HomeMy WebLinkAbout2002-P05650 - plumbing I PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P05650
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 9/24/2002
SITE ADDRESS: 70 North Shore Dr W
Maple Plain,MN 55359
PID: 06-117-23-22-0020
DESCRIPTION:
Proposed Use: Residentiai
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: $ 125.00 Valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 130.00
APPLICANT: SUFKA PLUMBING&WATER CONDI? OWNER: Jerry Boldenow
3901 COUNTY ROAD 101 70 North Shore Dr W
MINNETONKA,MN 55345 Maple Plain MN 55359
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
ANDAGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
PLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Siznitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
CITY OF ORONO , APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, M 55323
GENFRAY.INFORMATION
1. You may apply for plumbing permits 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 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 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 WELL NOT BE PROCESSED. If you have.
questions, call.(95�) ;249-4600.
Please check one: New Addition Repair Replace
Residential Commercial
JOt SI'Z'E: 70 Al- (-iv Zip:
Owner'sName: Telephone Number:
MailingAddress: v City: Zip:
Contractor's Name: y., yx,: �gw` W-e'o Telephon Number:(�23,..--g;-'%",-
Mailing Address: 9f 0/ tot dip: -55 J? S I
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet I l Floor Drains
Lavato' Sewer.Ejector
Bathtub Lawidry Tra
Shower Washer
Kitchen Sink Water Heater
D" sal Water Softener
Dishwasher ( "Wet Bar
Sillcocks L3L I Misc kt
I
MRM FEE CALCULAT16N(S)
2002 State Statute, ] Yes, This Section A.pp hes
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) Mas 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 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)
4.Grp x .0125
(contract price) {nnWimuin$35_00)
2. State Surcharge. Add the State Building Code Division .a (Minimum Fee of$'.50)
a CJS x .0005 $
(contract price) (minimum.$ ,50)
3. kQgtage and Handl es (Only mail-in applications) $ L50
4. TOTAL PERAUT 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 City-for issuance of a Plumbing Permit, agrees to do all
work in strictaccordance 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: G/'
CITY OF ORONO ki CALLED IN DATE TIME
cy
INSPECTION NOTICE SCHEDULED 3O
PERMIT NO. P06650 COMPLETED
ADDRESS M-2 1 0 21+-( SGp&cs Qdc-
OWNER CONTR. 0 if<A \\
TELEPHONE NO. Cie 1'(1 —20'0 _7a`(-/ rcl— . J
DESCRIPTION ,f1?0_A,0
W 01 FOOTING 11 MECHANICAL RI 18 E)(CAV/GRADING/FIWNG
Q02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 03 INSULATION 24/25 WOOD BURNERIFIREPLACE 34 TREE REMOVAL
g 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 D – 15 SEPTIC INSTALL.. 22 FOLLOW-UP
W 9 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v10 PLUMB G FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:/L YES—NO
c� COMMENTS:
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4j WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK S PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the neinspection 24 hours In advance. (952) 249-4600
Owner/Contra ' e:
Inspector.
White Copy/lnspector's File Canary Copy/Site Notice
DATE .. TIME
CITY OF ORONO CALLED IN 1-3eJ
INSPECTION�OTICE_ SCHEDULED
PERMIT N0. CL 6� G COMPLETED
ADDRESS __26 N- J l t I z �)
OWNER CONTR.
TELEPHONE N0. r'.a i :2 'e'f2C1-7e
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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
Lul 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTScc
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UjWORK SATISFACTORY:PROCEED ElPROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the not inspection 24 hours in advance. (952) 249-4600
Owner/Contr ol� i
Inspector. U
White Copy/Inspector's Fie Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 10
PERMIT NO._E0611960 COMPLETED
ADDRESS `70 LI e5'/->�a 24
OWNER 46�noa) CONTR. QaJA91_
TELEPHONE NO. 1,2,—APS 9?L®/
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS
f7 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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
Q 09 PLUM G RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v1 36 FOUNDATIOWREMOVAL
OWNERICONTRACTORTOMEETYOU:_YES_NO
COMMENTS:
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L4 WORK SATISFACTORY:PROCEED ❑PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952) 249-4600
Owner/Contra ite•
Inspector. aAm
White CopyMspector's File Canary Copy/Site Notice