HomeMy WebLinkAbout2007 - P11469 - plumbing CITY C5F ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: P11469
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
9/19/2007
SITE ADDRESS: 2655 West Lafayette Rd Unit#
Excelsior,MN 55331
PID: 21-117-23-24-0039
DESCRIPTION:
Proposed Use: Residential
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: $ 181.25 Valuation: $ 14,500.00
State Surcharge Fee: $ 7.25
TOTAL FEE: $ 188.50
APPLICANT: Victoria Plumbing OWNER: Ronald&Esther Martens
1855 West 80th St/PO Box 174 2655 West Lafayette Rd
Victoria,MN 55386 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 BUILDINGCODE REQUIREMENTS.
APPLI SAN IGNATURE IED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
•
FOR-CPrY USE°ONLY
• -O\ City of Orono
-30":4;\ City
Box 66 DateReceived: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
l (952)249-4600
CITY OF ORONO—PLUMBING PERMIT
(AH Commercial permits must be approved by the Building Official or Inspector)
GEINfl✓RAL II `O ." TON
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
(Check All That.Apply)
Residential ❑Commercial(Approval Required)
New ❑Additional ❑Repairs
❑Replace
❑ In Accessory Structure?
*You will need prior approval and may need CLJP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: MS c W l-
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: (.',Liz)f)I is ef '11b\N-7 Contact Person: C1 Le ..-' t h cam^
Address: Pc) 1 -74 •J State Bond#: , C1 g l 2 Z1,C,
City: +>fZipz?� Expiration Date: I — I/- OS
Phone: Gf S7 _ t-{1-f,3 - 32_ Alternate Phone: 1SZ 4113-( 34
❑ Insurance—Current:
1
.�e a.�, a.;ams xJt 'JFg6"a kv t-.
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet r Floor Drains
Lavatory ti _- i Sewer Ejector
BathroomI Laundry Tray P
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks r� Miscellaneous
tea,.- 'n ^' t5�' r"i"�7 V it I''T wr' $, c -
a g��. d 8.x.�,^. .a�a'k G'"i.+Ie 6 [n G%s. �t L F G;,. F 9 vM SM. y� y 1..
-„xi- .'��a"a.�, .aw�.w�.:-aaka "' aww� �air"+ -�...-�. :,^m._ �s°azas...na,.,�"�]S';" �- ��,
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. 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
ua�e7 r�w �s.�..�.,�,a�.�a.; =:
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
I`f50 .cD x.0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
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.
re 'i'; riF
.: ai +(ssg„ . 1 J 1,., . i y� . ..: �, ,`t
ter._.e-� .-ad��n.,.,, � .__.a :,�'....x`
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinanc: of the City and the regulations of the State of
Minnesota, and certifies that all state .de on this application are complete, true and
correct.
iP II
Applicant's Signature: AL ; Date:
r" Ali
3
.eq�
f2AT TIME
CITY OF ORONO CALLED IN (J
INSPECTION NQTJC q SCHEDULED LO- --O //;36'
PERMIT NO. `// COMPLETED
ADDRESS C9 -5 19. Lq . te, ed--
OWNER CCcNTR. L.e(L )4 1�
TELEPHONE NO. 6103 9/?6,9/?6, 2L5' p V t� /
l Cc f�L
DESCRIPTION (T,�Gi rtL6 6
k.
Y1-
1.4 ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ 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
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
Lu ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
st OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
W •
Q..
CC
O
>.
CC
O
14.W
CC
Q
W
Z
W
d
IQ WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
❑CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY
C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ids. -ction 24 hours in advance. (952) 249-4600
Owner!Contra te.
Inspector. C si info
White Copy/Inspector's File Canary Copy/Site Notice
E1 &tA----- D E TIME V
CITY OF ORONO CALLED IN
INSPECTION NO/Th/69 9 SCHEDULED f /D7 l/.'�
PERMIT NO. ff7 COMPLETED
ADDRESS T 07655 Zei. L , -
OWN ER V/- CONTR. tc r-(cc. P Lez.04-� .
TELEPHONE NO. (012 ` ` D U S 1
DESCRIPTION o)i� cltt =s^
W 01 FOOTING 11 MECHANICAL RI 18 EXCA GRADING/FILLING
cc cc 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ri)
O 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
LLJ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENT :
cc
CC
Q.J VA) 16? 1004)A, / l
0
(
>,
CC
0
4.
W
CC
Q
W
Z
W
CC
Ful WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CCW
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑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 -x inspection 24 hours in advance. (952) 249-4600
Owner/C c o si 1
Inspector.c.
White Copy/Inspector's File Canary Copy/Site Notice
(2/
yIQT / / TIME \/CITY OF ORONO CALLED IN /vt�i [ �7
INSPECTION NOTICE SCHEDULED /c /2 70 7 V,'0O
PERMIT NO. p//y(t?7 COMPLETED
ADDRESS ‘,2L0,C7 S C.. 4/ '
OWNER CONTR. 11/C f/et-Tit-A.'
191(
t/fb,
TELEPHONE NO. qq0
DESCRIPTION
❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
Ci) ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
• 0 WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
LLJ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU: YES NO
Ce)• COMMENTS:
cc
W
ccmatA.,6 /(.kAe_CC
CC
CC
WCC WORK SATISFACTORY:PROCEED ROJECT COMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
00 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.) BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
CI CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL °ARRANGE ACCESS.
1,1
Call for the next i tion 24 hours in advance. (952) 249-4600
Owner/Contrac site.
Inspector.
White Copy/inspector's File Canary Copy/Site Notice