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Home My WebLink About2003-P06406 - plumbing PERMIT CITY OF ORONO Permit Num er: 2750 Kelley Parkway- PO Box 66 P06406 Crystal Bay, Minnesota 55323 Permit Type FiX�ures (95?,) ��+9-4600 Date Issued 6/10/2003 SITE ADDRESS: 4105 Bayside Rd Maple Plain,MN 55359 PID: 06-117-23-14-0023 DESCRIPTION: Proposed Use: Kesidential Pernut Class: Plumbing Pernut Type: Fixtures ermit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: h FEE SUMMARY: PermitFee: $ 72.50 Valuation: $ 5,800.00 State Surcharge Fee: $ 2.90 TOTAL FEE: $ 75.40 APPLICANT: Steve Schinit Plumbing OWNER: Nick&Sue Burke 1045 Medina Road 4105 Bayside Rd Long Lake,MN 55356 Maple Plain MN 55359 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY F ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. A I � � � _4_ �'!� �_ . � lC�l�__� � �� .. / APPLICANT PERM SIGNATURE I SUED BY S[GNATURE Copies: 1-File(SiQnitures Required), 1-Avolicant, 1-Monthlv Renorts, 1-Assessine, 1-F' ance Page 1 V� �� CITY OF ORONO APPL�CATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) i Crystal Bay, MN 55323 GENERAL INFORMATION � � l. You may apply for plumbing permits by mail or in pers at the City offices. ; 2. Permit cazds will be sent by return mail after a review is�mpleted. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEG�N UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. � � = 3. Plumbing permits may be issued ONLY to licensed plu 'bing contractors and to property owners residing � in the dwelling. 4. When any new construction or remodeling is involved, separate building permit must be obtained. 5. All work must be done in accordance with the State Co requirements. 6. All work must be inspected and air tested before it i covered. Call (952) 249-4600. 24-hour notice required. ; Instructions Complete all items on this application. ompute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WI L NOT BE PROCESSED. If you have questions, call (952) 249-4600. I - i � Please check one: New Adc�ition Repair _�/ Replace � Residential Co#nmercial , JOB SITE: Q C1�e ` Zip: � Owner's Name: � � Telephone Number: ps a - �3- 7�Y Mailing Address: �i`/p ' `Gt' . I City: � �Zip: S S- S Contractor's Name: ev� �' Tele one Number: -��3-�{7.�—.�6�D Mailing Address: D S� e ` � i City: � � �/f�Zip: 5�3,�0 PLUMBING FIXT SCHEDULE �. � FIXTURE BSMT 1ST 2ND OTHER F�XTURE BSMT 1ST 2ND OTHER TYPE FL FL TIYPE FL FL Water Closet F oor Drains Lavato S wer E'ector Bathtub �aund Tra Shower asher Kitchen Sink ater Heater Dis osal ater Softener Dishwasher et Bar Sillcocks isc (list) I'I _ ii PERMIT FEE CALCULATION(S) ; 2002 State Statute ❑ Yes, This Section Appl' s The replacement of a Residential fixture or a liance� that meets all three of the following requirements: 1) Does not require modification to electric 1 or gas service. 2) Has a total cost of$500.00 or less; exclu in the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licenced contractor. Skip next section; ost of Permit $ 15.00 tate Surcharge $ .50 ail In Fee $ 1.50 If above does not apply, follow guidelines below: I 1. Contract Price* is .0125 % of job with a Mi imum Fee of 35.00 � �Q � x .0125 $ � (contract price) (mirumum$35.00) 2. State Surcharge. ** Add the State Building C de Division a (Minimum Fee of $ .50) x .0005 $ (contract price) (minimum $ .50) 3. Postage and Handling (Only mail-in applic tions) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 abo e) $ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,profit, and other fixed c sts. It is the amount to be charged to the customer for the work done. If any material, equipment, labor, r installation are furnished by the owner, tenant or any other party the reasonable market value of such ite s must be added to the estimated cost or contract ` price for permit fee purposes. In the event that there is dispute on the amount of the job cost, the City may i request the submission of a signed copy of the actual c ntract. ** The STATE SURCHARGE is .0005 of the contract pri 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 issua ce of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of City and the regulations of the State of Minnesota, and certifies that all statements made n this application are complete, true and correct. Applicant's Signature: Date: (p /U f� , _. � M ✓ DAT,E TIME CITY OF ORONO CALLED IN �ll� ��-�-3 INSPECTION NO ICE SCHEDULED - � ' .�� PERMIT N0. �G(c y�;�o COMPLETED �/� i ' ADDRESS ��-`r� � ' L \ i ' OWNER ��L��-I CONTR. �\` ' TELEPHONE NO. � - � :�' � ��-vZ <�YYIb, � DESCRIPTION ��'�'`-�"�� 01 FOOTING i t MECHANICAL RI 18 EXCAV/GRAD NG/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOR ETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOV L Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPEC ON Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT `� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER EMOVAL J 10 PLUMBING FINAL 36 FOUNDATION EMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES,..�NO � COMMENTS: �� S `� ��, � � �� . � J 0 � � 0 � W � Q � z W � W � � � �/�VORKSATISFACTOflY:PROCEED ❑ PROJECTCOMPLETE W O CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF O CUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR � O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. � Call for the next inspection 24 hours in advance. (g52) �49 4600 OwnedContractor si e: Inspector. White Copyllnspector's File Canary CopylSite Notfce I