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HomeMy WebLinkAbout2000-P02125 - plumbing � T � �_ � PERMIT CITY OF ORONO PERMIT TYPE: Plumbin 2750 Kelley Parkway - P.O. Box 66 Permit Number : �pal� Crystal Bay, Minnesota 55323 Date Issued: O1/28/00 (612) 249-4600 SITE ADDRESS: 122 Chevy Chase Drive Orono, MN 55391 H.N.B. 36-118-23 41 0038 DESCRIPTION: Plumbing 1 1 Misc. Gas Line REMARKS: FEE SUMMARY: Valuation $1,300 Base Fee $ 35.00 Surcharge .65 Total Fee $35.65 CONTRACTOR: RTP Plumbing OWNER: Carlson 17701 Kenyon Avenue Lakeville, MN 55044 THE UNDERS�IGNED�HEREBY REQUEST PERMISS[ON TO MAKE THE REAL 1MPRO�VEMENTS SPECIFIED AND � AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF-0RONO ORDINANCES AND STA"�E OF � � MINNESOTA BUILDING�CODE REQUIREMENTS. � �� � � � � ��� �� APPLICANT/PERMIT�E SIGNATURE ISSUED BY: SIGNA"CURE • w_ �i��L V� �`��LNOLµ I - �tate of ,�Cinnegota �Tinnegota �e�artt�ertt of �eart�j �ittne�ota �epartment of �ealtfj PLUt�ING UrTIT, BO% 64975 PLU2�ING UNIT, BO% 64975 121 EAST SEVENTH PLACE, ST. PAUL, MN 55164-0975 121 EAST SE'VENTH PLACE, ST. PAUL, T Master Plumber License Master Plumber License LICENSE NO 003965PM LICENSE NO 003965PM �0: �Co: � Robert T. Page Robert T. Page 17701 Kenyon Avenue, LOt 77 EFFECTIVE DATE EXPIRATION DAT Lakeville, A4d 55044 01/01/2000 12/31/20� i EFFECTiVE DATE EXPIRATION DATE 01/01/2000 12/31/2000 I i _r � �_ '____ � _� rf^._i'� � ����—, �H�._ ��;�ti��71P'�~CF. I_l '�r�„��`F;�.i�= f".1�� ��_�� MINf� fSOTA a'� a DEPARTMfMTOFHEAITH 17Ji_'. ��i?:F, �:u �::..:1 1 t` li:�it� 1171Pi�Ul'1'rl�? �J'lt L�'_':TIt�-� �� _. 1 tT:7... -0?('y:j T��[��:an� �F,. �'i?cjij To ���hom ;1 ?:Ia�- concer,} C.'r�r�tle�nen La�'.i::c: «R U�CCfIl�?e:2:�. 1 gc�:a «� receiz�:;:l Ihe �Taster P;un�ber Cc�d� C;�T7ipii�s::.� r���;�d for ?�1r. Rtj�ert P;�:_.e� RTP Y'.�i_�ibin�. Lakc��il?e. 1�Tiiuies�ta, �•Ia�t�r Plt:rr�b�r z_icense I�,�. �)ii39�'iPt1. f��I Lflt' :�aZ �OOtl. T�he bon� �-�s<<�-;}�r�}��ed ��t�� E;�e �re iti t��e process of tiling ��1� �1L`I3Ci �i`1tllt�If: �C�.rr�I�,:1' 11i �`t'cjj��5 ��TtICI;. If`you lia���. :in.� �u�sti,�n= T�le�e c:ontact n�e at 6�li?.1�-{)�5�. . '- t- �i i�cere-ly. �� ' ' ' -!r��l _�,� ��,�t.-� � ���-� � /� Linda S,jor.�ui�t Customer `ea��ice Specia;:st Seni�;r Divi;io�► ��f EIi�-irc,n�ner_tal Healtli F..l�1i'Oill71C?1�G:� �IC�i�`i1 ��1.�'IC�S 4CC1.3i?I] �-'�. _95I _:t=t1I�� ��d'-- ' �Y.P2i1�.,��� ��i'.;� }Ilii:��i�i+i�.hc;aj'.�?.S?dI£.:l"i1L�:= Ti iTHL F'.�=r� ;H.. --`_�—�� Vli_tl'', -1,: '1-� rKl_II`! ' ��'� =rl:_ C:.1_� ...�C=r. i _ :_�:_�--'`-•-'� . , _ - �., A . � � rN �rEsar � �: QEPARTMENTo�t�EAiTH ' �•;,,r !"Cteift>:�. LJt7:'1�: ,.;C� .2t::� : .��7"•�.']Y1 r�i� :Z:�G:`�: 0; a.t: _ .:t�,-'--1.IT: �'�;,�•�� }� :.E. � �nvrr�nr��ental �Iealth I)ivl�i�n L Facsimile Guver 5heet Fax Nur�ber 651,'215-097'7 ,;, Date:—'�y -�.�.; :��, _`?����,, �+�:�,:� / � k�' S ) �' �,� ,� ' ��.' � TO' ` ��r.�;r�-�%G�� J LZ ��. ---- �:k�.t«€,�. �°;`� }R � Addre�s: ��; {� �.___—�.___ �--______-�— , : �:., � � s . _ � � -- .� � ; ,.: .: --- __ �._. � —�. _.�_____--_ _.. �, Fax Number: (�,�1 �/ ��j� � C,� �. �-- ---._.._ _--�- �r��� � . Frorrz: ;f--��✓Z. '�Y"�- � ��?•;�;' � Ph n '.T, �, �r�/ -�/ c-�-- �T,�- � e �.�.r_� er� :� ��- `Oc�_ � �Tutnb�r c�t pages; i:►cludir:� this page: t� RE��S: /f transmissivn is incomplete or illegib/e, �lease call sertder(shown at "Frorrt'°above). io��s 7�3 E.y.t Sc�_aLn�'la<>: •St.:�al�,\•1N �;1i}i •Iliip:�l�r'Si',4.�1��:II�.S��LC.I�::�.us r.n til:t:ti J7+n�^.,lun:rY C"l?"Jl�^ CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crysta� Bay, MN 55323 GENERAL INFORMATION 1. 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 PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing pernuts 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 sepazate 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 � uestions ca11249-4600. q � Please check one: New Addition Repair Replace Residential Commercial � � ' 1 /� � Qf JOB SITE: o°��—�t�-Z���'�f�`9�. �`�� Zip: =�,5 // 04vner's Name: �}-.