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Home My WebLink About2004-P07297 - plumbing 01 - PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P07297 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 3/10/2004 SITE ADDRESS: 150 North Shore Dr W Maple Plain,MN 55359 PID: 06-117-23-22-0023 DESCRIPTION: Proposed Use: Kesidenthai 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 TOTAL FEE: $ 35.50 APPLICANT: Jerry's Plumbing,Inc. OWNER: Steven&Julie Dzubay 13416 Hanson Blvd NW 150 North Shore Dr W Andover,MN 55304 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. APPLICANT PERMITEE SIGNATURE I SUED BY SIGNATURE Copies: 1-File(Siznitures Required), 1-ADDlicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 CITY OF ORONO APPLICATION FOR PLUMBING PERAW Boz 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 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 WILL NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: New _,Addition Repair Replace — -Residential Commercial JOB SITE: J,M AA6 o,i J `t�N r I�JO�-• Zip: $ � Owner's Name: 5ieY-r_, �AL4 Telephone Number:". Mailing Address: City: Zip: r3 S Contractor's Names r ; Telephone Number: Mailing Address: m,) —City:A44 Zip: dT"3ey PLUMBING FEKTLRE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT IST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory 1 Sewer E'ector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Misc(list 1��1+ PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes, This Section Applies The replacement of a Residential fixture or apoliance 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 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 $ - a (contract price) -(minimum$35.00) 2. State Surcharge. Add the State Building Code Division a (Minimum Fee of$ 950) x .0005 $ (contract price) (minimum$ .50) 3. Postage and Handlina (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 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: lig Date: o J DATE TIME CITY OF ORONO CALLED IN ✓2-/O-O INSPECTION NOTICE � SCHEDULED 22-97 E PERMIT NO. �Q ! 2' r9 7 COMPLETED ADDRESS��O A)c141"J-( c��rn, L17,C. 1. OWNER CONTR. 7tLrW iS 111Vk_4" TELEPHONE NO. o Z 4P I DESCRIPTION t 01 FOOTING 11 MECHANICAL RI 18XCAWGRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 KESHORE/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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W , PLUMBING R 23 SEPTIC FINAL 35 HARD COVER REMOVAL vM ING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: W C c � � v J O cc O W W CC Q 2 W Z W CC Z1 d LUWO RK SATISFACTORY:PROCEED ElPROJECTCOMPLETE W ❑CORRECT WORK i£PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑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.CALL TO ARRANGE ACCESS. Call forthe ext nspection 24 hours in advance. (952) 249-4600 Owner/Con r o si Inspector. White Copy/Inspector's Fife Canary Copy/Site Notice jy�d DA_ CITY OF ORONO � TIME QLLED INS INSPECTION WTICE r SCHEDULED PERMIT NO:L/'j0 ' comPPLETED / � ADDRESS /50 Ake- rl urs.- /� OWNER CONT/Rl. /.T Y/(/� _6. TELEPHONE NO. 7&3 7�� `� 2-&P DESCRIPTION ba_�� W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNERIFIREPLACE 34 TREE REMOVAL Z 04 BD. 12 WATER HOOK-UP 17 SITE INSPECTION X14 SEWER HOOK-UP 06 PROGRESS DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT `j 07 DEMO-FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL GING FINAL 36 FOUNDATION/REMOVAL 2 TO MEET YOU: YES_NO y COMMENTS- o� W Q. AZ cc 0 2 ccW Q W w ac d tm/_7C RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED 11STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next nspection#hours In advance. (952) 249-4600 OwnedContra 't Inspector. White Copyllnspector's File Canary Copy/Stte Notice