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HomeMy WebLinkAbout2007-P10891 - plumbing PERMIT CITY OF ORONO 275�1 Kelley Parkway- PO Box 66 Permit Number: P10891 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 4/16/2007 SITE ADDRESS: 2695 Pheasant Rd Unit# Excelsior,MN 55331 P��� 21-117-23-23-0012 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Pernvt Sub-type(s): Water Heater DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 15.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 Misc.Fee: $ 1.50 TOTAL FEE: $ 17.00 APPLICANT: H.P.Pipeworks OWNER: Barbara Reddick 3670 Dodd Road Suite 100 2695 Pheasant Rd Eagan,MN 55123 Excelsior MN 55331 � 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 MINNESbTA BUILDING CODE REQUIREMENTS. f C'•11 'V��� rI1.� � APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) 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 sepazate building permit must be obtained. �. 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 perinit 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: -� Zip: S S�� O«�ner's Name: 1 C Telephone Number: - Mailing Address: City: Sja� Zip• 5 � Contractor's Name: ' ' Telephone Number:. 1blailing Address: �(��[j� MN 55123 • City: Zip: (�81�365 1340 PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT � 1ST 2ND OTHER TYPE FL FL TYPE FL FL Wa[er Closet Floor Drains Lavato Sewer E'ector Bachrub Laund Tra Shower Washer Iii�chen Sink , Water Heater I � Dis osal Water Softener Dishwasher Wet Bar SIllcocks Misc (list) ' T� ��� � ' � � �r � � # �, � � :� ��., � y s, � � *� � FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathroom Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sil Icocks Miscellaneous ����e�+ x��x��t��������� R � ����� � �a�,�'�� � � � � 4 �.�, '� -�����. ���`�;�' � �" `��.. �, � ... _._ , . ,�.,., :s, f� Yes,this section applies The replacement of a Residential fixture or ap 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;excludine the cost of the fixhue or appliance:and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $�_� (Permit Fees Continued On Next Page) 2 , v . Er ,. � a �� '� ,;�r��', t 3 ��. If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) x.0125$ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $_ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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 installations 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 Building Department at(952)249-4600 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 Signatu . � Date: "__/ //p� V —�T' ,� . ��€� `�"�� ��e���� , � ��,,,. � �. � ;�`���€����� �:b 3 �I D q� TIME ✓ CITY OF ORONO A�N pC INSPECTION N I�}.� SCHEDULED '" � �.� PERMIT NO. �C.� COMPLETED ADDRESS Gl�IO g�S ��«�''�i� � OWNER 2�� ����-G,�iCONTR. TELEPHONENO. !�2 7�l �?�S � DESCRIPTION lit/� T�e� r' ���� lu 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIL�ING � 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti O 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PIUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z w � W � � d W ORK SATISFACTORY:PROCEED PROJECT COMPLEiE � ❑CORRECT WORK 8�PROCEEO C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONW�THIN HOURS. �, pHOTOTAKEN INSPECTOR WILL RETURN u CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the xt inspection 24 hours in advance. (952� 249-4600 Owner/Contr site: Inspector. White Copyllnspector's File Canary CopylSite Notice