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HomeMy WebLinkAbout2007 - P11668 - sump pump PERMIT CITY OF ORONO 275C4•Kelley Parkway - PO Box 66 Permit Number: P11668 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 11/7/2007 SITE ADDRESS: 2606 West Lafayette Rd Unit# Excelsior,MN 55331 PID: 21-117-23-21-0001 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Sump Pump DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 250.00 Valuation: $ 20,000.00 State Surcharge Fee: $ 10.00 TOTAL FEE: $ 260.00 APPLICANT: Gateway Mechanical Inc. OWNER: Paul&L Ekholm 13950 Radium St.NW 2606 West Lafayette Rd Ramsey,MN 55303 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. ' ' APPLIC• T 'ERMITEE SI URE ED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 r I, FOR CITY USE ONLY Q¢ � City of Orono P.O.Box 66 Date Received: Permit# � 2750 Kelley Parkway tZ, , Crystal Bay,MN 55323 Approved By: Amount$: iw+#$ 0 (952)249-4600 CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL,'INFO It kT N 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 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 State Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT (Cheek All That Apply) Residential ❑Commercial(Approval Required) ❑ New ' Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: d Q) 64.1g. �r,9iZ7 /7_7_ Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: , / , f,i«,� tact Person: /-F,Saaorcrtiiti S'T- /`l w .Sr`� • Address: " State Bond#: City: 8 Zip: Expiration Date: /,>Z -3/- G 7 Phone: 7e -1/33- Alternate Phone: 7 i- 73 ❑ Insurance-Current: 1 ry 01 ``"` -¢` `v� @ y c �, y 3 y �i L��'- ". �, [ x �'i�r .QA Ise 4"Il � s E FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sr 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains / Lavatory Sewer Ejector Bathieom Laundry Tray Shower Washer Kitchen Sink / Water Heater / Disposal / Water Softener Dishwasher ` Wet Bar Sillcocks Miscellaneous ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: I. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 t • �,a»e, e.. ...� _.s r �� Y, m t.Lcn.%a.§%ldW V �i«r ,. �'swue��..., s. -.s 0. .c r If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) r' Art- 4-0c_d r 9' x.0125 $ (o6ntract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) ©e,0 ' x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on 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 installations 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 Building Department at(952)249-4600 for the price. PL: ING PERMIT APPLICATION AGREEM 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: ��0„ Date:// 7 0 7 3 CT TIME CITY OF ORONO CALLED IN // INSPECTION NOTICE /� Q SCHEDULED //- ?-07 /x.'30 PERMIT NO. /-'il/6(00 COMPLETED ADDRESS 02&0(o Gc)- L OWN ER CONTR. 7 /f'(ee� TELEPHONE NO. 74 3 a Ce / 73& DESCRIPTION C��iof (P&6--, 6 ,Z ,.... � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS " ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q CIDEMO-FINAL ❑ SEPTIC INSTALL. 111 FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL 111FOUNDATION/REMOVAL <--- OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMM E S: 0� t,i/ e • Ow [Go C E 0 ( cc,.. (9 4, cloJ eAr cc O W cc Q W z W Lt O 2 WORK SATISFACTORY:PROCEED [1PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952) 249-4600 Owner/Contra« : r -le: omitInspector. c_ White Copy/Inspector's File Canary Copy/Site Notice t ! V �(./�c�l \j)1/1/Ce--e- •TE TIME CITY OF ORONO CALLED IN I d� __ ll INSPECTION rIC.ESCHEDULED / /�(�• /• eU PERMIT NO. &(O S CO ETED ADDRESS 03 lid�O kl."4.74 C71;—GL rPj P/ OWNER / CONTR. �� �! vc TELEPHONE NO&e/ 7(e73 — DESCRIPTION C\7 — 9100A.) ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV ING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKE` •- ETLANDS V) ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL ▪ OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc W C CC O CC O U- W CC W W d W2 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY C ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952) 249-4600 Owner/Contra te: Inspector. White Copy/Inspector's File Canary Copy/Site Notice