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Home My WebLink About2002-P05290 - plumbing f � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Pos290 Crystal Bay, Minnesota 55323 Permit Type: FiXcures (952) 249-4600 Date Issued: 6�ii�2oo2 SITE ADDRESS: 2680 Pheasant Rd Excelsior,MN55331 PID: 21-117-23-23-0020 DESCRIPTION: Proposed Use: Kesidentiai Permit Class: Plumbing Permit Type: Fixtures 1'ermit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 134.21 Valuation: $ 10,737.00 State Surcharge Fee: $ 5.37 TOTAL FEE: $ 139.58 APPLICANT: K.Nordwall&Associates,Inc. OWNER: Matthew&Kathy Dolliff 2124 Gilbert Ave. 2680 Pheasant Rd St. Paul,MN 55104 Excelsior,MN 55331 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. , ` k 1 � ' / /-�-t? ��✓)��til` -_.. ��`L'�.� PLI NT PERMITEE S►GNATURE ISSUED BY SIGNATURE � Cooies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 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 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• � �2��(� P t� �`� �; r� . Zip: � � � � t Owner's Name: n�_� � � Telephone Number: Mailing Address: City: �°''"�cr�.. o Zip: Contractor's Name: � (�(Z,nLJ ,a�� - Sso� • Telephon Number: �S� =7`��'� =7� � (,� Mailing Address: �f LO �� I r.,,,(�ri_7— ►'��'� City: � �� Zip: �� i ��{. PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains Lavato � Sewer E'ector Bathtub � Laund Tra Shower � Washer Kitchen Sink I Water Heater Dis osal � Water Softener Dishwasher 1 Wet Bar Sillcocks Misc (list) F ! PERMIT FEE CALCULATION(S) 2002 State Statute ❑ 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 f�ture 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 �� n t a 1 follow uidelines el w• � If above does o pp y, g b o . 1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00) 1 C� , `7��7. � X .oi2s $ a (contract price) (minimum $35.00) 2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of$ .50) l�r � � � � �' X .0005 $ --(contract price) (minimum$ .50) � 3. Postage and Handlin� (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: ' � Date: lp ~ / DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED �,��, PERMIT N0. COMPLETED � s %� ADDRESS �� -S�n OWNER CONTR. TELEPHONE N0. � DESCRIPTION � 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 REMOVAI. Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO- 27 SEPTIC MAINT. 21 COMPLAINT v 07 0-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PIUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a J O � � O � W � Q � 2 W � W � � W�ORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE Wl ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARflANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnedConUact r on site: Inspector. - � White Copyllnspector's File Canary Copy/Site Notice � � c�t= � �� ' DATE CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED /D PERMIT N0. ��l d ��L � COMPLETED ADDRESS f�lo ��'; �I��-e�� k�'�-� rZC� . OWNER CONTR. � �j�?��0..C� _ �,, TELEPHONE NO. �a ' v� � -' � �� C � � DESCRIPTION l�� ' �/i�Q� lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNOATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:��YES_NO � COMMENTS: �� ( /�_�t �� I� �� ,� W a � J O � � O � W � Q � Z W � W � � d � WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on s te: Inspector. �- White Copyllnspector's FI Canary CopylSite Notice