HomeMy WebLinkAbout2007-P10986 - plumbing PERMIT
�ITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p1o986
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 5/14/2007
SITE ADDRESS: 180 Big Island Unit#
Excelsior,MN 55331
PID: 23-117-23-23-0036
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: $ 35.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Doug's Plumbing OWNER: Gerald&Valerie Walsh
4908 Williston Road 16950 Manor Road N
Minnetonka,MN 55345 Eden Prairie,MN 55346
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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PPLICANT PE ITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
, r FOR CITY C'SE ONLY
. ,�0� City of Orono
O�c O P.O.Box 66 Date Received: Permit#
3,,,ti,,,,, 27�0 Kelley Parkway
a '�'�`��=� C stal Ba pp y:
„��� ry y,MN 55323 A roved B Amount$:
������o��o� (952)249-4600
CITY OF ORONO–PLUMBING PERMIT
(All Commercial permits must be approved Uy the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a peinut will be issued within two working days.
2. Pernut cards will be sent by retuin mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE 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 construction or remodeling is involved, a separate building pernut must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All wark 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 Apply)
esidential ❑ Commercial(Approval Required)
❑ New ❑Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need nrior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
Job Site/ Owner Information:
Site Address: � $a �� G' �`_�
Owner: �aL't�AN� �hl.SY.I Mailing Address: � 6 I y0 l�/ M2,�ov,� �
City: Gi�,/1.n Zip: � ��' `} �
Home Phone: Alternate Phone: ro �Z' 396� �US ,
Contractor Information:
Contractor: � -�..�v�- {� v�'�t T—
�� � t�� �r�� Contact Person:
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Address: �I,�d� �� �,�ti� ��l State Bond#:
City: Zip����Expiration Date: �2� �j1 • C�7
Phone: �G� - �! • � � 6 Alternate Phone:
❑ Insurance– Current: �1��'r �C�/I'�
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PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2' OTHER
TYPE FL FL TYPE FL FL
Water Closet < < Floor Drains
Lavatory � ' Sewer Ejector
Bathtub � Laundry Tray �
Shower W asher
Kitchen Sink � Water Heater �
Disposal � Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PERl`✓IIT FEE CALCULAT�ON(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas seivice.
2. Has a total cost of$500.00 or less; excluding the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner 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 $
(Permit Fees Continued On Next Page)
2
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PERMIT FEE CALCULATION(S —JOBS OVER$500.00
If above does not apply;.follow guidelines below:
1. CONTRACT PRICE * is 1.25%of conh�act price with a(Minimum Fee of$35.00)
-�
x.0125 $
(conVact price) (minimum$35.00)
�. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x .0005 $
(contract price) (minimum� .50)
3. POSTAGE&HANDLING(Only on 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
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 contract price for pernlit 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 Deparhnent at(952) 249-4600 for the price.
PLUMBING PERMIT APPLICATION AGREEMENT
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: Date: � �"' • l�
3
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Ci�7 OF ORONO CALLED IN a'� 1O
INSPECTION NOTI SCHEDULED 0� tl �
PERMIT N0. � � COMPLETED � `�
ADDRESS �
OWN ER 1 CONTR. {
TELEPHONE N0. `1� l�T��"��g
� DESCRIPTION �11� � �, �1`Y1�1
� ❑ FOOTING �d1ECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING J'`��MECHANICAL FINAL ` ❑ LAKESHORE/WETLANDS
O ❑ INSULATION �� 07� ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD� �� Q ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q FINAL 1� ❑ SEWER HOOK-UP ❑ PROGRESS
��MO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J MBING FINAL � ❑ FOUNDATION/REMOVAL
WNERI ONTRACTOR TO MEET YOU:�/YES_NO
� OMMENTS:`
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GW ❑WORK SATISFACTORY:PROCEED �� �` ^ C� ROJECT OM�� ,��L"��,,
� ❑CORRECT WORK&PROCEED L� ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING � PERMANENT f(��Z���
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site:
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Inspector. _.{��'
White Copyllnspector's File Canary Copy/Site Notice
✓
DATE TIME
CITYOFORONO CALLEDIN J�'����'
INSPECTION NOTICE SCHEDULED S� /(. I : 3 0
PERMIT NO. �� �' 9�� COMPLETED
ADDRESS I�U a�4_ rC�d��
OWNER ��u-Q�`� CONTR. C�4 �s �.fZt�-t,
TELEPHONE N0. 95'a- �s�- ��� 9
� DESCRIPTION
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
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 COMPIAINT
� 07 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUM 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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GW �'�p(�ORK SATISFACTORY:PROCEED C� PROJECT COMPLETE
� C CORRECT WORK&PROCEED = ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN
INSPECTOR WlLL RETURN
7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46��
Owner/Contractor on site:
Inspector._�� f r�/�T/�,J��
White Copyllnspector's File Canary CopylSite Notice