a
INSPECTION N TICS �/ SCHEDULED 2/tet-o /0.13a
PERMIT NO. , 7 ZZ-X COMPLETED
ADDRESS Zd J (C) - L
OWNER CONTR.—7714,YKrai
TELEPHONE NO. ' S2 533 7717
DESCRIPTION / /11-zr puirhi-06
0(
Lu 01 FOOTING 11 MECHANICAL RI 18 EXCAV RADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREM/ETLANDS
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
ti COMMENTS:
CCC
O
CC
O
U.
W
CC
W
LU WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the net inspection 24 hours in advance. (952) 249-4600
OwnedContracterysite:
Inspector. ,int
A4,,(
White Copyllnspector's File Canary CopylSite Notice