HomeMy WebLinkAbout2001-P04065 - plumbing , �
- PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po4o6s
Crystal Bay, Minnesota 55323 Permit Type: FiXtUres
(952) 249-4600
Date Issued: �ilo�2ooi
SITE ADDRESS: 4245 Chippewa Lane
Maple Plain,MN 55359
P I D: 31-118-23-42-0001
DESCRIPTION:
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PCOpOSed USO: �c�fuciiva�
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: � 375.00 Valuation: $ 30,000.00
State Surcharge Fee: $ I5.00
TOTAL FEE: $ 390.00
APPLICANT: Standard Plumbing&Applicance OWNER: JOHN ADAMS
8015 Minnetonka Blvd 4245 CHIPPEWA Ln
St. Louis Park,MN 55426 MAPLE PLAIN,MN 55359
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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APPLI ANT PERMITGG S[GNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Pagel
CITY OF ORONO APPLICA��TION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENER�iL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
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 UNTII.. THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to properry 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 PROCESSEI�. If you have
questions, call 249-4600.
Please check one: � New Addition Repair Replace
� Residential Commercial
JOB STTE: ��e��� ��r 6 � � ���� Zip: ��"3�`t�
Owner's Name: �" 6� ,�� Telephone Number:
Niailing Address: ���� �` ��. Cih'. �^�� � Zip: �� ��l
Contractor's Name:,�' � ;�. ��>�.�le hone I�umber: ° ��
Mailing Address• ���'.� / ;�° �, Ci�y:� C���� - �Lip: ��.
PLLJMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST ZND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � � ;� Floor Drains � �{ �,v� � �cP�z
Lavatory �. j �, Sewer Ejector
Bathtub � � � Laundry Tray �' .
Shower � � Washer
Kitchen Sink & Water Heater �
Disposal � Water Softener
Dishwasher � Wet Bar
Sillcocks `� Misc (list)
PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or Minunum Fee ($35.001
�.� � ��� 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. Postage and HandlinQ (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 fixed 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 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
� greaeer. For valuations over $1,000,000 call the Department of Tnspectional 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.
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Applicant's Signature: `.���'� ���< �E%� Date:
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� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TI E SCHEDULED �,�� 1�
PERMIT NO.�� �-� COMPIETED ' �+
ADDRESS � C
OWNER ��(�,Cr„�� CONTR.
TELEPHONE NO._� " ��.-� :�.� ��7��
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAI 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 O6 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 BING FIN 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW�iIORKSATISFACTORY:PROCEED �ROJECTCOMPLETE PW�
�O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERINCa PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REiURN ❑CITATION ISSUED
❑STOP ORDER POSTEO.CALL INSPECTOR
O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContr r si e:
Inspecto
White Copy/lnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN `�� Co
INSPECTION fVOTIC /� SCHEDULED /l �
PERMIT N0. D�O(oS COMPLETED , `�I ��d
ADDRESS ���.`� �'h c�t;7/-1t �. ct.�il.'
OWNER CONTR. .�f i ah� ��trnh
TELEPHONE N0. �5� - ���� .�`a S�"I
� DESCRIPTION ' -�L�`'�-��'~S �� �
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 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 PLUM8ING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTIONREQUIRED.CALLTOARflANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContra t on site:
Inspector. /���G�� �
White Copy/lnspector's File Canary Copy/Site Notice