HomeMy WebLinkAbout2003-P06828 - plumbing CITY OF ORONO PERMIT
2750 Ke!!ey Parkway- PO Box 66 Permit Number: Po6g2g
Cry;ial Bay, Minnesota 55323 Permit Type: FiX�es
(952) 249-4600 Date Issued: 9�2s�2oo3
SITE ADDRESS: 2660 Mapleridge La
Excelsior,MN55331
PID: 21-117-23-24-0051
DESCRIPTION:
Proposed Use: Kesidentiai
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 1,800.00
State Surcharge Fee: $ 0.90
TOTAL FEE: $ 35.90
APPLICANT: Kingsway Mechanical(See Comments) OWNER: Karl&7ulie Yeager
6250 Highway 12 W 2660 Mapleridge La
Maple Plain,MN 55391 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.
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, RMITEE SIGNATURE ISSUED SIGNATURE
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Copies: 1-File(SiQnitures Required), 1-Apnlicant, 1-Monthlv Reoorts, 1-Assessin�, 1-Finance Page 1
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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 offices.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON
THE JOB SITE.
3. Plumbing pemuts may be issued ONLY to licensed plumbing contractors and to properry 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 (952) 249-4600. 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 (952) 249-4600.
Please check one: New Addition Repair Replace
esidendal Commercial � �
.
JOB SITE: � N� Zip;
Owner's Name: Telephone Number:
Mailing Address: „City: Zip:
Contractor's Name: o.. C �� Telephone N berc .` 6 /�
Mailing Address: � a-. �'S�City: � Zip: -
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST `2ND ' OTHER
TYPE FL FL ' TYPE FL FL
Water Closet Floor Drains
Lavato Sewer E'ector"�
Bathtub Laun Tra
Shower Washer'
Kitchen Sink Water Heater
Dis sal Water Softener
Dishwasher Wet Bar
Sillcocks Misc(list)
PERNIIT FEE CALCULATION(Sl "
2002 State Statute ❑ Yes, This Section Applies
The replacement of a Residential fixture or appliance 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; excluding the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Pernut $ 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)
g� � x .0125 $
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $ -
(contract price) (minimum$ .50)
3. Postag.e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
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* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted
work including materials,labor,profit,and other fixed costs. It is the amount to be chazged to the customer
for the work done. If any material, equipment, labor,or installation are furnished by the owner, tenant or
any other party the reasonable mazket value of such items must be added to the estimated cost or contract
price for permit fee purposes. In the event that there is a dispute on the amount of the job Cost,the City may
request the submission of a signed copy of the actual�ontract.
** The STATE SURCHARGE is .0005 of the contract price'under$1,000,000 or $.50-whichever is greater.
For vatuations 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: � �
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DATE TIME
CITY OF ORONO CALLED IN �/?�/'�
INSPECTION N �E SCHEDULED _��/a�?�o 3 __�', �
PERMIT N0. COMPLETED
ADDRESS 7 Lo CD O ��������
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OWNER CONTR.
TELEPHONE NO. � � � ��0�9 CD�7/S
� DESCRIPTION � �'�'�'�'�
� 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 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YO : � YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
D INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (952) 249-4600
OwnerlContr�o s te:
Inspector.
White Copyllnspector's Fil Canary CopylSite Notice
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DATE, TIME
CITY OF ORONO CALLED IN 1 z-y-cr3
INSPECTION NOTICE SCHEDULED r Z S�-U?� �L�
PERMIT NO. �C; l c�Z� COMPIETED
ADDRESS "2—� �C �- i!�,����I� �ic�ccQ �-N •
OWNER CONTR._�i�l�j 1 ,�' '�
TELEPHONENO. C�-��� I � �-(GI�1--�{�o`���
� DESCRIPTION �� �`�`� �--I r)c��
t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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 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
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W� ORKSATISFACTORY:PROCEED ROJECTCOMPLEiE
W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL AETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (g52) 249-46��
OwnerlContract i :
Inspector.
White Copyllnspector's File Canary CopylSite Notice