HomeMy WebLinkAbout2001-P03905 - plumbing ITY PERMIT
C O F O RO N O Permit Number:
275,A KEli�y Parkway- PO Box 66 P03905
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 6i6i2ooi
SITE ADDRESS: 165 Luce Line Ridge
MAPLE PLAIN,MN 55359
P ID: 31-118-23-34-0008
DESCRIPTION:
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PTOpOSOd USe: nwiucu�iai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Sepazate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 43.75
Valuation: $ 3,500.00
State Surchazge Fee: $ 1.75
TOTAL FEE: $ 45.50
APPLICANT: GENERAL PLUMBING&HEATING,� OWNER: J C CHURCH&S D CHURCH
5541 HIGHWAY 12 S.E. 165 LUCE LINE RIDGE
DELANO,MN 55328 MAPLE PLAIN MN 55359
TI�UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF'IED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.,DING CODE REQUIItEMENTS.
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D BY SIGNATURE
Copies:City,Applicant,Assessor,Finance Page 1
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building _Code Division
Surcharge to each permit. 3 �G c} � x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (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, 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 installation aze 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 pernut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciiy may request the submission of a signed copy of the actual contract.
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** 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 Department of Inspectional 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
conect.
Applicant's Signature: ✓�� Date: ,,S ���
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City o�ces.
2. Pemut 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 UNTII., THE PERMIT CARD IS
POSTED ON THE JOB SITE.
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 the State Code requirements.
6: All work must be inspected and air tested before it is covered. Call 249-46Q0. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New � Addition Repair Replace
�_ Residential Commercial
JOB SITE;�� �GC�� .L r nJ t ��/-� Zip:
Owner's Name: ;.s�� C'Ct�e�e Telephone Number: ,
Nlailing Address: /l�'" �uc�. ��Gv� 2� City: Zip:
Contractor's Name: ��„����.L ,-'��?f ��� _ Telephone I�umber:7�3 y7� 3�/U�
Mailing Address: SSyf u,� �lig���c� tZ S� City: ��L.�v;u�Zip: sS3z �'
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS:�iT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains �
Lavatory Sewer Ejector
Bathtub Laundry Tray .
Shower Washer �
Kitchen Sink Water Heater
Disposal ( Water Softener
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' Dishwasher / Wet Bar
Sillcocks Misc (list)
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DATE TIME
CITY OF ORONO CALLED IN '�I a��l
INSPECTION NOTI E SCHEDULED �/ �d� •.�
PERMIT NO. 9Q� COMPLETED � ����v
ADDRESS_I�� C(✓C� C-i%LL �i G� �'
OWNER CONTR. ,����,�.� ��c,c-�-G'•°�"�
� Q�a �3�rJ / j;.�.
TELEPHONE N0. ld
� DESCRIPTION � �j(//�Ui`!C� [/�;Svr--Q ��
� Ot 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
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 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:
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� �IORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ��CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL AETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContr or on site:
Inspector.������ �I
White Copyllnspector's File Canary CopylSlte Notice