HomeMy WebLinkAbout2006-P09664 - plumbing PERMIT
ClTY� OF ORONO
Permit Numb r:
2750 Kelley Parkway- PO Box 66 Po9664
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
3/14/2006
SITE ADDRESS: 4455 Bayside Rd Unit#
Maple Plain,MN 55359
PID: 06-117-23-21-0002 ��
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbmg
Permit Type: Fixttues ermit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 243.75 Valuation: $ 19,500.00
State Surcharge Fee: $ 9.75
TOTAL FEE: $ 253.50
APPLICANT: WestonkaMechanicalInc OWNER WofMinnetonka
6501 County Rd 15 4455 Bayside Rd
Mound,MN 55364 � Maple Plain,MN 55359
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE RE L IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CIT OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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� PLIC PERMITEE SIGNATURG UED BY SIGNATURE
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Copies: 1-File(Sigria[ures Reguired), I-Applicant, 1-Monthly Reports, 1-Assessing (If Septic, ]-Septic) Page 1
FOR CITY USE ONLY
� ,��� City of Orono
t P.O.Box 66 Date Received: Permit#
��,*�,,,, � 2750 Kelley Parkway
� � j`'`?�zfi �* Crystal Bay,MN 55323 Approved By: Amount$:
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���o�.$o (952)249-4600
CITY OF ORONO— PLU BING PERMIT
(All Commercial permits must be approved by th Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail o in p rson at the City offices. Applications will be
reviewed and a pernut will be issued within tw wor ing days.
2. Permit cards will be sent by return mail after a evie is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WO MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SIT .
3. Plumbing pernuts may be issued ONLY to licensed lumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involv d, a separate building pemut must be
obtained.
5. All work must be done in accordance with State Cod 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 PE IT
(Check All That A ply)
[�}'�sidential ❑ Commercial(Approval Required
�"New ❑Additional Re airs ❑ Replace
❑ In Accessory Structure?
*You will need nrior approval and may need C . (Pe Orono City Code, Chapter 78,Article IV)
�b Site/ Owner Information:
Site Address: � � c�.� 1 (
Owner: Mailin Address:
City: l,r�a n��� zip:
Home Phone: Altern te Phone:
Contractor Information:
Contractar: j�����,-f-�����Z� Contac Person:
Address: r�D j����/h� State B nd#:
City: /"ti'Icc.L�.v<,I Zip:,�",�f,L�Ex�irat on Date:
Phone: ��s;�-y'7a_4�5`.� Alterna e Phone:
❑ Insuran e—Current:
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PLUMBING FIXTURES BE G INSTALLED
FIXTURE BSMT 1 2' OTHER FIXT RE BSMT 1 2' OTHER
TYPE FL FL TYP FL FL
Water Closet Floor rains
Lavatory Sewe Ejector
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Bathtub Laun y Tray
1
Shower Wash r
Kitchen Sink �Jater Heater
Disposal V�ater Softener
Dishwasher et r
f
Sillcocks isce laneous
� � � �� PERMIT FEE CALCU ATION(S)
BASED OFF - 2002 STA E STATLTE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that me ts all three of the following requirements:
1. Does not require modification to electrical or ga service.
2. Has a total cost of$500.00 or less; excludin�th cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeo er or licensed contractor.
Skip next section,if this applies; Co�t of ermit $ 15.00
Stalte S charge $ .50
Ma�il-In ee(If Applicable) $ 1.50
Total P rmit Fee $
(Permit Fees Continued On Next Page) I
2
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, ,
PERMIT FEE CALCULATION(S)' JOBS OVER $500.00
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If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract p ice with a(Minimum Fee of$35.00)
� lS�� � x.0125 $
(contr ct pri e) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bld Code Div. Surcharge(Minimum Fee of�.50)
x.0005 $
(contr�ct pri e) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-I�n Ap lications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
• * CONTRACT PRICE or JOB COST means the actua or estimated dollar amount charged for the
permitted work including matenals, labor, profit, a�d ot er fixed costs. It is the amount to be charged
to the customer for the work done. If any material�equ pment, labor or installations are furnished by
the owner, tenant or any other party, the reasonabl ma et value of such items must be added to the
estimated cost or contract price for pernut fee purpose . In the event that there is a dispute on the
amount of the job cost, the City may request the submi sion of a signed copy of the actual contract.
■ ** The STATE SURCHARGE is .0005 of the contract rice under$1,000,000 or $.50—whichever is
greater. For valuations over$1,000,000 ca11 the Building Deparhnent at(952)249-4600 for the price.
PLUMBING PERMIT APPLICA ION AGREEMENT
The undersigned hereby applies to the City for issuan of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the ity and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
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Applicant's Signature: ` Date: D
✓;
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��\ DAT � TIME �
CITY OF ORONO CALLED IN ��'��'
INSPECTION T /�, SCHEDULED ���� ��O�I
PERMIT NO. ���/ COMPLETED
ADDRESS ��5 Q '��'
OWNER CONTR. v.r�
TELEPHONENO. ���` ��-� "��55 I
� DESCRIPTION ' �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV GRAD NG/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKES ORE ETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE�EMO L
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE IN�PEC ION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMP INT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLO -UP
Q
09 PLUM NG 23 SEPTIC FINAL 35 HARD OVE REMOVAL
J 10 PLUMBING FINAL 36 FOUNC�ATIO REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED Il PROJECTCOMPL�ETE
W ❑ RRECT WORK&PROCEED 1-i ISSUE CERTIFIC 7E O CCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMP�RAR
� BEFORE COVERING PERM NEN
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN �
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUEC�
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95�� Z 9-46QQ
OwnerlContractor on site:
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Inspector.
White Copyllnspector's File Canary CopylSite�lotic
'� ��� DATE TIME �
CITY OF ORONO CALLED IN /�`� I
INSPECTION O I E SCHEDULED � �s3!Db
PERMIT NO. onnP��TE�
ADDRESS � �
OWN ER CONTR.
TELEPHONE NO. `5'�- " '� � " c3 �� �
� DESCRIPTION � � �
ty 01 FOOTING 11 MECHANICAL RI 18 EX AV/G ADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LA ESH RE/WETLANDS
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� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TR�E RE OVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SI E INS ECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PR GRE S
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 CC�MP NT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 F LLOW UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 H�qRD C VER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDA ION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO I
� COMMENTS:
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W WORK SATISFACTORY:PROCEED PROJECT COMPL E
� ❑ CORRECT WORK 8 PROCEED rl ISSUE CERTI ICAT OF OCCUPANCY
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0 ❑ CORRECT WORK,CALL FOR REINSPECTION T MPO ARY
V BEFORE COVERING P RMA ENT
❑CdRRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAK�N
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR `-� CITATION IS�UED
C'i INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. ��52 249-4600
OwnerlContracto n site:
Inspector. •
White Copyllnspecto File Canary Copyll5ite N tice
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