HomeMy WebLinkAbout2006-P10034 - plumbing PERMIT
CITY OF ORONO
Permit Number:
�2750 Kelley Parkway- PO Box 66 P10034
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued: 6/26/2006
SITE ADDRESS: 2665 Mapleridge La Unit#
Excelsior,MN 55331
PID: 21-117-23-21-0004
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 500.00 Valuation: $ 40,000.00
State Surcharge Fee: $ 20.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 521.50
APPLICANT: Lakeside Plumbing OWNER: G&L Land Inveshnent,LLC
12469 Zinran Ave. 8659 Great Waters Alcove
Savage,MN 55378 Eden Prairie,MN 55347
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.
��2C�-f �il U
APPLICANT PERM[TEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
�`+ I
+ FOR CITY USE ONLI' �
p City of Orono
� ����� P.O.Box 66 Date Received: Permit# �
� �' 2750 Kelley Parkway
�+ ii� t� � �;��� Crystal Bay,MN 55323 Approved By: Amount$:SZ��
�� �`}�«�o`i%' 952 249-4600
�� r�,p4�,�, ( )
saK .
CITY OF ORONO—PLUMBING PERMIT
(All Conunercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
I. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNT1L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL 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
cbtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952)249-4600.
(24-48 hour notice required)
� �� TYPE OF PERMIT � ��
Check All That A 1
[�✓]'�esidential ❑Commercial(Approval Required)
Q�IVew ❑ Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need nrior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Infortnation:
Site Address: ��(�� (Y1„A�Q�;�qG �
Owner:S�Iti.,�,. �o�J�_ ��,I�en_ Mailing Address: �ye� es�o P�c►C�,.
c�ty: �,� �r�..:�:� Zip: SS3Nl
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �S:�e. P��� Contact Person: �6�
Address: 1�p9 Z;�re... AuL State Bond #: �oa381 �l►1
City: Zip:ss3,8 Expiration Date: �,cr p(�_ ,
Phone: 95d- $9 y- "1(00o Alternate Phone:
❑ Insurance—Current:
1
�
"r.
c
F.
� ,
� 1.
� �. A...
� 3 gA� g � . ��9 i,.' § �"�'�, ��„' ' ..
$
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains � p
Q�A.:�
Lavatory � � Sewer Ejector
Bathroom � � ^ Laundry Tray
/ —� 1
Shower Washer
� �
Kitchen Sink Water Heater
�
Disposal 1 Water Softener
Dishwasher ' Wet Bar I
Sillcocks � Miscellaneous
PCRMIT FEE CALCULATION(S) �
13ASED OFF - 2002 STATE STATUE
❑ 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;excludin�the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed contrzctor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
s`
,' .
PERIV�T'� ��� `. A -' t�: �.: � .� ��R$500.00
I f above does not apply;follow guidelines below:
I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
�'/o 00o x .o�2s $ s�o
�tract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(�1inimum Fcc of S.iO)
'�'�o,000 x .0005 $ c��
(contract price) (minimum$ �0)
3. POSTAGE& HANDL[NG (Only on Mail-]n Applications) $ I.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ SO��.�D
■ * 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 installations are 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 permit fee purposes. In the event that there is a dispute on d�e
amount of the job cost, the City may request the submission of a signed copy of the actual contract.
■ ** 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 Building Department at(952)249-4600 for the price.
� ; _ .,,,
¢=��PLLTMBINC�� �'�� „ ` � ` k
�e �e =M�NT'; ��:
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, U•ue and
correct.
Applicant's Signature: �Qy►�, ��,(, Date: �p'al �nlp
�� ���
� � Reset Form
;�:
3
C � O �� ''7�'�DA1T.,._E/ /� TIME
CITY OF ORONO CALLED IN ! ���
INSPECTION TI �\ SCHEDULED `7•�S•O1� �:��
PERMIT NO. �v� COMP TED
ADDRESS lX �nu
OWNER CONTR.
TELEPHONENO. l�� '� I �� �I� O� �,�UY�'�"�
� DESCRIPTION I�l 1 �
� 01 FOOTING 11 MECHANIC 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLtlfldfllNG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
j
d '
W WORKSATISFACTORY:PROCEED C� PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ^, ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (J52� 249-4600
OwnerlCo n ite:
Inspector.
White Copyllnspector's Fi Canary Copy/Site Notice
�� Ci� � 7� TIME �
CITY OF ORONO CALLED� / �
INSPECTION N E 2 scHE�u�d�� � r�%�O
PERMIT NO. J COMPLETED
ADDRESS
OWNER CONTR. ��cLG��
TELEPHONE NO. `�Z. �� /�pDD
� DESCRIPTION
� 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
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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING Rf 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
� � � �.. ��
a
�
�
O w
� J � 'C� S c.v� D �.l i �/�145 't�.(�
0
�
W
�
Q
ti
Z
W
�
W
�
j
� fXWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
�
W ❑CORRECT WORK&PROCEED L, ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. CPHOTOTAKEN
INSPECTOR WILL RETURN
u CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-460�
Owner/Contr n site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice