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HomeMy WebLinkAbout2004-P07916 - plumbing R PERMIT G�I TY O F O RO N O Permit Number: 2750 Kelley Parkway- PO Box 66 P07916 Crystal Bay, Minnesota 55323 Permit Type: Fixc�es (952) 249-4600 Date Issued: 9/3/2004 SITE ADDRESS: 2695 Kelly Ave Fxcelsior,MN 55331 P I D: 20-117-23-14-0008 DESCRIPTION: Proposed Use: xesiclentiai Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: <-------- ._ also drains,icemaker,etc. FEE SUMMARY: Pemut Fee: $ 375.00 Valuation: $ 30,000.00 State Surcharge Fee: $ 15.00 TOTAL FEE: $ 390.00 APPLICA�IT: Thompson Plumbing OWNER: Charles&Roseanne Simpson 15001 Minnetonka Ind.Rd. 2695 Kelly Ave Minnetonka,MN 55345 Excelsior,MN 55331 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. � APPLICA PERMITEE SIG TURE D BY SIGNATURE Conies: 1-File(SiQnisures Required). 1-A�licant 1-Monthlv Revorts, 1-Assessin¢, 1-Finance Page 1 � _, . , , . ._ :, ,.,: � . E_ .,. - CITY OF OROP�TO APPLICATTON FOR PLUMBING PERMIT �ox 66 (2750 Ke11e��'arkway) Cry�tal Bay, MN 55323 ' ni�R' �'��to� 1. 'Y'ou may,apply foi�iumbing permits b3�mail or.in persoa at the City�'ices. 2. Fermit c.�rds will he s�nt by return mail after a review is completeti. PERMITS ARE`NOT VALID U1�TTIL. YOU RE�ENE:A'PEkMIT. .WOI�K�j�iST I�OT BEGIN Ir1VTIL THE P�RMrt7'Ct�RD IS PO�'�'Fn�JN TH£JO$SITE. , 3. �lumbing perini�s ma�'b�e issued.ONLY`to licensed plumbing conuactors and ta property owners residing . i�'xfle dwetlin�. 4. When any new constructi�n�er remocleling is-involved,.a.separate bu�ding permit must be obtained. 5: ?;Il�worl�.mus#be��e i�►accc�rcla��e w�'tl�tl�e$#ate Code r�qu�emen;ts. 6: �A1i.work,ri�iust tt�insp�ti,ecl ��' tested'befor� it.� Govered. Call (9�,2) 249=4600: 24-hour notice requirec�� , Instructions CQm�1�t�,�.il i'�ems�n th�s applicat�o�.� .Compute the:pern�i't���e. `Sign and date the certi�cation. INC'OMP�,E�`E APFL-I�A'TIQNS WILL 1VOT B� PR�LESSED. Tf you have questions; call {952� 2.�9=��0�: Please checl� o�� `-° �`��vs►�.4 . �Adc�rtfc�n �Re�sair Replace .�s�c�enf�al .,.;�� �ornnae���l' �pB.s�`E: '�� �,c.�.�1� �,.��n�. �ip: pwner's�Tam�:.,�, ;.'m��=.�����'�'�. T+�i�phone L1�upmb�.r� 1Vlailing=Ai�dress. `` � ` ti �y:"� "'�,� �Zip: C�ntr�cto�'s���m . T'ei��i'�+�ne�1'wnber:g,�-9';��. .� �, �Mai1�,A.ddresS: ' t3'i.���_7,,�P; c`��C UI ��' ��+ k r�� �r . � . tii . R��,.`� .p���l�4�� ' � r .. I�,' X � S i k ��"i���a��F����� . . � . . „ � �a �'� '� ��s'� rr � r ��"W `"� ,��` � r . , , . .. ., . ; , �. . ., . ��- � j . .r.�.,F e_ �. 7n ,y�... �,r .l. . F�'KTU� .. �$,�Iv��' iST:` �ND �1;'T�� ��'TU�. ¢BS`�i''�` �ST 2ND +OTHER �T� ,�� �+�+�.. a'.R��,✓;.� �� 's' ��R. r �j .CY�,. .:�'"L�� . �a�er,Closet ���� :� . �MPva�V { -''2 � i y' � { �' �` �, �`� �� N �, s, 'BB�lYttlb ` ''� `�,�� �'�* z ' � ti i.3 . Shawer ' � .k �:. ��� � . . ,.. � ' Kitcben Sii� `� �� �'Wat�r H � �r S� -� _ 'q�t�ri�o�er..��: . . � . . . . ; � .. . . , ._ , . . ,, � � Aistiwash�r� , �� ��.�_ . - y,V�t$a� ..� � � � � . .. � � �,� �,,� '� ' .�r- �illcoc�cs;. , - ` . Misc(list' ,:: . ��7 ` ��t�r.i�� �� �R.r».a�,, d►,.��c. ' '�1�a-(�`, t � RA�C�.�,wc�, ��� � ' 1'c*.�,�Ce�.�Z�e. � � -(-�crd Q.- 1� l I��, 1-v a�, ���., Wc�„� t-t,ai0.��,{�, i_ n�. ��:.aG:�F , � PERMIT FEE CAI,+�ULATIOI+�(S� 2002 �tati� Staiute ❑ es, This Sectian Applies The replacement of a Re ide ti 1 tu e or a ia that meets all three of the following .- requirements: 1) °oes nat�eq��re morlifi�,,.'on to eetrical or gas service, 2) Has a total cost af$54Q.(�0 1` s; exciudi��th��cost of the fixture or appliance: and 3) Is imgroved,;insta.l�ed ar r a by the homeawner or licenced contractor. Skip next seetion; Cost of Permit $ iS.OQ _ State Surcharg� $ .50 Maifi In Fee $ 1.54 , . If above does not apply, f�llow guirleliiaes below: � 1. ' Gontr,�ct,Priee'" �s :0�25 °�o c��'j�b,with a in utn Rg�of�$35.001 �,����� x .0125 $ �"�5,�p � (cantiact price) (mini�um,$35.00) .. �: : ., 2. State Sur�harge. �°* Add th� �tat+e Bu�iicling Code Division a (Minimum Fee of$ .54) � d4t'� x .Q00� $ 1�et� � ;: ,�;: �.:,: , `(cott�ract pricej (minimum� .50) . ti,, _ ,... �;, . . 