HomeMy WebLinkAbout2005-P09123 - plumbing PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09123
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
� (952) 249-4600
Date Issued: 8/30/2005
SITE ADDRESS: 510 Big Island Unit#
Exclesior,MN 55331
P��� 22-117-23-14-0002
DESCRIPTION:
Proposed Use: Commercial-Busines�
Permit Class: Plumbing
Permit Type: Fixtures Pemut Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 103.69 valuation: $ 8,295.00
State Surcharge Fee: $ 4.15
TOTAL FEE: $ 107.84
APPLICANT: Westonka Mechanical Inc OWNER: Minnetonka Power Squadron-C/O Bud Broeken
6501 County Rd 15 16509 Blenheim Way
Mound,MN 55364 Minnetonka,MN 55345
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 PERMITEE SIGNATURE ISSUED BY SIGNATURE
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Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE ONLY
,�0� City of Orono
� O� O P•O.Box 66 Date Received: Permit#
�;,;,,,a 2750 Kelley Parkway
� �j'��?�,�'r �* Crystal Bay,MN»323 Approved By: Amount$:
'���i�-.�o� (952)249-4600
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial peimits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing pernuts 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 piumbing conri•actors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate building perinit 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 Ap ly)
❑ Residential ❑ Commercial(Approval Required)
(��w ❑Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You wili need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
�Job Site/ Owner Information:
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Site Address: ,� U r S GG� ,
Owner: / tl I �I( � ��tN'�y ��.C�` ailing Address:
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City: �/���� � Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: P�'� � l�� ��� ile �Contact Person: Uy� G1��(
VV----T�1L�1/,__l_�1� , 3 ' C/ �
Address: 6 S�� �G�,Ly�.��Z��5 State Bond#: ��jv�f%'�
City: � � Zip:����FExpiration Date: � '��'L��j-
Phone: �S ? � �,�,ysy. Alternate Phone:
❑ Insurance— Current:
1
< PLUMBINGFIXTURES 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 � Washer
Kitchen Sink Water Heater
Disposal ��� /
r c �
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 tluee of the followu-►g requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less; excludine 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
' 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)
�a �:�,
�5 X.o�zs $
(con�fact price) (minimum S35.00)
2. 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 Applicarions) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTR.ACT 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 uistallations 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 pernut fee puiposes. 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 conn�act.
■ ** 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.
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Applicant's Signature: � Date: �,3��
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DATE � � TIME
CITY OF ORONO CALLEO IN �
INSPECTION NOTI E SCHEDULED � �—
PERMIT NO. COMPLETED
ADDRESS ` � �
OWNER CONTR.
TELEPHONE NO. -/�2�,� ��o� �/ �l ��
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� DESCRIPTION Z �-�u �
� 01 FOOTING 11 MECHANICAL RI 18 E /GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMUVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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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 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO M T YOU: YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (952� Z49-46��
Owner/Contr site:
Inspector.
White Copyllnspector' File Canary CopylSite Notice
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QDA� TIME
CITY OF ORONO CALLED IN ! ot.�
INSPECTION N I� /a 3 SCHEDULED — —O �
PERMIT NO. �J COMPLETED 'U � ~ �
ADDRESS S�""`��
OWNER CONTR. �Ch%J�7� /��-P/C�
TELEPHONE N0. !'SZ T7�- T9�
� DESCRIPTION /�-�- ��
� 01 FOOTING 11 MECHANICAL RI 1 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 9 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ ORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
O ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-Q6QQ
Owner/Contractor on site:
Inspector. !l�� ��f�.�
White Copyllnspector's File Canary CopylSite Notice