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Home My WebLink About2007-P11657 - plumbing PERMIT CI�rY OF ORONO � Permit Number: 2750 Kelley Parkway - PO Box 66 P11657 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 11/5/2007 SITE ADDRESS: 4680 Creekwood Tr Unit# Maple Plain,MN 55359 P�� 30-118-23-33-0005 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-typc(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 124.94 Valuation: $ 9,995.00 State Surcharge Fee: $ 5.00 TOTAL FEE: $ 129.94 APPLICANT: Thompson Plumbing OWNER: Dale&Jonmari Olsen 15001 Minnetonka Ind. Rd. 4680 Creekwood Tr Minnetonka,MN 55345 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. � V ; i CX.� �,� �-- � � � k..��l �� APPLICANT PERMITE� IGNATURE ISSU D E3Y SIGNATURE Copies: 1-File(SignaturesRequrred), 1-Applicant, 1-MonthlyReports, I-Assessing,(IfSeptic, 1-Septic) Page I . il'lC , O FOR GTTY USE ONLY � ��-� City of Orono � � P.O.Box 66 Date Received: Permit# �" �� 2750 Kelley Parkway ar* Crystal Bay,MN 55323 � Approved By: Amount$: � ��;�g�o� (952)249-4600 _.�.,/ CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Ofticial 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 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 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 �esidential ❑ Commercial (Approval Required) ❑ New [i�dditional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job��Site I Owner Information: � Site Address: ��Q C�>Z� Owner: ��f�� Mailing Address: 77P�� i' "'�" G city: ��1�/N� z�p: .SS 323 Home Phone: Alternate Phone: Contractar Information: �� Contractor: P Contact Person: �-� TH Address: 15001 MINNETONKA IND. RD. State Bond#: ✓�79�•�?/ City: ` Zip: Expiration Date: �-� "� Phone: 7_�i�Z��33-77�, Alternate Phone: [� Insurance—Current: W�� Ut,t-� 1 ., . e �; �� F�. � �� :�� :.... _..� .... ,. , , ' _ ,. FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 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 €° -ERMIT FE� CALCUli' �}N(�} � � ��'� �� _,,.�SEIa OFI� -2002 STA �'ATIJ�„ ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: l. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�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 $ I5.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 . �:.: �� r��MIT��E c��Lcu�,�T1oN s}=��'��o�� :��. . If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is l.25%of contract price with a(Minimum Fee of$35.00) � / '�l, 995;OD X.oi2s $ - '.'� � ��`� (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) � x.0005 $ � � ` �O (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 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 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. +".� 4'ki,�. . _..:. , �.,� \_,_ �.... €.: ' , d .' s _ . .�, �-� '• " .' �' � �- ..R.'u :��•., . ..� '� �a�� +a a - 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: (/1C.� V Date: !�`J1—Z� Reset Form - 3 - q� � 1 �(�� _D� TIME CITY OF ORONO CAILED IN �� -� �� , INSPECTION NO C SCHEDULED / f — (v -C��_s�l -��-' PERMIT NO. �� 1 J� COMPLETED ADDRESS � �-� � �-� � OWNER CONTR. � � TELEPHONE NO. � � � �`�� DESCRIPTION �(/l-l--f_lY��-/ �� !_��U�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS 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 � ❑ 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: � W a � � O � � O � W � Q � 2 W � W � � d W WORK SATISFACTORY:PROCEED C"I PROJECT COMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR '-=� CITATION ISSUED ❑ INSPECTION REQUiRED.CALLTO ARRANGE ACCESS. Call for the next'nspection 24 hours in advance. �95Z� Z49-46�� OwnerlContracto� Inspector. White Copyllnspector's File Canary CopylSite Notice - - - - - - �� I J/1�� DAT TIME � CITY OF ORONO CALLED�N � ;�7 INSPECTION TI , C"`� SCHEDULED �7 �r • � PERMIT NO. ' / COMPLETED ADDRESS � ��--�-�-�� OWNER CONTR.� TELEPHONE NO. � �"� � � / � DESCRIPTION / / G� 1��Z� �� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING ' Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS 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 Rt � SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU: YES_NO A � COMMENTS: ��+ �� k� �� lJl �i YI W a � J - O � � O � W � Q � 2 W � W � � d W WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. CPHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '7 CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next in ction 24 hours in advance. (952� 249-4600 OwnerlContractor o Inspector. White Copyllnspector's File Canary CopylSite Notice