HomeMy WebLinkAbout2002-P05183 - Plumbing ` ; � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Posis3
Crystal Bay, Minnesota 55323 Permit Type: FiXn�res
(952) 249-4600 Date Issued: s�is�2oo2
SITE ADDRESS: 100 Big Island
EXCELSIOR,MN 55331
PID: 23-117-23-21-0001
DESCRIPTION:
Proposed Use: xesidentiai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
also one urinal
�EE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,500.00
State Surcharge Fee: $ 1.25
Misc.Fee: $ 1.50
TOTAL FEE: g 3�,'75
APPLICANT: Gilbert Mechanical Contractors Inc. QWNER: BOARD OF GOVERNORS
4451 West 76th Street 38 ADDRESS IJNASSIGNED
Edina,MN 55435 MN 00000
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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APP ICANT PERMfI"GL SIGNATURE S E3Y SIGNATURE
Conies: 1-File(Sienitures Requirec�), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
, .
CYTY OF ORONO APPLICATION FOR PLYJMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
G�NX:Y2AL Il�ORMATTOI�"
1. You may apply for plumbing permi�s by mail or in person at the Ciry offices.
2. Perrnit cards will be sent by remrn mail afrer a review is completed. PERMITS ARE NOT VA�.TD UNTIL
YOYI RECET'VE A P�RMIT. WORK N� �•��*�n��rY_11�/�T.i
U5T IVU�I ti�lillV U`�l�l L IL TriC Y�i�ivil i�.n�►�i�rvo��.�v��
TH�dOB S T�E.
3, Plumbing permits may be issued ONLY co lic�:nsed plumbing contrac�ors and to properry owners residing
in the dweUing.
4, When any new construction or remodeling is involved, a separate building permit mus�be obtained.
5. All work mus[be done in accordance wich rhe Scate Code requirements.
�, Al? work must be inspecced and air tested before it is covered. Call (952) 2A9-4600. 24-hour notice
required.
Ynstructi� Complece all items on this appli�;ation. Compute the permit fee. Sign and daLe the
certification. INCOMPY.ETE APPLICATIO'IVS WILL NOT BE PROCESSED. If �ou have
questions, call (952) 249-4600.
Please check one: New __ Addition Repair Replace
Residential _� Commercial
JOB s��• '✓.1� .�s l��;;� zsp:
Owner's Name: 1 _ Telephone Number:
Mailing Address: . City: Zip:
Contractor's Name• �' � Telephone N�unber: �f S,� - �-3 S' :3,�l,�
Mailing Address: � � l�t,� , ��'�-F City: % �' , Zip: SS�f� —
PLY7MB11�G�'Y 1�TUR� S ~HED�7Y,�E
FIXTUfiE BSMT 1ST 2ND OTH}:R �TXTURE BSMT 1ST 2iVb OTH�I2
TY'PE �'L FL TYP� �'�. FL
—�
�Vater Closet � Floor Drains
Lavato Sewer E'ector
Ba���y Laun Tra
Shower Washer
Kicchen Sink Water Heater �
Dis osal Water Sofrener
Dishwasher _ Wet Bar
siucocks Mtsc clist)ur'+�0`�Q I
PERMIT FEE CALCU'I,ATION�SI
2002 State Statutc C]Yes This Section Applies
The replacement of a Residential fi�cture or a lianc_e that meets all three of the follo�ving req�uirements:
1) Does not require modification to electrical or gas service.
�� �a� a r�rAi rncr nf�SQ�_(l0 or[ess: excludinQ the cost of the fixture or appli2�nee:
�i __..., --- - - -- -- --- - . - -
and
3) Is improved, installed or replaced!ry the homeo�vner or liceased eontractor.
Skip next sectien; Cost of Permit $ 1:i.00
State Surcharge$ .50
Mail-Tn Fee $ 1.50
Yf above does not apply, follow guidelines betow:
1. Contract Price* is .0125% of job�vith a Miniiuum Fee of(�3�.00).
� S�CS x .0125 $ �S .��
(contract price) (minimum$35.00)
2. State Surcharge• *� Add the State Buildin�Cocle Division a Nlinimum�'ee of $_50 .
� S �� x .0005 $ I , ��
(c ntract pricc) (minimum$.50)
3. Posta�e And Hs�ndling(Ottly mail�in applicatinn�) $ 1.50
4. 'TOTAL PERNIYT FTE (Add lines 1-3 above) $ �� • L S
'"CON7RACT PRICE or JOa COS'f ineans zhe actual or esi imated dollFu-amount chsrgcd for che permirted work including
materials,labor,profit,and other fixcd eosu. lt is the amounc[o be charged to the customcr for the work done.If sny mezerial,
t1�,p_m.;e�t,lsbo*,or ir.sisllation is furnished by the owncr,tcnant or any other parry the rc�,onablt market vslue of such items
must bt added to the esLimatcd cost or contract price for pcnnit fz�purposcs.In[he event thae thcre is a ciispute on chc amount of
th..job cos[,the Ciry may rcquesc the submis5ion of a signed copy of the acrual concract.
�'TAe STAT�SURCHARGfi is.0005 of rhe contrAct price�inder$1,000,000 or�.50-whichever is greatcr.For vaivations ov�r
$1,OOO,Q00 call[he Dep�rtment of In3peetienal Scrvicrs for the pricc.
Thc undersigncd hereby applies co thc Ciry for issuancc of a Mechanicsl Permi[,agrees to do all work in s[rict accordsnee wieh
[he ordinances of tht Ciry and the regulacions oFthe Minnes��t�State Ruitding Code,and certifics th2i all sSatemenu mtuie on this
application ure completc,true and correct.
� � � �� Q �
Applicant's Signature: '� " Date:
Approved By: Date:
. 3 j
� � ��. s �-� � �� �-��� � f
� 5 n �
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� DATE TIME
CITY OF ORONO �� CALLED IN
INSPECTION NO CE � ,� SCHEDULED r j
PERMIT N0. .-� COMPLETED �i h --�1�
ADDRESS � �C —�-��ICk �l.'_l�
OWNER CO TR. �� I I�'�f- /"�C�'�/
TELEPHONE N0. �Jr� "�3 �J � �0 �D
� DESCRIPTION ,� U1�1�/
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLI
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLA S
� 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 PLUMBING FINAL 36 FOUNDAT�ON/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_N��
� COMMENTS: ���� �
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W� ❑WORKSATISFACTORY:PROCEED .�PROJECTCOMPLEfE
,,, �ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlC tor on site:
Inspecto . G��
White Copyllnspector's File Canary Copy/Site Notice