HomeMy WebLinkAbout2005-P09496 (plumbing: fixtures) � ' PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway - PO Box 66 P09496
Crystal Ba��, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 12/19/2005
SITE ADDRESS: 3245 Carn7an Rd Unit#
Excelsior, MN 55331
PID: 20-117-23-14-0010
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Mulriple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 125.00 valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 130.00
APPLICANT: Thompson Plumbing OWNER: Jon&Kirsten Nielsen
15001 Minnetonka Ind. Rd. 3245 Carman Rd
Minnetonka,MN 55345 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.
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APPLICANT P IT E SI URE " ISSUED BY SIGNATURE
Copies: l-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, l-Septic) Page ]
FOR CITY.USE O1VLY
City of Orono ` �, , -
��� P.O.Box 66 Date R�ce�ved: �� � '�� Permit# ' ' ��c"
�':�, � 2750 Kelley Parkway
��,,r'' Crystal Bay,MN 55323 Approved 13y: Amount$ �
��;������ (952)249-4600 � �
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
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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'PERM�T
Check Al1 That A 1
�Residential ❑ Commercial(Approval ReGuired)
❑ New � Additional ❑Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior apnroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
:1ab Site/Owner Information:
Site Address: � ' ��� � ��Cv.���mz Y� �Oc�
Owner• �c„-,� �;.:�: ���, , �� '� �-��e , � Mailing Address:
City: ����� :-�,:��� Zip:
Home Phone: Alternate Phone:
`�Contractor Inforination: ���
Contractor: `1 a--�. t�: �,`l� �1� Contact Person: ��i�ct�� • � ���
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Address: l'���L\ \�l-}k�,.`�:�_ �\ . State Bond #: � -�51`�-`�`�C�� I�-
City: ����;����c,;�k.c;� Zip:��,�'>4��Expiration Date: /.� ` � i —��
Phone: �S3 -��i`'�'�� �� r-�l �-f Alternate Phone:
❑ Insurance—Current: � �
1
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory I Sewer Ejector
Bathroom Laundry Tray �
Shower W asher
Kitchen Sink � Water Heater '
�.
Disposal Water Softener
Dishwasher I Wet Bar
Sillcocks Miscellaneous � '� ��-� ��lc�_ z (�� ,_,,
� �r� �jc�
I'I.:IZMI I' �'1��;CtiI.,CUL;A"[,ION(S) ,
I3,�1S�'D ()Ia'�' —200? Srl,r'17'E ST��TtTE
❑ Yes,this section applies
�
The replacement of a Residential fixture or appti�nce that meets all three of the following requirements:
1. Does not require modification to electri�al or gas s �ce.
2. Has a total cost of$500.00 or less;exclu 'n th ost of the fixture or appliance: and
3. Is improved, installed or replaced by the hol�bwner or licensed contractor.
\
Skip next section, if this applies; Cost o ermit $ 15.00
State Surc rge $ .50
/ Mail-In Fee f Applicable) $ 1.50
�/ y Total Permit e $
(Permit Fees Continued On Next Page)
2
Y
�`JOBS OVEIZ$500:00 _ � ' ���
�3
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
�
/�) �> >�� x .0125 $ /-�?:�i,C�C`
contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
�
/C� Co�� x.0005 $ �� C���,
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ ��13r
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ I���1v
■ * 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 fumished 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.
'�� ..
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:�.1 1(� � �r� - ���.L�L.'r,� Date: /�— 15-O j
Reset Form
3
� / �j � ,� DAT TIME "
�CITY OF ORONO ���� CALLED IN �� 1��
INSPECTION NOTICE/� SCHEDULED � � �
PERMIT NO. l� ��! COMPLETED
ADDRESS 3�L-/ � �.�/r�;Y,�?G'�/C�
OWNER CONTR._��(Tj'YI.L�1�/�Cl:��
TELEPHONE NO. �� �� �- ��� �
� DESCRIPTION ����m� �� " !`t�� �GZ��/�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRA NG/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TFEE REMOVAL
Z04 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU�YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED C i PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED �:, ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED. Ll TO ARRANGE ACCESS.
Call for the inspection 24 hours in advance. (952� 24J-4600
OwnerlCon on e
Inspector.
White Copyllnspector's File Canary Copy/Site Notice