HomeMy WebLinkAbout2007-P10854 - plumbing PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P10854
Crystal Ba;, Minnesota 55323 Permit Type: Fixtures
(95��j 249-4600 Date Issued:
3/29/2007
SITE ADDRESS: 2730 Pheasant Rd [lnit#
Excelsior,MN 55331
PID: 21-117-23-23-0057
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 62.50 valuation: $ 5,000.00
State Surcharge Fee: $ 2.50
TOTAL FEE: $ 65.00
APPLICANT: Owner/Self OWNER: William Y Smiley III
NIN 2730 Pheasant Rd.
Excelsior,MN 55331
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK 1N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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AP LI A PE TEE SIGN RE � �`�
ISSUED BY SIGNATURE
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
�
- rOR CI'I'Y USE ONLY
,��� City of Orono
P.O.13ox 66 Date Received: Peimit# "
�c;:+;;,yNa � 2750 Kelley Park�vay - — —
� � �����'=�. �� Crystal Bay,MN�5323 Approvcd[3y: •� Amount$:
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CITY OF ORONO— PLUMBING PERMIT
(All Cuminercial permits must be approved by the Building Oflicial or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications`vill be
reviewed aild a pemvt will be issued witllin tv✓o working days.
2. Pennit cards will be sent by rehu-n mail after a review is completed. PERiV1ITS ARE NOT
VALID LNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN LTNTIL TIIE
PEI2NIIT CARD IS POSTF,D ON THE JOB SIT'E.
3. Plumbing permits may be issued ONLY to liceused plumbing contractors and to property owners
residing i11 tl�e 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 State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952) 249-4600.
(24-48 l�our itotice required)
TYPE OF PERMIT
(Check All That Apply)
�,Residential ❑ Corrunercial(Approval Required)
1 C�,c,vtc��— �
[] New ❑Additional ❑Repairs ❑ Replace �
❑ In Accessory Struchue?
*Ycu oviii .i2eu ;.3r;ar �iF�prc�va€ dnci may need C��. (rer v�uno City Code, i.t�apter 7S,Article iV}
�Job Site/ Owner Information:
Site Address: �� �O � �1� ���, S t1 N i fl�
Owner: � � l,[ rj i`1 � t, L,� Mailing Address: �.��O P 1-\L_ (��,i A 1J i f�TJ .
�
City: L �C G [ L S 1 O f�, Lip: � .-�� � � \
C�.L�..,
�-Iome Phone: �'1 � a � L\��I 1 � � N�� � A�te�a,t�; Phone: Co 1 `J, - �2, U 1 - °1`1 1`j
Contractor Infcrn:atici�:
G`�V ti [fY
Contractor: � (�L �, .� i�1�LL,`� Contact Person: � (\.L E. .S l�'1 � L�,�;
Address: '��I�3� Q la E, A 5 !� N �T R Q�tate Bond #:
City: �,� C L;L.SI C�Zip:��� Expiration Date:
Phone: �'�� 1 a, - � �� � - �� � 1 Altei-�late Phone:
❑ Insurance— Cun�ent:
1
*
T
_ . � � � ���
- ; Pi�;UlVIBING;FTXTURES;BEING,INSTALLED
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
';� � ' n n �� ,PERM�'�EEE�ALCTIL�,T'ZQ�1'(S)` � �. �'
,;'� `�� ° r`��� �� BASED'C�FF :2002'�STAT��STATUE. .` ' � ' ` :'
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all tluee of the following requirements:
1. Does not require modification to elechical or gas service. -
2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed conn•actor.
Skip uext 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
t
:' PERMIT FEE CAI:CI7I:ATION'S)=JOBS.OVER$500.00� `'
.
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
��_t"J60 "" x.0125$ �� -50
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
5, o 0 0 "' X.000s $ `a. -5 0
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
at.�
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ (�p !�
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pernutted 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 pernvt 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 SIJRCHARGE 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.
` , �� �` PLiJ1V,tB1NG:PERIVII'�'�T.?P�ICA:T�Q�`.AGRE�IVI.EN,T ="`
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 oertires that all statements made on �his application are complete, true and
correct.
(
Applicant's Signature: Date: �- �.� - � 1
3
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p P I/ �`�� ! DATE TIME
CITY OF ORONO /��057 ��CALLED IN � �
INSPECTION NO p /SCHEDULED D-.3-C7 ��.3v
PERMIT NO. d0 oZ. ` MPLETED
ADDRESS a �
OWNER CONTR.
TELEPHONE NO. ��� �U/ �I 7�7
� DESCRIPTION ��"'j�-`�4c `� �l`✓��
� ❑ FOOTING ❑ MECHANICAL ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPT FINAL ❑ HARD COVER REMOVAL
J LUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNE ONTRACTOR TO MEET YO :�YES NO
��., COMMENTS:
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� ❑WORKSATISFACTORY`.PROCEED ❑ PROJECTCOMPLEfE
W ORRECT WORK 8�PFiOCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ RRECT WORK,CAIL FOR REINSPECTiON TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTIONREQUIRED.CAL.LTOARRANGEACCESS.
Cafl forthe next inspection 24 hours in advance. (g52) 249-4600
Owner/Contractor on site:
Inspector. ���
Whiie Copylinspector's File Canary CopylSite Notice