HomeMy WebLinkAbout2008-P12218 - plumbing � , s►
PERMIT
CITY OF ORONO
2750 Kelfey Parkway- PO Box 66 Permit Number: p12218
Crystal t3ay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
7/1/2008
SITE ADDRESS: 280 Big Island Unit#
Excclsior,MN 55331
PID: 23-117-23-32-0023
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:
Misc. Plumbing Fixtures
FEE SUMMARY: Pernut Fee: $ 62.50 Valuation: $ 5,000.00
State Surcharge Fee: $ 2.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 66.50
APPLICANT: Ambroz Plumbing, Inc OWNER: Richard Parsons
601 Pexa Dr 4424 82nd Street W
New Prague,MN 56071 Bloomington,MN 55437
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.
AP LI .ANT PERM[TEE NATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
. . s
FOR CI'I'Y USE ONLY
O,¢��O City of Orono /►f(
P.Q Box 66 Date Received� � �/U Permit#
2750 Kelley Parkway /O
,,� i,`'�`• � ' Crystal Bay,MN 55323 Approved By: Amount$:�
�,. '����:,��o`,' (952)249-4600
'�asNo.
CITY OF ORONO-PLUMBING PERMIT
(All Commercial permits must be approved by 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 permit will be issued within two working days.
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 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 permit must be
obtained.
5. All work must be done in accordance with State Code 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 PERMIT
Check All That A 1
�Residential ❑Commercial(Approval Required)
T�'
❑ New ❑ Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior approval and may need C't'P.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: � � � �1 �51 R.6�G�
Owner:�� L�L �G�Sb�-S Mailing Address: ��a� w V ��G� ��
City: Iv���ll� .1 vl� Zip: SsT,3 �
Home Phone: Alternate Phone: -I ��- � ��� �� V�
Contractor Information:
Contractor: (0 �2- 1 I � '�(�� , Contact Person: �QA.t� �(b Z
Address: �(A� ` e �-C�--�� State Bond#: L� C) 0� 7 C� � b �0
City: � � �� V-C..Zip:����I Expiration Date: �a��� �8
Phone: �5� - �s� ' �a�O S A Iternate Phone: -I Sa " a R�'r�4�3
❑ Insurance-Current: �1� '�"�����
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PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 T 2ND OTHER FIXTURE BSMT 1 T 2� OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory � Sewer Ejector
Bathroom � Laundry Tray
Shower Washer
Kitchen Sink � Water Heater '
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks � Miscellaneous
PERMIT FEE CALCULATION(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 service.
2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractar.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-(n Fee(If Applicable) $ 1.50
Totat Permit Fee $
(Permit Fees Continued On Next Page)
2
PERMIT FEE CALCULATION(S)-JOBS OVER $500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
,5.� o 0 0 , o� X.o�2s$ (� a. s0
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div.Surcharge(Minimum Nee of$.50)
S� b O� . O� x.0005 $ � ' `S�
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERM[T FEE(Add Lines 1-3 Above) $ � � ' s�
■ * 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 far the work done. If any material, equipment, labor ar 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 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 Building Department 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: 6 ,7� �
Reset Form
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CITY OF ORONO CALLED IN
INSPECTION NOT, EZ���, SCHEDULED � �
PERMIT N0. I COMPLETED
ADDRESS 2 �� �
OWNER CON R.� I� ' ,�'71�, �I.V7�Jb
TELEPHONE NO. ��j�or/ v�^`f ��� r
� DESCRIPTION ���'�-�-��'✓�� �/l�G�Q
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED � SSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOA REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail forthe next inspection 2a hours in advance. (952� 249-4600
Owner/Contractor on site:
Inspector. (�� ����
White Copyll�spector's File Canary CopylSite Notice
�� DAT TIME V
CITY OF ORONO CALLED IN �-27"�
INSPECTION NOTI E /(� SCHEDULED7'2��, �e� �D-'Ub
PERMIT NO. ���a`CJ COMPLETED �I—�"O � �
ADDRESS ��� / �5���-
OWNER CONTR. �b/'U��`LLy✓1.�-
TELEPHONE NO. 9 S Z- Z� Z ��/ 3 �AtJL,
� DESCRIPTION �6 �m���9 �L
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContra n si :
Inspector.
White C y spector's File Canary CopylSite Notice