HomeMy WebLinkAbout2003 - P05932 - plumbing k, PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P05932
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 1/2/2003
SITE ADDRESS: 2615 West Lafayette Rd
Excelsior,MN 55331
PID: 21-117-23-24-0049
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate penults required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 2,800.00
State Surcharge Fee: $ 1.40
TOTAL FEE: $ 36.40
APPLICANT: Thompson Plumbing OWNER: Jim&Tone Gagne
15001 Minnetonka Ind.Rd. 2615 West Lafayette Rd
Minnetonka,MN 55345 Excelsior,MN
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(Signitures Required), 1-Applicant, 1-Monthly Reports. 1-Assessine, 1-Finance Page 1
.rev-164^C2 08:18am From-CITY OF ORONO +0522494616 1-456 P.002/001 F-155
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORi liTION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be seat by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOU RECEIVE A PERMIT. WORK t 'G T =EGIN UNTIL • t T CAR' IS PO TED ON
THE IOB
3. Plumbing permits may be issued ONLY to licensed phorbin& 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 n accordance wita the State Code requirements.
6. All work mu.t be inspected and air tested before it is covered. Call (952) 249.4600. 24-hour notice
required.
ctruettions 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 (952) 249-4600.
Please check one: New )( Addition Repair Replace
X _Residential Commercial
JOB SI'rE:_saLe41k. �—
Owner's Name: A. GR. Telephone Number:
Mailing Address' City: C\--t,
'rZip: -
Contractor's Name:IL •- CmQTelephoneNumberF -`lr}17
Mailing Address: CRY.c _Zip: c-e.-74-K
PLUMBINGj$ CHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
_Water Closet _ Floor Drains
Lavato � Sewer E ector
Bathtub _
j�twiry Tray
Shower Washer
Kitchen Sink Water Heater
Dis••sal Water Softener
Dishwasher I Wet Bar
Sillcocks Mise (list) i, r_ ' ._
'' Ncv-16'002 OB:Ieam From-CITY OF ORONO +8822464616 7-46E P.003/003 F-166
PERMIFE
3002 State Statute \O Yes, This Section Applies
The replacement of a .esi•r-ntial fix t • • •• 't • that meets all three of the following
requirements:
1) Dgesilot require m•.ification to el trical or gas service.
2) Has a Iptal cost of$500.00 or 1ess,t'excluding the cost of the fixture or appliance:
and //
3) Is improved, installed o e.+:ced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ �50
Mann Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Pig* is .0125 % of job with a l 11nimun3Jee of($35.001
Igoe x .0125 $ )5100
(contract price) (minimum$35.00)
2. Efiatelusharge,** Add the State Building Code Division a (Minimum Fee of$ .50)
c2 gCO x ,0005 $ Li-to
(contract price) (minimum$ .50)
3. Postage and Handling (Only mail-in applications) $
4. TOTAL PERMIT k'Er: (Add lines 1-3 above) $ J�►4()
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 5.50-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 acc:ordance 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 Signatur; Date:/c
1
DAT(/E TIME
m
CITY OF ORONO CALLED IN 5 U 3
INSPECTION NOME SCHEDULED "3--,.. 0-z)-2 /O. oAl
PERMIT NO. 1/059-3COMPLETED
ADDRESS (' /'5 7-t) Z.--el e)` c; f
OWNER CONTR. 'Aay)2r5 ) P/ /AA.
`(
TELEPHONE NO. c 93:3 77/ 77 J/
E DESCRIPTION :e �- ./te S) ,
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
t7 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 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
Q 07 • _ • 15 SEPTIC INSTALL. 22 FOLLOW-UP
_ 19 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 . 11 V:i'- ' ' 36 FOUNDATION/REMOVAL
Z OWNE• CONTRACTO•TO MEET YOU: YES_NO
t
tn COMMENTS:
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W ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Ou BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contra . site:
:pector. _� "may
White Copy/inspector's File Canary Copy/Site Notice