HomeMy WebLinkAbout2007-P11171 - plumbing PERMIT
C��TY JF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11171
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600
Date Issued: 6/26/2007
SITE ADDRESS: 4785 Creekwood Tr Unit#
Maple Plain, MN 55359
P��� 30-118-23-33-0009
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 1,800.00
State Surcharge Fee: $ 0.90
TOTAL FEE: $ 35.90
APPLICANT: Standard Plumbing&Applicance OWNER: Lonnie w/Marsha Underhill
8015 Minnetonka Blvd 4785 Creekwood Tr
St. Louis Park, MN 55426 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.
� �l ��� �� /��.
APPLICA IiR'�11TEE SIGNATURF 1 SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page I
1
� � FOR CITY CSE ONLY
t �0� City of'Orono
P.O.13ox 66 Date Received: Permit#
�,;,.+,,, � 27j0 Kelley Park�vay
a '�j�>�;�'''. �. Crystal Bay,MN 5�323 Approved By: Amount$:
' �� ��j1ay.�""�y.o . (952)249-4600
. �Aut�0$4�
sex
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 pernuts by mail or in person at the City offices. Applications will be
reviewed and a pernvt will be issued within two working days.
2. Peimit cards will be sent by retuin 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 pernuts may be issued ONLY to licensed plumbing connactors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate building pernvt 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 Apply)
�] Residential ❑ Commercial(Approval Required)
�New ❑Additional ❑ Repa'us .�2eplace
❑ In Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: �/��� C►'Uz�=i�w�v✓J �T�-
Owner: �vN�',�- U.vQ/L'L�f� �� Mailing Address:
City: �"rq!�,w ����.v Zip:
Home Phone: Alternate Phone:
Contractor Information:
Cnntractor: STif--v�l�•'Ld P�v��1��� Contact Person: Lit�is
Address: �a �s tiii•��v,2r�•vk��S4id State Bond#:
City: ST La•�L %�s Zip: Ssya� Expiration Date:
Phone: j5-o?� -�j 3��3S'��,� Alternate Phone:
❑ Insurance— Current:
1
�
w � �
PLUMBING FIXTURES BE1NG 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 I
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PE�"✓�IT FEE CAI,CULATIJTd�S) �
BASED OFF - 2002 STATE STATUE �
❑ Yes,this secrion applies
The replacement of a Residential fixture or appliance that meets all ttu•ee of the following requirements:
1. Does not require modification to electrical or gas service.
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 Pernut $ I5.00
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 conn�act price with a(Minimum Fee of$35.00)
/,�Ci'�'.��- x.0125 $
' �(contract price) (minimum�35.00)
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 Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual ar 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 permit 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 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.
PLLTMBING 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: (,� �—�2 Date: � aG v 7
3
� � D� TIME ✓
CITY OF ORONO CALLED IN � , '�� �
INSPECTION N TICE SCHEDULED
PERMIT NO. � � COMPLETED
ADDRESS��� d �
OWNER CONTR. �J
TELEPHONE NO. 95Z `93g �S��}'
� DESCRIPTION ��� �e�
lL 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
C
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
j
d
W WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 tor the nex inspection 24 hours in advance. (952� 249-4600
OwnerlContr r e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice