HomeMy WebLinkAbout2003-P06277 - plumbing CITY �F ORONO PERMIT
275u Kelley Parkway - PO Box 66 Permit Number: Po62��
Crystal Bay, Minnesota 55323 Permit Type: Fixcures
(952) 249-4600 Date Issued: si6i2oo3
SITE ADDRESS: 250 Ruann Rd
Wayzata,MN 55391
PID: 36-118-23-32-0002
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Pernut Type: Fixtures Pernut Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 156.25 Valuation: $ 12,500.00
State Surcharge Fee: $ 6.25
TOTAL FEE: $ 162.50
APPLICANT: Allied Mechanical Ssystems of Hutchinson OWNER: Paul&Kay Studebaker
340 Michigan St 250 Ruann Rd.
Hutchinson,MN 55350 Wayzata,MN 55391
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.
� �
L� ��) 1 1C'c ��7 ��� ]
APPL[CANT PERMITEE SIGNATURE ISSU D BY SIGNATURE
Copies: 1-File(Si�nitures Required). 1-Aunlicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
.
e
y
(
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: X New Addition Repair Replace
� Residential Commercial
JOB SITE: 2. 5`G �v c�r�,r� (�C.� Zip:
Owner's Name: S�� �,d�b�,lC�r Telephone Number:
Mailing address: City: Zip:
Contractor's Name: I���; ed (`ne ��c�r; «2 � Telephone Number: 3z�- 5�3�-��3'�
Mailing Address: ;3yb (�i r_G,� �4� 5� City: �j;,-���;;,;o.� Zip: 5�3S Cj
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 I
Shower � Washer �
Kitchen Sink � Water Heater �
Dis osal � Water Softener
Dishwasher 1 Wet Bar
�
Sillcocks Misc (list)
.
PERMIT FEE CALCULATION(Sl
2002 State Statute ❑ Yes, This Section Applies
The replacement of a Residential fixture or a�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; excludin� 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)
� Z: Sf;� x .0125 $
(contract price) (muumum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of $ .50)
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 [he 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: `j.-l�-��
� �14._.f'' / � ,
� � �f qAT�� ,_ �'1,.� TIME
CITY OF ORONO CALLED IN �_L� —�-�--�-
INSPECTION NOT �-� scHE�u�E� ..� j� �t ,��
PERMIT NO. '�-�'L COMPLETED
._ .._.
ADDRESS_ �`_7 C`' l� � � c��"\Y�1 �r'��
OWNER CONTR. R� � ��4'1�" � �^�
TELEPHONE NO. �� � �- �> � � ��
l,�
� DESCRIPTION ,I� l�����• �> � -�-
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL • 19 LAKESHORE/WETLANDS
h
Q 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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU.�.YES_NO
� COMMENTS: ��'
�
W
a
� �
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
J
��WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTIONREOUIRED.CALITOARRANGEACCESS.
Call forthe next i spection 24 hours in advance. (g52) 249-46��
OwnerlContr o t .
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice
�S�f ,/
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION I E SCHEDULED �7-/7-,C�.� `L�
PERMIT NO. � COMPLETED
ADDRESS ��� ����J ��
OWNER CONTR. P����''�«i p���
TELEPHONE N0. �l�- �--��' ���f�
� DESCRIPTION �/ `�/�'I /�-'�
� 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 REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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 LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PIUMBING FINAL � 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W� ,�]WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W �❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next�inspection 24 hours in advance. (952� 249-46��
OwnerlContra n 't�:
Inspector.
White Copy/lnspector's File Canary Copy/Site Notice
(5��� DATE TIME �
CITY OF R N �" ���7
O O O CALLEOIN
lNSPECTION I SCHEDULED !//� =�
PERMIT NO. 7 COMPIETED
ADDRESS �� ���-��w �
OWNER CONTR. /�'�l�/��✓ ���'V
TELEPHONE N0. IO�Z 7S10 /��9
� 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 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
h COMMENTS:
W Oa
J
O
>.
�
O
�
�u
�
Q
�
W
W
�
�
d
W� RK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� O CORRECT WOKK,CALI FOR REINSPECTION TEMPORARY
V BEFORECAVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL AEfURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the ne t i spection 24 hours in advance. (952) 249-4600
Owner/Contra te
Inspector. �-
WhNe CopyMspector's File Canary CopylSite Notke