HomeMy WebLinkAbout2004-P07947 - plumbing F PERMIT
���� � ORONO Permit Number:
2)50 Kelley Parkway- PO Box 66 P07947
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 9�2i�2ooa
SITE ADDRESS: 560 Kokesh Farm Rd
Maple Plain,MN 55359
PID: 31-118-23-11-0012
DESCRIPTION:
Proposed Use: Kesidenhal
Permit Class: Plumbing
Permit Type: Fixtures City of Orono R,�'�
P.O. Bax 66
(952)249-�600� �3
DETAILS:
Approved per resolution#: ���1�� �����'
Custa�^: R07947
Separate permits required: PERMITS - 0'TlER
� f�l 8 0.40 0.00
1 B 15.40 15.OQ
Plan I�vieM --
NOTICES/REMARKS: Mail in Fe� �'� o.�
i e i.�o i.�o
State Surchar�
i e o.�o a,so
SAC t�arge
1 8 0.00 0.00
Irnestigation Fee —
FEE SUMMARY: Permit Fee: $ 15.00 1 p 4.40 0.00
TA�X�� 17.00
TOTf�. �iLE 0.00
State Surcharge Fee: $ 0.50 i�'�
Check Re�eived 17.00
� 0.00
Misc.Fee: $ 1.50 �Ep�� ag TR�t ?3943
TOTAL FEE: $ 17.00
APPLICANT' �lligan Soft Water Service Co. OWNER' Brian&Nancy Siska
� 6030 Culligan Way � 560 Kokesh Farm Rd
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.
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APPLICANT PERMITEE SIGNATURE D BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-At�plicant 1-Monthlv Renorts, 1-AssessinQ. 1-Finance Page 1
PERMIT
C�T�'OF ORONO permit Number:
2750 Kelley Parkway- PO Box 66 P07947
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 9iiai2ooa .
SITE ADDRESS: 560 Kokesh Farm Rd
Maple Plain,MN 55359
PID: 31-118-23-11-0012
DESCRIPTION:
Proposed Use: xesicienriai
Pemut Class: Plumbing
Permit Type: Fixtures
Pernrit Sub-type(s): Water Softner
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35. Valuation: $ 0.00
State Surcharge Fee: 0.50 `�,
�
5 �
Misc.Fee: $ 50
TOTAL FEE: $ 37.00
APPLICANT' Culligan Soft Water Service Co. OWNER• Brian&Nancy Siska
� 6030 Culligan Way � 560 Kokesh Farm Rd
Minnetonka,MN 55345 Maple Plain,MN 55359
Tf�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.
, '
�'YL�-�-�--��C.>
APPLICANT PERMITEE SIGNATURE I SUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Auplicant, 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1
f� �
CTT'Y OF O�tONO Al?PLICATION FOR PLUMS�YN'G PERNIIT
Bo� 66 {2750 Kelley Parkway)
Cr�stal Bay, MN 55323
c� nvFouNrarro
I. You may apply for plumbing permiu by mail or in persou at the City offices.
2, Permit cards will be sent by re[um mail after a review is completed. P�12MITS ARE NOT VALTT�LJNTIL
YOU REC�IVE A 1'$�2MIT. V✓OTtK i�tUST NOT AEGIN UNTIL THF_PERMIT CARD IS pOSTED ON
T 70B STTF_
3. Plumbing permits may be issued ONLY to licensed piumbins coauactors and to properry owners residinb
in the dwelling.
4, R�en any new construction or remodeling is +nvolved, a separate building permit musc be ab[ained.
5. All work must be done in accordance wirh the: Stau Code requirements.
6. All work must be inspected and air tested ttefore it is covered. Call (952) 249-460Q. 24-hour norice
required.
