HomeMy WebLinkAbout2001-P04556 (Plumbing fixtures) � � PERMIT
CI�fY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Poass6
Crystal Bay, Minnesota 55323 Permit Type: FiX�res
(952) 249-4600 Date Issued: ioi26i2oo1
SITE ADDRESS: 3265 Carman Rd
Excelsior, MN 55331
P ID: 20-117-23-14-0011
DESCRIPTION:
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PCOpOSeCi USe: nc��uciiiiai
Permit Class: Plumbing
Permit Sub-type(s): Multiple Fixtures
Permit Type: Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 62.50 Valuation: $ 5,000.00
State Surcharge Fee: $ 2.50
TOTAL FEE: $ 65.00
APPLICANT: Doug's Plumbing OWNER: Katherine Taylor
4908 Williston Road 3265 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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AP 1 ANT PERMIT � I NATURE IS��D BY SIGNATtJRE
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Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
i. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERNYIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing pemuts 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 the State Code requirements.
6: All work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice required.
Instructions 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 249-4600.
Please check one: New ✓ Addition Repair Replace
�-Residential Commercial
JOB STI'E• 2j���j�2m�1 �a Zip:
Owner's Name: d'1') ��tz� �c s� Telephone Number: �'� f-'S� u
Mailing Address: 32� �r Co��.d. � City: Zip:
Co�tractor's Name: � �,t Telephone Number: c�.€ �Sa � y S 7� '��G��
Mailing Address: ���6, �.�, rl�s��, , ���� City: �'�`�'' Zip: ��3^1��--
PLUMBING FIXTUItE SCHEDLTLE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory � Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink � Water Heater
Disposal Water Softener
Dishwasher Wet Bar � �c ���'�
Sillcocks Misc (list)
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
��j � x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e and Handiin� (Only 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 fized costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor, or installation aze furnished by the owner,
tenant or any other party the reasonable mazket value of such items must be added to the estimated cost
or contract price for pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ci�y 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 Department of Jnspectional Services 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 statem�nts made on this application are complete, true and
correct.
Applicant's Signature: Date: �(��� v� �
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DATE TIME
CITY OF ORONO CA�LED IN
INSPECTION N IC �(�; SCHEDULED -` --"L�
PERMIT N0. � ���" COMPLETED L' �Z ' -�G'
ADDRESS � �_--���t,.�'.-,c- '
OWNER CONTR. ` �-�
TELEPHONE N0. _ �I 5 Z �-{-S 7 � � 1
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
_ ,09 P P,'Rf'—� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v PLUMBING FINAL �> 36 FOUNDATION/REMOVAL
� OWNER/CONTR RTOMEETYOU:_YES_NO
� COMMENTS:
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��T �ORKSATISFACTORY:PROCEED �JECTCOMPLETE
W ❑CORRECT WORK�PROCEED ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 24J-4600
OwnerlContractor on site:
Inspector�l'/���t'�'�� ��"���
White Copyllnspector's File Canary CopylSite Notice
�� DATE TIME
CITY OF ORONO CALLED IN
INSPECTIONN E y�' SCHEDULED �- �3"
PERMIT N0. � ✓� COMPLETED � —v ,
ADDRESS -� �� Ci�r.�a� �
OWNER CONTR.
TELEPHONE N0. � 3 -- 3
� DESCRIPTION
t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATEFi HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-F 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
MB�I�N�,�G_�RI�, 23 SEPTIC FINAL 35 HARD COVER REMOVAL
ar�v�riNA� 36 FOUNDATIONlREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �Q.yNORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ��CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITH�N HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
Own�rlContractor on site:
Inspector. !i/�/��' C.�,�Q-�i'1�
White Copyllnspector's File Canary Copy/Site Notice