HomeMy WebLinkAbout2001 - P03729 - plumbing PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P03729
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 4/23/2001
SITE ADDRESS: 2601 West Lafayette Rd
EXCELSIOR,MN 55331
PID: 21-117-23-21-0003
DESCRIPTION:
Proposed Use: RCSiuciitiai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Fixtures>3
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 168.75 Valuation: $ 13,500.00
State Surcharge Fee: $ 6.75
TOTAL FEE: $ 175.50
APPLICANT: K.Nordwall&Associates, Inc. OWNER: D J OLSON&B J BOWERS
2124 Gilbert Ave. 2601 WEST LAFAYETTE RD
St. Paul,MN 55104 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.
P ,h �: l)
MICA PERMI EE SIGNATURE ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
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 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
Resident' 1 Commercial
JOB SI'Z'E: 2.( 0 I L - 17-t4, p_p Zip:
Owner's Name: Q�h .16'WE`rt s Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: rim t\COC., Telephone Number: 65/ 7 3 9 --7
Mailing Address: -2../ Lc—f• (, L —iz r ASL— City: P Jc._ Zip: i 0 c�
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Z Floor Drains
Lavatory 3 Sewer Ejector
Bathtub Z Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
/3,. 5 ... cxx x .0125 $
(co tract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. 7,3z 0 o-0-1) x .0005 $
( 5Q
ontract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* 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 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:/04, _- Date:
2 of
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DATE TIME
CITY OF ORONO C ED IN
INSPECTIONTICE SCHEDULED �! 3 0 -
PERMIT NO. -t 3 7 y COMPLETED .-.=) 3 U
ADDRESS 2(.2 Cl ��� X
OWNER 11 �i; CON R.
TELEPHONE NO. 0( 5 70 %S /16),e fit LI-T_
• DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
c 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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
W�A9'PCGMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
CT-PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU: YES NO
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L7 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
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Owner/Contra
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
Qv 0 L 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contra�;tt r on site:
Inspector./� ;! 4.A.---(—6Z.-e-/7 -
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TI ��, SCHEDULEDe(j /L) ?>0PERMIT NO/ COMPLEJED (z-�� .°( �o3 O
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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
`4 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W_0_91__L3 U A1a.a_„ 23 SEPTIC Fl L 35 HARD COVER REMOVAL
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INSPECTOR WILL RETURN
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❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contra tor on site:
Inspector AI.
White Copy/Inspector's File Canary Copy/Site Notice
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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
Lii 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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✓ BEFORE COVERING
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INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR
0 CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contr r on site:.
Inspector. ��t - 7
White Copy/Inspector's File Canary Copy/Site Notice