���L,� C',c�����Telephone Number: Mailing Address• City: Zip: Contractor's Name: - ; � Telephone Number: — ��� � Mailing Address: /�,�7�/���s�J � Cit3'�����i� Zip: �S��f �: �" Pg,UMBING FIXTURE SCHEDULE � FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Vv'ater Closet Floor Drains Lavato.ry Sewer Ejector �; Bathtub Laundry Tray . �', Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Misc (list) �,� � C��c� i-��-� aw �a :. �. . ... �RTah '�q. ����.r � C 'Y'9Y "�..' a t£ ,� sm ',� �c- *Ct 33+ y� _ �.r��,:�,�. a� h 'r .[°�' �::. '.` :-: .:. �,: %,h�- �t . .� .+%`�'�'� 6 ..�"F s .� gt z '� �r �� `��,r'�, t3 r - ,� � z2� ..:�h m� y ^.� �,: .3+ s : s s .,, � �+s.. r � � .�d '� � t� : s,"��r �.;, � �. �k �j s `� �`c° y �«��c �:�,.��*r^� . 3 ro .��, R`�e''r .�s;:,+�.4 �i�S„#'��-��4��t�� "� u �,;�5` f'�.� �-`��x-- ..�" �� y` �.�� s dr .., ,:. �����,q S k �: �` � ,e�`:�h� �;d���a�����,�z����f4:t � �� � '�=.Ys�-.}��s��` 3�t+, L^.e §� i�'�f„� �, i .� � y x �'- i .y S '�T '�.. � yry- ��`� 'k�s g f„ �. � x�.� �t x�g�`L"����*y �' � $"�". S� Y �,�'� ., " �,a���` �a'.� _ k � ^� �.�+""'. 3'k�r � �Y"� �� � ' i 5c'�w,�""6 �,"M`�+�. a g a .t 1 } �,+�2' < 'ik Z d �'� '' � s � ' 4 � � P N �.w �@"°G �y� +� t�'`n ,��i�'��$ .'�; D : "S � t z, e � �w'+ :x 'k-'�.` ��"x���'�" ��� ��� �F �' ��`,� �"�'YAoa�f��.�%',�; y� .�,;+.�', <'. �7nkKj�f ���wRs ��t x: :� - ,��. �`+r�9�n"� ��.+ Fx�� .'w1 �, '��F'>� Y h '"-: r t�' ,�,� �€.` .<e ra� �z. w +ic+,e, �' u'� +� a k-S� P v. -� �.' - ��1 � � f � }� �,a..t,�.':� �,-. � ., � . � ,W � _ ., . >„ , '`s ,� r ......� � ti. `:'4�".` .. ... � '?' �*. _��_ r...>�3 �° � �, ..�,.��..., .�.i�.�` Cr���+ ._ PERMIT TEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) � x .0125 $ J.J- d� 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 Handlin� (Only mail-in applications) $ ��'" � 4. TOTAL PERMIT FEE � (Add lines 1-3 above) $ �� . �P.� * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for ihe 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 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 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 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 statements made on this application are complete, true and correct. ,• Applicant's Signature: e Date: �� � �: � ,. ,t � .� � � �-. � ,�:,- Y .,. - � � �. � � ��� � �� � �� s� � ��. � ,� �; �� �� � � .e ;ks� ,'S;,t '��'s�r :.a� � ,�,�x .,n ,'���z�: � - �ey � `' 'r � _. ,- . �� �h �.'.. y r.- '�i. �J� ., 1'4-�'� p �� '�.� ..ft"d°i" 4a. �:, Y.�. ' � .. . -. _. ', , . 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"r�;.l, �u,,. .� t���i,' _.a,a.'�F'�ax.�_�_�t-,��:._.,.t'��-,�_._*°-?�c�-i� ,.k .�. �s�� .-,. ..m���"i,. € +„„> 'r f ,t�, t e DATE T_IME CITY OF ORONO CALLED IN ���7 �� y e �' INSPECTION NO E .��r- SCHEDULED /-��_a ��3 0 PERMITNO. �a o(-� COMPLETED =� Z —OV �` `,3� ADDRESS ��� C�� �C�is� ����`'e� OWNER ���,4-� ���✓ CONTR. � �� �i'--����-m� TELEPHONE NO. �O�L FS%Z- �o � 7t� � DESCRIPTION ��-Qi_-��- i�� � ���-e�u- ` /1S `��,,,h�� l� 01 FOOTING v 11 MECHANICAL RI 18 EXCAV/GRADINGfF1LLING � 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 O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 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 Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � . _.___ a `�� O , � �/ � � � O � W � Q � Z W � W � � d �/VORKSATISFACTORY:PROCEED i= PROJECTCOMPLETE � ` W C7 CORRECT WORK&PROCEED f ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 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. 249-460� OwnerlContractor on site: Inspector/l�'/��'f-- �l�-v►S White Copyllnspector's File Canary CopylSite Notice