HomeMy WebLinkAbout2004-P07428 - plumbing ' '" PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P07428
Crystal Bay, Minnesota 55323 Permit Type: FiXr�'es
(952) 249-4600 Date Issued: ai2ai2oo4
SITE ADDRESS: 1680 Shadywood Rd
Wayzata,MN 55391
PID: 17-117-23-21-0016
DESCRI PTION:
Proposed Use: xesicientiai
Pernut Class: Plumbing
Permit Type: Fixtures Pernut Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: PernutFee: $ 43.44 Valuation: $ 3,475.00
State Surcharge Fee: $ 1.74
TOTAL FEE: $ 45.18
APPLICANT: Weld&Sons Plumbing OWNER: John Doleman
315 Juneau Lane 1680 Shadywood Rd
Plymouth,MN 55447 Wayzata MN 55391
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.
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A LICANT PERMITEE SIGNA RE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBIlYG PERI�II'T
Box 66 (2750 Kelle,y Pazkway)
Crystal Bay, 1�I�i 1 55323
GENERAL Pi TFOR�IATION
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 UNTII. THE P��iW[TT CARI? �
POSTED ON THE JOB SITE.
3. Plumhiag permits may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dw�lling.
�. When any, new construction or remodeling is involved, a sepazate building permit must t+e 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 249-4600. 24-hour notice requiz•ec�.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLET'E APPLICATIONS WILL NOT BE PROCESSEp. If you have
questions, ca11249-4600.
Please check one: New Addition Repair X _ Replace
C Residential Commercial
JOB STTE:. _ /6�D 5'laa�.� �.�r b a�.:� � � � Z1P�__ .�_
Owner's Name: T I�w p o�„�.r, Telephone Number: � _
Nlailing Address: - City: Zip: _�
Contractor's Name: I,Jo,(�( awd So _ PI�,,,�„b:.� Telephone l�umber: ��3 -k7s -o a��
Mailing Address: 31 S �k�.k t� . City: pl�„M,o.�.N.� Zip: �sy�t?
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BStiiT 1ST 2ND OTH�R
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
. Bathtub Laundry Tray
Shower Washer
Kitchen Sink a Water Heater
Disposal � Water Softener
Dishwasher � Wet Baz
Sillcocks Misc (list) � /Le�a,�r
� ,
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Mi�}imum Fee ($35.00)
�3��s � X .oi2s $ �3.����
(contract pr.c�)
2. State Surchar�e. ** Add the State Buildin� Code Division
Surcharge to each permit. � 3 y-�$� x .0005 $ 1��/
(contract pr.ce)
or $.50, whichever is greater
3. Postase and Handlin� (Only mail-in appL:.ations) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �/s,/�
* CONTRACT PRICE or JOB COST means the actual or esti.mated dollar amount chazged for the permitted
work including materials, labor, profit, and other nced coscs. It is the amount to be charged to the
customer for the work done. If any material, equip�=nt, labor, or i.nstallation aze furnished by the owner,
tenant or any other parry the reasonable market va�_� of such items must be added to the estimated cost
or contract price for permit fee purposes. In the evez:diat there is a dispute on the amount of the job cost,
the Cicy may request the submission of a signed cogy� of the actual contract.
�
** The STATE SURCHARGE is .0005 of the contra:.: price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the D:�artment of Inspectional Services for che price.
The undersigned hereby applies to the City for iss��r.ce of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of t�e 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: Z
. V
DATE TIME
CITY OF ORONO CALIED IN 28-0
INSPECTION NOTICE ,� �j SCHEDULED ' - Z�30 P.iVI
PERMIT N0. PO�I L-b CpMPLEfED
ADDRESS ��� �Sl��t.�cc)O�I-
OWNER CONTR. /.(�I�l�LS�r_�_D'1 S �J�uY�.
TELEPHONE N0. �Lo '3 �I�S O 2�Cp
� 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 05 FlNAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FIN 15 SEPTIC INSTALL 22 FOLLOW-UP
= U 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBI 36 FOUNDATIOWREMOVAL
2 OWN ONTRA TO MEET YOU: YES_NO
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W� RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILI RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor
Inspector.
White Copyllnspector's File Canary Copy/Site Notice