Instruc�i�ns Complete alI items on this application. Compute the permit fee. Sign and date the
certification. INCOVIPLET� APPLICATTt�NS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: � New _ Addition Repair �teplace
�_Residential __ Commercial
J'OBSITE: S4�� �c� i�G� � li�,---, R�� Zip:
Owner's Name: �,�'��,•, �S: s�� Telephone Number�
Mailing Address: Cit,y: Zip:
Contractor'sName: CULLIGAf�! WATER CONDITiOf�INC�elephoneNumber:
Mailing Address: 6030 N City: Zip:
, .
PLY��3U`��i:1�t�K N: SCT�:DLII.E
FI3LTLIR� BSMT 1ST 2ND OTH1:R �T�''�TURE BS1�IT 1ST 2NA OTFIER
-T'ypg FL FL TYP� FL PL
'GVater Closet Floor Drains
Lavato Sewer Ejector
Bathcub Laundrv Trav
Shower W asher '
'Kitchen Sink Water Heater .
Dis osal Water Softener �
Dishwasher wzt�az'
Sillcocks Misc (Iist)
,. '➢
PERIVIYT k'�E CALC'C7I,ATXON(Sl •
20 2 State Statute � Yes, This Section Applies
The replacemeni of a Ttesidential f xture or appliance that meets all three of the following
requirements:
1) Does not require modificaaon 1.o electrical or aas service.
2) Has a total cost of$SOO.OQ or less; e�cct�dinQ the cost of the �xture or appliance:
and
3) Is impraved, installed or replaced by the homeowner or licenced contractor.
Skip next secuon; Cost of Pertnit $ T5.00
� State Slircharge $ .SO
Mail Tn�ee $ 1.50
If above does not appiy, follow guidelines below:
1. Contract pri�e* is .�125 % of job with a 1�Iinimum Fee oF ($35.00)
x .0125 $ �S`� �-�
(contr;ict price) (minimum$35.00)
2. State urcharge. ** Add the State $uilding Code Division a (IYiini.mum �'ee of $ .50)
x .�OOS $ � S��' �
(convact price} (minimum$ .50)
3, Posta�e and I�andling (Orily mail-in applicarions) $ 1.50
4. TOTAY. PER'�IIT F�E (Add lines 1�3 above) $ � �� �'`'
* CONTP.ACT PRICE or JOB COST means thE:actual or esama�ed dollar amoun�charged for [he germitted
work includin�materials, labor,profit, and odier fixed costs. It is rhe amounc to Be charged to the customer
for the work done. If any material, equipmeric, labor, or installation are furnished by the owner,tenaat or
any other parry th�reasonable market value af such i[ems must be added to the estimated cost or contract
� price for permi�fee purposes. In the event zha�there is a dispuce on che amoun�of[he job cost, �he Ciry may
request the submission of a signed copy of thc accual eontracc.
*'* The STAT�SURCHARG�is .0005 of the coi�tracc price under 51,000,000 or S.50 -whichever is greacer.
For valuations ovcr 51,000,000 call the Depacrmen�of Inspection Services for the price. _
Th� undersigned hereby applies to the City f��r issuance of a Plumbing Permit, agrees to do all
work in suict accordance with the ordinanc�:s of the City and the regulations of ihe State of
Minnesota, and certifies that all statemenu made on this application are complete, true and
correct.
Applicant's Signature; -� � �� Date: ��Z�l���i
�J`�� AT TIME �
CITY OF ORONO CALLED IN /�r
INSPECTION TICE SCHEDULED /D�/ -O� �
PERMIT NO. COMPLETED
ADDRESS S�� �O� �
OWNER �i't �LS I�Q_LONTR.
TELEPHONE NO. �� aa � '7(O�S
� DESCRIPTION - _L(JL2� <�Zr�PC�'L� `�"��`�r'�,
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED !� ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORE COVERINC-, PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. �
Call for the n t inspection 24 hours in advance. (952� 249-46��
Owner/Co ite:
Inspector.
White Copyllnspector's ile Canary Copy/Site Notice