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HomeMy WebLinkAbout2005-P09018 (plumbing fixtures) � � PERMIT CITY OF ORONO Permit ►vumber: 2750 Keliey Parkway- PO Box 66 P09o18 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 8/1/2005 SITE ADDRESS: 3275 Carman Rd Unit# Excelsior, MN 55331 P��� 20-117-23-14-0012 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: $ 62.50 valuation: $ 5,000.00 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 65.00 APPLICANT: Manatee Plumbing OWNER: Mitchell&Kimberlee Olson 11525 199th Circle 3275 Carman Rd Silverlake,MN 55381 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. -�� �!��, `� , '` ��--C���� APPLICAN PERMITEE SIGNATURE ISSUED BY S[GNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 �: � z � FOR CITY USE ONLY ' ,�` City of Orono �r 4O`�` P.O.Box 66 Date Received: �f� Permit# f� f , ' � f � 2750 Kelley Parkway � � �����' Crystal Bay,MN 55323 Approved By: Amount$:�� !�'"'' o� 952 249-4600 �t?�!"�,�^q, � ) �aeso�' CITY OF ORONO—PLUMBING PERMIT (All Commercial pennits must be approved by the Building Official or Inspector) � �''' GENERAL INFORMATION ��>� �; 1. You may apply for plumbing peimits by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within rivo working days. �; 2. Pernut 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 consnuction or remodeling is involved,a separate building peimit 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 A ly) �Residential ❑ Commercial(Approval Required) ❑ New , ; Additional ❑Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site/ Owner Information: Site Address: � �� � ���r�c� �o �C� �t���1 � Owner: �`l��� �� ��, m���_ Mailing Address: City: �`3� �'�'°�, C�; Zip: Home Phone: Alternate Phone: Contractor I�iformation: Contractor: �'"1G.t�c���� �1�,��,i�� Contact Person: i� �: �a� � ., �'; Address: I�SZ� (`�� ��° C t �� ��P State Bond #: City: 5 ;1ver ���� Zip:s���� Expiration Date: � �- �' Phone: ������� � � �'� Alternate Phone: ❑ Insurance— Current: 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet t Floor Drains ! Lavatory j Sewer Ejector � Bathtub Laundry Tray � ��v��� ,� Shower W asher , r- r � Kitchen Sink '� Water Heater � �' t Disposal j Water Softener � 4 � ,. � Dishwasher � Wet Bar � 4 ��� Sillcocks Miscellaneous t f' �: � 4 � �. ._ . -,-. ., .. ., . �� w_�" k� q �' � �� � � �n � ��F"�' � �+,s� „ x , �= ��i . - �..� - 3 ; , i{�� � .� � � . � . � �, � � �� '�.. ' • ' .,' . , � . .. . n � .�ffi. .�� . � _ PERMIT FEE CALCULATION(S) BASED OFF - 20Q2 STATE STATUE � ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all tluee of the following requirements 1. Does not require modification to electrical or gas seivice. 2. Has a total cost of$500.00 or less; excludin�the cost of the fixhzre or appliance: and 3. Is improved, installed or replaced by the horneowner 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 $ �$+. �}�'� ;� '� 3 �'���������§��W.� ,��!(� 1`� �N _ _ _ :.:, J j �r,fii a�,'t M � '�� r t.M��� `s'��` �R�z "'`� r �� �� � � �� ' ; i� ," k'-,'�a > +���� �"' r ;,�� + -� �, �� '.,� '�, �.~ � ,�` �,�,�.,��, #" �y��r�,�, ����,�„ .� � ir• � '���-��. � : , t�'; �"{�.�v.x �.. �' �✓�y�.� t��,_:. ''e t� � "� ���� �€� 1., _:�.�" '�,yy,_ . �, . _ ,� .,�y£` wt'".�������`� a' '�. �,�'' rr§r j„ T��'�, �s � " r e. �8 7, .t '`;�� ,� t -'` � g,� . :�,�-f:'.-s.�.,. ,:.�rk.u.' �'�-ua..�' ��eF�"'r�?�t.. r�?�..,�+�.i:r-r2.�.�re¢-s�.r�..?�F;�.�.- .Y;c+�«&. .� .:Sa.� �:���..�,�za<�£` �� _.�,.. (Permit Fees Continued On Next Page) 2 PERMIT FEE CALCULATION S —JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25°/o of contract price with a(Minimum Fee of$35.00) ��i��� � 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&HAI�TDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERi�ZIT FEE (Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the achtal or estimated dollar amount charged for the � pernutted 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 conhact price for pernut 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. �'�� � � PL ATION AGREEMENT. $. PLLTMSNG rERMIT AP IC � £; �' The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all wark 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. � � � C Applicant's Signature: � Date: � " � � J „ �f������,�� �,s. 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Yti,a 14s�' '3..c'� :F:„. �,rit '��,a` s< U��'� :R �� �-Yr �a .��:-�� . ,-�'�. _.�Y��='�;�?u4'�e-r i.1�v`���, �''^ ���`r� 5� .,r,o� s � � ��r �a�:r�' � � �'4�.�' �. -Sr*�=a�. � �Ai'�'t�.-"�,, ,�E'� , �"`� ?` 4�.��'� Li.e :�����.,_�.�& �.�;�''t�.�v�..�ya���,� _:7 �k �� '� � ,-�.� ��"s�.`����.,4���"�' ;'�.. .'��' �.-'�r�"�b�.` �'���n�, .`�"`��"`�,�'�� ,��,,��-`f� �}�� _ +- z� �-�-� s .. �k �.� .� .:' .:5 �, -. . . .. � . . � � ,�•��,� . , ,�., ..rs ���a ��. ;. . .. _ .. . : _ , .,.. . c.�,-. . .,!�'� .,r � .�rM..9... , ..y::t. ,�u�.H. s,, S- a.x� 3 Cv��c.G�� C ✓ �DAT TI M E CITY OF ORONO CALLED IN �� INSPECTION f�,R�CE � SCHEDULED �//�-�� ca � � PERMIT NO. C�' Y�� COMPLETED 'r'�b "L�j ��� ADDRESS 3a 7s C � � OWNER CONTR./����� C�''.C�� TELEPHONE NO. UJ�Z 'SlO Ll �Z---' � DESCRIPTION � ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV RADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 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 � 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � I � � 13�- �-� o � ti � � �r��I rC --- c� � 0 � w � Q � z w � W � j d W �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑ CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑ STOP ORDER POSTED.CALL{NSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on te: Inspector._�� �� _-_ White Copyllnspector's File Canary Copy/Site Notice �\� DATE TIME � CITY OF ORONO CALLED IN �U� INSPECTION N�j IC�a-!' SCHEDULED _��� ��.��_� PERMIT NO. r � l V COMPLETED ADDRESS S c%C_l t�? i 7 /�cJ� OWNER CONTR. C- G��-�-�f-�� TELEPHONE NO. t�?�� �� C�' �� 7:�'` � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DE �- INF AL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q 09 PLUMBING R� 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 P FINAL 36 FOUNDATION/REMOVAL � OWNERlCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O �. � O � W � Q � Z W � W � � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe t inspection 24 hours in advance. �952� 249-46QQ Owner/Co o ite: Inspector. White Copyllnspector's File Canary Copy/Site Notice