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Home My WebLink About2003-P05978 - plumbing � � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Pos9�s Crystal Bay, Minnesota 55323 Permit Type: FiXtures (952) 249-4600 Date Issued: i�22�2003 SITE ADDRESS: 50 Cristofori Cr Maple Plain,MN 55359 P��: 31-118-23-44-0004 DESCRI PTION: Proposed Use: Kesidential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 2,100.00 State Surcharge Fee: $ 1.05 TOTAL FEE: $ 36.05 APPLICANT: Norblom Plumbing Co. OWNER: Shawn&Annelie Bergerson 2905 Garfield Avenue S. 50 Cristofori Cr Minneapolis,MN 55408 Maple Plain,MN 55359 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI�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. i �7 �� ' � �-� ��,.�°^c-/��?�� `� �`��—'� APPLICANT PERMITF.E SIGNATURE ISSU[iD BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 �► 4. CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. 2. Permit cards will be sent by retum 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 the State Code requirements. 6. All work must be inspPcted and ai� tested before it is covered. Call (952) 249-4600. 24-hour notice required. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: ��w Addition Repair Replace � Residential Commercial JOBSITE: �.-%� ��c��c`��c � C-��'C-� Zip: `j�j3�5� Owner's Name: Q��Qgp c� Telephone Number: Mailing Address: �,� City: Zip: Contractor's Name: �„ , C.fl Telephone Number: �ts��a� �a1 , Ll0'3� Mailing Address: 'aqp� ��,� �� , City: Zip:_ ��<.�p c�� PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST I 2ND I OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavato Sewer E'ector Bathtub Laund Tra Shower Washer Kitchen Sink Water Heater Dis osai Water Softener Dishwasher Wet Bar Sillcocks Misc (list) } � PERMIT �EE CALCULATION(S) 2002 State Statute ❑ Yes, This Section Applies The replacement of a Residential fixture or a�pliance 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; excludin� the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licenced contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00) ��o\� •�� x .0125 $ �cJ•�� (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50) x .0005 $ \ , (�� (contract price) (minimum$ .50) 3. Postage and Handling (Only 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 installation 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 Department of Inspection Services for the price. 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 mad this application are complete, true and correct. Applicant's Signature: � Date: I � 1��O`� DATE TIME I/� CITY OF ORONO CALLED IN � � C� INSPECTION NOT�I-�rE SCHEDULED '�"�� n� 1'�-34�i!/� PERMIT N0. /" �:,TZ� COMPLETED ADDRESS �<� C ��, � fi? ��;,',� �:^ OWNER �/7/l�� C'�l�L"f��SC�CONTR. ./�JD/'JJ"�Ui1� ��l��r,6�.� TELEPHONE NO. �S � -� S� ��< <i-�'� � � � DESCRIPTION -`✓C ��-��-+' ll� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q02 FRAMING � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PI,UMBING AI 23 SEPTIC FINAL 35 HARD COVER REMOVAL ��10 PLU_MBING FINAL � /� 36 FOUNDATION/REMOVAL �( OWIVERICtrVTR7►�T0 TO MEET YOU: ��YES_NO �.a -,� � COMMENTS: r � C i�11 "�'�' �"��a�, 5 l� f��-�'tS ic.K: c�C��' � L�C��' �h�_ � ��Gj'� � � 0 � � o (n / W � Q � 2 W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN �NSPECTOR WILL RETURN ❑STOP OFiDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for ihe next inspectio 24 hours in advance. (g52) 249-46�0 OwnerlContractor on sit . Inspector. White Copyllnspector's File Canary Copy/Site Notice �� /' DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED `� +:3i:� PERMIT NO. F��;�� COMPLETED '� ADDRESS �C� � j''j�-� , �=� c� . OWNER CONTR. '0+�h t t�m TELEPHONE N0. _ L„ [ Z - �Z� -4�3-3 � DESCRIPTION �� `-`-'�'� � ►"� �-i �� i � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 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 MEET YOU:�YES_NO � � COMMENTS: ��YY�,��...*Pl1 �JIJ l,� � - ,,,�' � � 0 � � 0 � W � Q � 2 W � W � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. p pNOTO TAKEN INSPECTOR WILL AETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REOUIRED.CALLTOARRANGEACCESS. i � Call forthe next i spection 24 hours in advance. (952� 249-460� OwnerlContr s te Inspector. ' White Copyllnspector's File Canary CopylSite NoHce