HomeMy WebLinkAbout2004-P07373 � i PERMIT'
C I TY O F O RO N O Permit iNu ber:
2750 Kelley Parkway - PO Box 66 Po�3�3
Crystal Bay, Minnesota 55323 Permit Typ : FiX�uIeS
(952) 249-4600 Date Issue : 4��i2ooa
SITE ADDRESS: 4375 Bayside Rd �
Maple Plain,MN 55359 !
PID: 06-117-23-12-0008
DESCRIPTION:
Proposed Use: Kesidential
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#: I I
Separate permits required: �
NOTICES/REMARKS: I
FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 1,500.00
State Surcharge Fee: $ 0.75
TOTAL FEE: $ 35.75
APPLICANT: Air Lake Plumbing Inc. OWNE : Steven&Patricia White
22905 Plateau Drive 4375 Bayside Rd
Lakeville,MN 55044 Maple Plain MN 55359
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TH�RE L IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRIC I'COMPLIANCE WITH ALL CI OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
I ,
���� �
�n ,-�__
C� <�� � �
APPLI NT ERMITEESIGNATURE ISSUEDBYSIGNA7'URE
Cooies: 1-File(SiQnitures Reauired), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1 Finance Page 1
� CITY OF ORONO APP CATION 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 perso at the City offices.
2. Permit cards will be sent by retum mail after a review is c mpleted. PERMITS ARE NOT VALID UNTIL
YOU RECEIVE A PERMIT. WORK MUST NOT BEGI UNTIL THE PERMIT CARD IS POSTED ON
THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plu ing contractors and to property owners residing
in the dwelIing.
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 Cod requirements.
6. All work must be inspected and air tested before it is overed. Call (952) 249-4600. 24-hour notice
required.
Instructions Complete all items on this application. C mpute the permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WIL NOT BE PROCESSED. If you have
questions, call (952) 249-4600. ,
Please check one: �ew t'�ddi ion Repair Replace
v Residential �o ercial
JOB SIT'E: �3 � �,,, t.• � � Zip: S S"3 S 9
Owner's Name: 5�.�, ar P'd�{•� L,•�,•,��; elephone Number: 9�L-Sr 7`- y ys 3
Mailin Address: s' �
g 3 ,�', City: p,.o...�►, Zip: ,'s3 s9
Contractor's Name: �,. L,► ' �..,.,,8; Telephone Number: q r L�9 s?�v r� Y
Mailing Address: ZZ o s' ,.,,��,�,.. ,��. City: 1,,,��....,,.� Zip: s�'�Y Y
PLUMBING FIXTU1tE HEDULE
FIXTURE BSMT 1ST 2ND OTHER FIX URE BSMT 15T 2ND OTHER
TYPE FL FL TY FL FL
Water Closet � Floo Drains
;, Lavato � Sew r E'ector
Bathtub x ILa d Tra
Shower Was er
Kitchen Sink �,Wat r Heater
Dis osal Wat r Softener
Dishwasher Wet ar
Sillcocks �Mis (list)
i
PERMIT FEE CALCULATION(S) � I
2002 State Statute ❑ Yes, This Section App ies
The replacement of a Residential fixture or a lian that meets all three of the following
requirements:
1) Does not require modification to electri a1 or gas service.
2) Has a total cost of$500.00 or less; excl din the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by th homeowner or licenced contractor.
Ski next section; I' ost of Permit $ 15.00
P I
tate Surcharge $ .50
ail In Fee $ 1.50
;
If above does not apply, follow guidelines below:
l. Contract Price* is .0125 % of job with a Mi imum Fee of 35.00
��b � x .0125 $
(contract pr,ice) (minimum $35.00)
2. State Surchar�e. ** Add the State Building C de Division a (Minimum Fee of$ .50)
' x .0005 $
(contract price) (minimum$ .50)
3. Postage and Handlin� (On1y mail-in applic tions) $ 1,50
�
4. TOTAL PERMIT FEE (Add lines 1-3 ab ve) $
* CONTRACT PRICE or JOB COST means the acti,lal o estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fi,�xed 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 the�e is dispute on the amount of the job cost, the City may
request the submission of a signed copy of the ac�al c ntract.
** The STATE SURCHARGE is .0005 of the contrac't pri under$1,000,000 or $.50- whichever is greater.
For valuations over$1,000,000 call the Departmept of Inspection Services for the price.
The undersigned hereby applies to the City for issua ce of a Plumbing Pernut, agrees to do all
work in strict accordance with the ordinances of th City and the regulations of the State of
Minnesota, and certifies that all statements made this application are complete, true and
correct. '
�;= �'" '��
A licant's Si nature: ' Date: �/��G�`f
PP g
�
DATE I T E
CITY OF ORONO CALLED IN ' ''(.'`
INSPECTIONNOTICE SCHEDULED ` a: '�� '
PERMIT NO.J����3�� COMPLETED
, � �-
ADDRESS � ��-� � � ��i �� �- � • �
OWNER 1 CONTR. ,��
TELEPHONE N0. � � � G' ��
�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADIN FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/W LANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPffCTlO
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07„�F�_ INAL 15 SEPTIC INSTALL. 22 FOLLOW-l�P I
��09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COUER R MOVAL
J-'1 BING FINAL 36 FOUNDATIiON/R OVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a -
�
J
O
�
�
O
�
W
�
Q
�
Z
� I
� I
�
d
W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE IOF O CUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ! I
❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. �
Call forthe next spection 24 hours in advance. �95Z� 124 -46��
.,
OwnerlContr ite
Inspector. �
White Copyllnspector's File Canary Copy/Sfte Nofice