HomeMy WebLinkAbout2005-P08756 - plumbing - PERMIT
CITIt' OF ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 P08756
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
5/19/2005
SITE ADDRESS: 1810 Shadywood Rd unit#
Wayzata,MN 55391
PID: 17-117-23-21-0027
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Pernut Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 39.69 Va�uation: $ 3,175.00
State Surcharge Fee: $ 1.59
TOTAL FEE: $ 41Z8
APPLICANT: City View Plumbing&Heating OWNER: Mark&Lori Kroll
1880 B Wayzata Blvd W. 1810 Shadywood Road
P.O.Box 150 Wayzata,MN 55391
Long Lake,MN 55356
TI-IE 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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APPLICAN PERMITEE SIG ATURE UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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CITY OF ORONO APPI.ICA770N F(Ni PUJMBIN(i PERMIT
Box 66 (2750 Kelley Parkway)
Ctystal Bay,MN 55323
GFI�IERAL INFORMATION
1. You may a�y far plumbing petmits by mail a in person at the City o�ces. Applicatio� will be revtewed and
a permit veitlt be issued wlthtn two warl�ing days.
2. Permit cards w�l be sent by return ma�7 after a review is c�ompleted. PERlNtTS ARE NOT VAI1D IRYC[L YOU
RECENE A PERMIT. WORiC MU3T NOT BE(i1N UNfIL THE PE[tM1T GAt2D[S POSTED UN'fHE IOB
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3. Plumbing pertNts tnay be i� OI�9.Y to �cen.sed ph�biog ooatractors ar►d to property owners residirg in the
d'h'e(litt8•
4. When any new oonstnicNan or rertrodelu�Is inv�olve�l,a aep�ate b�ldtng perndt must be obta�d.
5. All wak must be done in accorda�x�e with the State Code req�rirements.
6. A!i work must be inspected and atr tested before it is covered. Call (952) 249-4600. (2448 hour noHce
required)
Instractions Complete all items on tws applica6on. Compute the permit fee. Sign and date the
certiHcation. INCOMPLE7'E APPLdC,ATIONS WtLL NOT BE PROCESSED. lf you have questions,
call (952) 249-4600.
Please check one: New Addition Regair ✓ Replace
./ Resideential Cammeraai
Jos s�Te:_ 18l Q S�,a r�l��o�a� �d� z��:
Owner's Name:A'1a�I/1�C�0 1� Telephane Number.
MailZng Address:� __ City: �c�o Z�p: S53�t 1
coutra+ctors l�iame: c; ti Telephone Nnmber:9s�-�17.� 87q 3
Mailing Acidress: P,c�, d x I�'n C.�ty: !� �a�( Zip: �S3��
PLUMBIN6 FIXTURE SCHEDULE
FIX1'URE BSMT i ST 2ND OTEIER FDCIURE BSM 1 S 2ND OTHER
'IYPE FL FL 'IYPE T T FL
.FT.
Water Cbset Floor Drains
Lavato Sevwer E' ta
Bathtub T
Shanver Washer
K'itchen Sink y Water Heater
Di Water Softeaer
nis�r '� w��
sav� n�� �r; �-
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PERMtT FEE CALCULAT[ONIS)
2002 Stat�e Statute Yes,This SecHon A,pplies
The replacement of a Re$�entiat fixhue or 'aru:e that meets aU ffiree of the follov�nng requirements:
1) not require modification to electrical or gas service.
2) Has a o 0o t of $500.00 or less; excludir� the a�st of the fixture or appliance: and
3) [s improved,installed or r�eplaeed by the homeowner or licenced oonh�a�ctor.
Skip next section; Cost of Permit $ 15.00
State Surcharg�e $ .50
M�ii In Fee $ 1.50
If above does not apply, folbw guidelines below:
1. Contract Price'` is 1.25 96 of job with a Minim�t Fee of(535.00,�
3115� X.o�2s $
(�,r.�a c�) (�r,�s.00�
2. �tate 3qrcharge. •'�Add the State Buikiing Code Di� a (Mir�mam Fee of$ .50)
x .0005 $
(ca�'act Price) (mi�mum$.50)
3. Pos��e and Haudiia� (Onty mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
$ COIYi'RACT PRICE or JOB COST means the �ctual or estimated dollar siraunt chaeged for the permitted work
inctudiog materials,laba,pr�t,and other�C9 r.c�ts. It is the amamt to be charged to the customer for the�uork
d�e. If eny trmterial, eqaipmeni, lsbor, �installation ffie ftaruished by the ormer, tee�ant or mry other party the
reasonsble market value of such items must be added to the estimated cost or c�trad price for permit fee
purposes. In the event that fhere is a dispute on ttre amount of the job c�t, the City may request the submis�on
of a signed copy of tt�actual contracl.
•• The S7'A7E SURCEiARCE is .0005 of the coNract prioe u�r $1,000,000 or $.50-rvhichev�er is greater.
For valuations over$1,000,000 c�lt tt�Deperttnent of In�ion Servk�es for the prioe.
The undersigned hereby appties to the C"ity for issuance of a Plumbing Pernut, agrees to do all work
in strict accordance with the ordinances of the City and the regtila�ons of the State of Minnesota, and
certifies tt�at all statements m�le on this ' are oo�lete,true au�d oorrect.
Appticant's Signature: �--- Date: �✓ � � 0�✓
✓
/ D TIME
CITY OF ORONO ALLED IN ��
INSPECTION OTI SCHEDULED � ��
PERMIT NO. � COMPLETED
ADDRESS I �D
OWNER ONTR.� I�!'e-�
TELEPHONE NO. ��-p �Ol aZ �O$� .3gq 9
/S�� 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
Z04 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next spection 24 hours in advance. (952) 249-46��
OwnerlContr s te
Inspector.
White Copyllnspector's File Canary Copy/Site Notice