3. Postiage�and �ndlin� (Only �nail��n application�) $ "=�.�` . , . . , , : ,. . ; . . ,. .. , _ 4..,. .TC�`�A�P�YT,�E {Add l�nes 1=3 abQve). . $ ���.�c� ; ,. , . . , . , �. . . > : , , � -� * Cl.?�T`FtACT PRi�fi or J�B`COS�'ix��ai�s t�<actual oi�esumatied�o�lax aarit�aunt charged for?lie�permifted : work inc�i�idin��ater�al�,;�ab�or,pra�it,a�nd o�her fi�,ez�eosts..It x��e amo�it i�'be cliarged to the customer foi'tlie i�c±+prk do�; ��f���rat�rial��c�niP�nt,°.�ifior,pX�t�1a#�9n��re furaished hy'the owner,[enant br any�t�er,P�';the reasoIIabl��narlcet����•Qf�uch ite�its 1�iust be�c3t�ed to.t�e esfima#ed cost oz.�coatract .prica for perniif f�e puipos±es. .Iu:the event tha��here is a di"spnte on tlio amouat:of the job cost,tha City inay . ; : r�°quest fhe;siibmissiou of a signed Copy�f the actual conuact. *"� 'The'STATE SURCHt1RGE is.0005 of#t�e contractprice under$1,000,000 or $.SQ-whichever is greater. For valuatiutrs c�ver'$I}�00,0t��catl the�Department of�nspection Services for the price. The unders�gned he�retiy applies to:xhe.City for:issuance of,a Plumbing Permit, agrees to clo all work in strict acc��danc� with the ordinances'of the Cit�+' an� the reg,ulations of the State of . l�inne�ota, and certi�es that al,l statements made on th�s application aze complete, true and coxrect. Applicant's Signature�i�_ ,���,�Ll Date: 9-� �T � i � %'� 3 ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION N�TICE // � SCHEDULED 6,�-�'�S �;���,P'�T PERMIT NO. ✓D��(W COMPLETED ADDRESS ����5 � ��la /'�l//� OWNER CONTR. -'��(i Tl�SG/1 TELEPHONE NO. �S c� � � -7 7 �� � � DESCRIPTION L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION � 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO- ITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLU IGIG-R 23 SEPTIC FINAL 35 HARD COVER REMOVAL J PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/C TRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a o —!J�/�,G�(�tA�l.� �P.1' 0 � a � 0 � W � Q � Z W � W � � � �ORK SATISFACTORY:PROCEED f-1 PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 24Q-46�� OwnerlContract site: Inspector. White Copylinspector's File Canary Copy/Site Notice � �o DATE TIME CITY OF ORONO CALLED IN IO`Z l-a� INSPECTION NOTICE SCHEDULED ►c�-22-U-t 1�3o P� PERMIT NO. i�O`1�t�� COMPLETED ADDRESS v�(L S �-• OWNER CONTF� � � � TELEPHONE NO. G S� �� .� 7�I� � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRAOING/FILLING Q 02 FRAMING 13 MECHANICAL FINAI 19 IAKESHORE/WETLANDS y 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-FI AL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q 9 P MBING R 23 SEPTIC FINAL 35 WARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W , a � J O � � O � W � Q � Z W � W � � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ IPiSPECTION REQUIRED.CAIL ARRANGE ACCESS. Call fo t ins tion 24 hours in advance. (952) 249-4600 OwnedC tra on site � Inspector. .. White Copyllnspector's File Canary CopylSite Notice /ODA� TIME � CITY OF ORONO ALLED IN INSPECTION SCHEDULED 0 D • d fl PERMIT NO. COMPLETED ADDRESS OWNER CONTR._��Jl,�ni1,�J TELEPHONE NO. LSZ R33 7� � 7 ° � DESCRIPTION �C�� 1�� � 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 05 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 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMME TS: � � W ti a � J O � � O � W � Q � Z W � W � � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTiON REQUIRED.CALL TO ARRANGE ACCESS. Cali for the n t inspection 24 hours in advance. (J52� 249-46�0 OwnerlContra t ite: Inspector. White Copyllnspector's le Canary CopylSite Notice ��(`"" �TE TIME CITY OF ORONO v CAILED IN � INSPECTION N TICE / SCHEDULED �� o?:b0 PERMIT NO. D 79'`� COMPLETED ADDRESS 9.J_ �T�+G OWNER CONTR.;���SO�'L TELEPHONE NO. Q52- 9 33 7 7/ 7 � DESCRIPTION /�'"" u^ �� � 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING Q 02 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMM S: a C.�`�.�Y� � � O �. � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 forthe ne inspection 24 hours in advance. (952� 249-4600 OwnerlCo o ite: Inspector. White Copyllnspector's File Canary CopylSite Notice