HomeMy WebLinkAbout2002-P04916 - plumbing fixtures CITY !�F ORONO PERMIT
2750 �elley Parkway - PO Box 66 Permit Number: Po4916
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: 2i22�2o02
SITE ADDRESS: 575 Kokesh Farm Rd
MaplePlain,MN 55359
PID: 3i-iis-23-ii-ooii
DESCRIPTION:
Proposed Use: Kesidential
Pemut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 225.00 Vatuation: $ 18,000.00
State Surcharge Fee: $ 9.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 235.50
APPLICANT: Landschute OWNER: James Leslie
20305 Lakeview Ave 575 Kokesh Farm Rd
Deephaven,MN 55331 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.
�� CC�� �� a��.-� �
APPLICANT PERMITEE SIGNATURE ISSUED E3Y SIGNATURE
Covies: 1-File(SiQnitures Required), 1-Apolicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
heb l5-zUUZ IU:IZam fraa-GITr OF ORONO +B52Z494616 T-6B8 P.00T/003 F-337
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CYTY OF ORONO APPLIC�+►TION FOYt PLUMBIAT+G pEYtMIT
Box 66 (2750 Kelley Parkway) �. -
Crystai Bay, lvn�i SS323 ��� w � ��
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GENF.RAI.YN�'ORMATION �°:�;.
1. You may apply for ptvmbing permits by mail or in person at the Ciry offices.
3. Permit cards will be sent by n[urn mail after a.review is comp�eted. PERMITS ARE NOT VALdD UNTll,
YOU TtECEIVE A PERMIT. WOItK MUST NOT B�GIN U HTiL.THE PERMIT CARD IS POSTED ON
THE JOB S1TE_ -'
3. Plumbing permiu may be issued ONLY[o lir.tnsed plumbinE_conaaccors aad to property owners resi�ling
in the dwelling.
4. When any aew consauction nc=emodeling is involved, a sep:.,ra��bui�di�.pe�myst be ob�ained.
5. All work must be done in accordance with thr.Stace Code recuirements.
6. All work must be iacpecced and air cesced lxfae it is cov�:nd. Call(9S2) 249-4600. ?A-hour aotice
required. _ •
Ynstructions Complete all items on this application. Com�:�ute the permit fee. Sign and date the
cenificadon. INCOMPLETE APPLICATIUNS WIY.L 1�(OT 8E.PROCESSED. If you have
quesaons, call (952) 244-4600-� __.
Please check one: X New Adclitioi.� Repair Replace
� �02op� X Residential �� Comme�cial
�OB SY'Y'�: 110��S�1 �arm !�- op�t 1�-�-�'L � Q rD n0 Zip;
Owner's Name: L es l��e ►-�s%denC¢: Tef eph�Nwnber:
Mailing Address: City: Zip:
Contractor's Name: Land s Ch�+�, Telephone Number:95L-S/�o 7y/(o
Mailing Address: 20305 LaKeweK/ � Cii:y: p�{��� Zip; 55331
PLUMBYNG FIXTURE SCI��EDY7Y,E __
FIXTURE BSMT 1ST 2ND OTHER F1X7U�E - BSMT 1ST 2ND OTHER
TYP� FL FL TYPE FL FL
Waur Closet 3 2 Floor Dr:sias-- I - 'y Q,r�
Lavato y �J Sewer F"ector �
�a[hcub 2 � La Tra �
Shower � W�r /
Kitchen Sinlc � Water H•-sur �
Dis sat � Water S��fre�r
Dishwasher � Wet$ar �
sil��ocks 3 Misc aist� -
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� PERMIT FEE CAY,CULATION(Sl
2002 State Statute � Yes, This Section Applie��
The replacement of a Re_ sidential fixture or appliance t�at meets all three of the following
requirements:
1) Does not require modification co electrical Ur gas service.
2) Has a 1 cost of$SQ0.00 or less; exc diqug the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the hc�meowner or licenced contractor.
Skip next section; Co�.t of Pernut $ 15_Op
Stare Surcharge $ .50
Ma�.i In Fee $ 1.50
If above does not apply, follow guidelines below;
1. Contract Price* is .0125 % of job with a Minim�im Fee of($35.00)
1�,UtSi� x .0125 $ 2��. �U
(contract price} � (miniuium$35.00)
2. State SurcharQe. ** Add the State B�iilding Code �ivision a (Minimum Fee of� _50)
���_,�`^,_� _ x .00OS $ q,00
(contcuc price) (minimum$ .50)
3. Posta�e and Aandlin� (Only mail-in applications) $ 1_50
4. TOTAL PEYtMTT FEE (Add (ines 1-3 above) $ �35.50
'' CQNTRACT PRICE or]OB COST means tha�actual or estur�ated dollu amounc charged for the permitted
work including materials,labor,profit,and odier flxed costs. �t is the amoum to be charged�o the customer
for the work done. If any cnatezial, equipme:�t, labor,or inst��';ati�n are f-s;r.ished by thc owner, cenanc or
any other party the reasonable markec va�ue of such icems mi�s�be added to the escimated cost or eontraet
priee for permit fee pu:poses. In the evenc thai there is a dispu ie on rhe amount of rhe job cost,[he City may
requesc the submission of a signed copy of che aeival eontract.
** The STATE SURCHARGE is .0005 of the cot�tract priee undc r$1,000,000 or �.SO-whichever is greater.
For valuacions over 51,000,000 call the bepa��unent of inspec:gion Serviees for the price.
The undersigned hereby applies to the City fc►r issuance o�'a Plumbing Permit, agrees to do all
work in stric[ accordance with the ordinancE�s of the Cit;�� and the regulations of the State of
Minnesota, and certifies that all statements made on thi:•, app�ica�io�aFe complete, true and
Correct. .
Applicant's Signanue: (J��` � �C� `�1'i'� Date: Z"ZG �'L
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO E SCHEDULED -�0� ���
PERMIT N0. COMPLETED � �
ADDRESS �'7 S fCO2�J j'� r—���-
OWNER s CONTR. P/���. � pi�.�� .
TELEPHONE N0._�a�� �� � 7� �y
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� DESCRIPTION
lt� 01 FOOTING 11 MECHAN�CAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATIGN 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
LUMB 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PL AL � � 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTORTOMEETYOU: V YES_NO
� COMMENTS:
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GW WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR
❑CITATION ISSUED
� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46QQ
OwnedContractor it -
Inspector.__ _ �
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