HomeMy WebLinkAbout2004-P07221 - plumbing ` ~ PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P07221
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 2/13/2004
SITE ADDRESS: 150 North Shore Dr W
Maple Plain,MN 55359
PID: 06-117-23-22-0023
DESCRIPTION:
Proposed Use: Residential
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: $ 35.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Barnes Plumbing Co.,Inc. OWNER: Steven&Julie Dzubay
3923 Washington Ave N 150 North Shore Dr W
Minneapolis,MN 55412 Maple Plain MN 55359
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.
t
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies:1-File(SiRnitures Reauired). 1-Anvlicant.1-Monthly Revorts. 1-Assessine. 1-Finance Page 1
02/09/2004 14:00 6125291064 BARNES PLBG PAGE 02
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 ufiices.
';. Permit cards will be sent by return mail after a review iso enmrleted. PERMITS ARE NOT VALID UNTIL YOU
RECEIVE A PERMIT. WORK MUST NOT BEGIN tINTIL THE PERMIT CARD IS POSTED:,01HE IOB
SQL•
3. Plumbing permits may be Issued UNLY to licensed plumbing contracture and lu Niopetly owners residing in the
dwelling.
4. When any new construction or remodeling is immlw.d, a separate building permit must be obtained.
5. All work must be done in accordance with the Stale Code requirements.
6. All work must be inspected and air tested before it Is covered. Call (952) 2494600. 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
Residential Commercial 01 a r I -?.
Ic�� �
JOB SITE: 15"D rte' o v-1 k S ha rie— D r • `moo st Zip:
>w,kj Owner's Name: Telephone Number.
Addy : Ole 1 12- 7-3 City: Zip:
,4 Contractor's Name: . L Telephone Number. 1'L 2/j f 17 Z
r ty. p; S ('
Mailing Address: 3� WAS wr._o rti ��t 7
PLUMBING FLXTURE SCHEDULE
FIXTURE SSMT I ST 2ND OTHER FIXTURE 8SM is 2ND OTHER
TYPE FL FL TYPE T T FL
FL
Water Closet 4 Floor Drains
Lavatory Sewer Elector
Bathtub La.un ►Trav
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks FMIse list
02/09/ 004 14:00 6125291064 BARNES PLBG PAGE 03
PERMIT FEE CAI.CI ILATION(S)
2002 State Statutr, Yes, This Section applies
The replacement of a Residential fixture Or lis ce that meets all three of the following requirements:
1) Does not require modification to electrical or gas service.
2) Has a total co of $5U0.00 or less; excludin the cost of the fixture or appliance: and
3) 1s 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 heinw:
1. Contract Pricy* i. .012: 9/6 of job with a Minimum Fee of ($35.001
x .0125 S
(contract price) (minimum$35.00)
2. State Surcharge. " Add the State Building Code Dlvlsion a (MitdintuU Fee of$ .50)
A .0005 $
(contract price) (minimum $.50)
3. Eo-stage- and dandling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE * (Add lines 1-3 above) $ 3 r7 -�'
CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work
inrluding materials, labor, profit, and other fixed costs. It is the amount to he 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 went that there is a dispute oa the vuotuit 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 S.50-whichever is greater.
For valuations over$1000,000 call the Department of Inspection Services for the;prize:.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work
in strict accordance with the o ances of the City and the regulations of the State of Minnpsota, and
certifies that all state s m e n thiItiflon are complete, true and correct.
Applicant's Signature: Date: t"I
7 D1 ASE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED _27-11-a-47 _77--o
PERMITN0. I-I'V722-1 COMPLETED
ADDRESS /50 �CJD� -S � at- 60
OWNER CONTR.TELEPHONE NO.NO._&Z.2 -5190- 505Z. 02.9cirt42xA— 612;290-Zyf
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 16 EXCAVIGRADING/FILLING
Q02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREtWETLANDS
y 03 INSULATION 24/25 WOOD BURNERIFIREPLACE 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 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
«� COMMENT
a L Ie
0 610Ain
a
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Q
W
W
d
WW ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN
.INSPECTOR WILL RETURN ❑ORATION ISSUED
11 STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex Inspection 24 hours in advance. (952) 249-4600
OwnedContr on 1p te:
Inspector.
White Copy/Inspector's File Canary Copy/She Notice