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Home My WebLink About2004-P07950 - plumbing .. _ � CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Po�9so Crystal Bay, Minnesota 55323 Permit Type: FiXtures (952) 249-4600 Date Issued: 9ilsizoo4 SITE ADDRESS: 575 Kokesh Farm Rd Maple Plain,MN 55359 PID: 31-118-23-11-0011 DESCRIPTION: Proposed Use: Kesidential Pernut Class: Plumbing Permit Type: Fixtures Pernut Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 37.50 Valuation: $ 3,000.00 State Surcharge Fee: $ 1.50 TOTAL FEE: $ 39.00 APPLICANT: Manatee Plumbing OWNER: James&Norma Leslie 11526 Jupiter Court 575 Kokesh Farm Rd Silverlake,MN 55381 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. � � � �,�G�---��/��-' APPLI ANT PERMITEE SIGNA RE SSUED BY SIGI�ATURE Conies: 1-File(SiQnitures Required), 1-Applicant 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 �. _ 4 C[TY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for plumbinb pennits by mail or in person at the City offices. 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 BEGW UNTIL THE PERMIT C.ARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the d�velling. 4. When any new construction or remodelinb is im�olved, a separate buildinb pennit must be obtained. 5. All work must be done in accortlance with the State Code requirements. 6. All work must be inspected and air tested be(ore 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. WCOMPLETE APPL[CATIONS WILL NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please checic one: New Addition Repair Replace Residential Commercial JOB SITE:��J�,e5� ��rm Q�_��0 � � Zip: Owner's Name: �}or�c� �� '; � Telephone Number: Mailing Address: ��ty• Z�p• Contractor's Name: �c�n�-�ee P Iv m 6;hc `�nc Tele�hone Number: (o f z�-3 b 3- �d f g a Mailing Address: f l5Z l� S,,p;•{.�r r��,.Y .� City: S� I v�� Ic�j�e Zip: 3 � PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1 ST 2ND OTHER FIXTURE BS11�1 1 S 2ND OTHER TYPE FL FL TYPE T T FL FL Water Closet � Floor Drains Lavator t Sewer E'ector Bathtub l Laundry Tra Shower Washer Kitchen Sink I Water Heater Dis osal Water Softener Dishwasher Wet Bar Sillcocks Misc list . ... PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes, This Section Applies The replacement of a Residential fixture or ap�liance 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 repfaced 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� � �p�.`�D x .0125 $ (contract price) (minimum $35.00) 2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of $ .50) x .0005 $ (contract price) (rninimum$ .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, proiit, and otl�er fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor, or installation are iurnished 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 N�at there is a dispute on the amount of the job cost, the City may request ihe submission of a signed copy of the actual coniract. ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 -whidlever is greater. For valuations over�1,000,000 call the Department of Inspection Services for the price. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: Date: �'�5'� � Reset Form O"' DATE TIME CITY OF ORONO CALLED IN �� INSPECTION N TICE SCHEDULED 9-Z d;.�O PERMIT NO. COMPLETED ADDRESS .S7S /�O��S�/��'/ � OWNER CONTR.�GZ�"/ � TELEPHONE NO. lo�Z 3�3 ��'8� � DESCRIPTION ��6 �Z l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGFiESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � j � O � � O � W � Q � Z W � W � � a W ORKSATISFACTORY:PROCEED C ROJECTCOMP�ETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the n t inspection 24 hours in advance. (952� 249-46�� i OwnerlContr�ct�r ite: � Inspector. " White Copyllnspector's Fil Canary Copy/Site Notice �_ DAT TIME " CITY OF ORONO CALLED IN j � INSPECTION TI SCHEDULED � 3%� PERMIT NO. �g� COMPLETED ADDRESS 57.5 N�1�--$h �� ►'n u�OL� OWNER CONTR. I�'�G�iKd�-p-Q. �-�-✓�� TELEPHONE N0. CD l 3�3 Co 1�� DESCRIPTION ��'�� I -�-�Y �y 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h Q 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 � OWNERICQNTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W a � � O �. � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � PHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL�NSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cal{for the ne t inspection 24 hours in advance. (952) 249-4600 Owner/Contra s�te: Inspector. White Copyllnspector's ile Canary CopylSite Notice