HomeMy WebLinkAbout2005-P09021 - plumbing PERMIT
CITY �F ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P09021
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued: 8/1/2005
SITE ADDRESS: 1304 Elmwood Ave Unit#
Mound,MN 55364
PID: 07-117-23-41-0088
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:
FEE SUMMARY: Pernut Fee: $ 212.50 valuation: $ 17,000.00
State Surcharge Fee: $ 8.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 222,50
APPLICANT: Steinkraus Plumbing Inc. OWNER: Christopher Giles&Sara Affias
112 E. Sth St., Suite 101 1304 Elmwood Ave
Chaska, MN 55318 Mound,MN 55364
THE UNDERSIGNED HEREBY REQUES"I'S 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.
���� � �g�
APPLICANT PERMITEE SIGNATURE UED BY SIGNATURE
Copies: I-File(Signatures Reguired), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
{ . , .
. FOR CITI'USF,ONLY
� City of Orono
� � " P O.Box 66 Date Received: Permit#
�`�„ ���� 2750 Kelley Park�a-a��
a r:� �- �� +�'�� Crystal Ba��,MN�i3?3 Approved By: Amowit$:
�� F�� =.o��� (952)249-4600
�'.,.�1L8Np������:;
CITY OF ORONO—PLUMBING PERMIT
(All Commcrcial pennits must be approved by the Building Official or Inspeclor)
GENERAL 1NFORMATION
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 S1TE.
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 inust 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 I
[�f Residential ❑ Commercial(Approval Required)
❑New ❑ Additional ❑ Repairs ❑Replace
❑ 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: I 3�y ����'���, �`tV�C=
Owner: Mailing Address:
c�ty: �r�nv z;p: SS 36`-I
Home Phone: Alternate Phone:
Contractor Information: � '
Contractor: S��e�'� �Ir4�tS ���n���� Contact Person: f7�li^
Address: � ��- � �`}�' S� S"�� �� � State Bond#: 31��
City: C `��S��� Zip: s$3 �� Expiration Date: � Z"3 � " 2aa S
Phone: �SZ^ 3b� " ��Z� AlternatePhone:
❑ Insurance—Current: ��S
1
� �
�;.
,� , .
� �°m� �.�u� ,.� �I�UM�31NC� " �;
�.. �,. _ �"I�'��
�
-____ - ;; , _. � �
. ��.. .. �« ���+,.�-;<� �w,.
FIXTURE BSMT I 2 OTHER FIXTURE � �
TYPE FL FL TYPE BSMT 1 2 OTHER
FL FL
Water Closet
1 1 � Floor Drains
Lavatory
� 1� / � Sewer Ejector
Bathroom
Laundry Tray
Shower �. � Washer
Kitchen Sink I Water Heater
Disposal �
Water Softener
Dishwasher
Wet Bar
Silicocks Miscellaneous 1
'v5�,er b<i;
� ; �� � ��,
,,., . .
�ry?t �;��` ,- � ,.� r�
�.,. . .-
� .: �f�� ,:;. ,,,k..
�
� "'� � BASL;D C7I�F_2002_STATC S CATIIE � �<
---- �
❑ 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 $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
�� ; � ` Total Permit Fee g
� �'� :I,
�, I
� ��� �i
,
(Permit Fees Continued On Next Page)
2
�
�������.� �
��: �,�
• � -
� ��IT:F �:� �. z�, � ,,..
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
i �7, vuo X.0�25 $ ��12 . S�
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�SO)
C�,UU� x .0005 $ �J� 5�
(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 Ciry 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 stateinents made on this application are complete, true and
correct.
Applicant's Signature: Date: ���/ ��
Reset Form
;i �� , �,,
� , �,�
� i
�,, :;�.
i' .��',
i � +,
� I 9�
a _
����u���.��
3
�e�� DAT TIME �
CITY OF ORONO CALLED IN / /�
INSPECTION TICE SCHEDULED /.3— o�;�D
PERMIT NO. D� I COMPLETED
ADDRESS I��' � G�. J'�/�P �
OWNER CONTR. r5__l�d�(.fQ,L1e
TELEPHONE N0. -/ �2 3lP � 0 J �
� DESCRIPTION V
t� 01 FOOTING 11 MECHANICAL RI 18 EXC /GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
0.
�
�
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
�
a
W WORK SATISFACTORY:PROCEED CI PROJECT COMPLETE
� ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,� pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR -� CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (952� 249-46��
OwnerlContrac ite:
Inspector.
White Copyllnspector's Fil Canary Copy/Site Notice
� � ,.�' :�^ DATE � TIME �
CITY OF ORONO CALLED IN rG/ J
INSPECTION NOT CE y� SCHEDULED �/c>/�/c� /. .3C.'
PERMIT NO. . ��'/Z � COMPLETED
ADDRESS .'�U � � /<-i.t �,�,=�c� �C--�
OWNER CONTR. i' �
TELEPHONE NO. o� � .�� � - D ��G�
� DESCRIPTION � L�l- %�'�►�� �
�
� 01 FOOTING 11 MECHANICAL RI EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 EPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
�
W
�
J � � r 'l�
O
a
�
O � �
�
ti
�
Q
�
Z
W
�
W
�
j
d
W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
� G Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN �CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for ihe next i pection 24 hours in advance. (J52� 249-46�0
OwnerlCon on �te-
�
Inspector. �--
White Copyllnspector's File Canary CopylSite Notice