HomeMy WebLinkAbout2004-P07292 - plumbing PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�292
;rystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: 3i9�2oo4
SITE ADDRESS: 525 McCulley Rd
Maple Plain,MN 55359
PID: 31-118-23-24-0012
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 187.50
Valuation: $ 15,000.00
State Surcharge Fee: $ 7.50
TOTAL FEE: $ 195.00
APPLICANT: Victoria Plumbing(See Comments) OWNER: Chris Steffon
1855 West 80th St/PO Box 174 525 McCulley Rd
Victoria,MN 55386 Maple Plain,MN 55359
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES T LL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BU L IN CODE REQUIREMENTS.
. 7 -� 9� -�/ �..-i
APPLICANTPERMITEESIGNATURE [SS DBYSIGNATURE
Copies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
1
PERMIT FEE CALCULATION(S) �
2002 State Statute ❑ Yes, This Section Applies
The replacement of a Residential fixture or a�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 replaced 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)
/�_ ��� 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. Posta�e 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,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 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 the 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 Department of Inspection Services for the price.
The undersigned hereby applies to the Gity for issuance of a Plumbing Pernut, agrees to do all
work in strict accordance with the o inances of the City and the regulations of the State of
Minnesota, and certifies that all a ents made on this application are complete, true and
conect.
Applicant's Signature: � Date: 3" �'1- U 4
� " � DAT TIME V
CITY OF ORONO CALLED IN 7' �
INSPECTION NOTICE SCHEDULED - 9-D �
PERMIT NO.�D7Z Z COMPLETED
ADDRESS SZ S �C C:<c.C.Q��y �
OWNER CONTR. VlG'�Y'tq rG�rw6 .
TELEPHONE NO. ��2 �� O 2 l S� .
� DESCRIPTION _ P��i�'v�.6 �F /�
� 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
Z04 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 PLUMBIN 23 SEPTIC FINAL 35 HARD COVER REMOVAL
UMBING FINA �/ 36 FOUNDATION/REMOVAL
� ONTRACTOR TO MEET YOU:=YES_NO
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W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CAL�INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (952) 249-46��
OwnerlContra � i e:
Inspector.
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