HomeMy WebLinkAbout2007-P11079 - plumbing PERMIT
CIT� O� ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P11079
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952)249-4600 Date Issued:
6/5/2007
SITE ADDRESS: 1880 Shadywood Rd unit#
Wayzata,MN 55391
PID: 17-117-23-24-0004
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: Plumbing
Permit Type:
Fixtures Pernut Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 75.00 valuation: $ 6,000.00
State Surcharge Fee: $ 3.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 79.50
APPLICANT: Blaylock Plumbing Co. OWNER: Rhonda Omlie
7731 -4th Ave S 1880 Shadywood Rd
Richfield,MN 55423 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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APPLICANT PERMITEE SIGNATURE I D BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
• , �OR CIT'1I i7SE ONLX
,��� City of Orono '
�� �� P.O.Box 66 T�te�,a�av�l: �� Percr+R#
2750 Kelley Pazkway
� •t �''�� Crystal Bay,MN 55323 t�pproved$y Amowrt�:
�F (952)249-4600
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
���i��1r�'�r����.�Q� ;
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
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 State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
: TYPE�"1F PER�+IIT
: Gheck Ail Th�t ' 1
Residential ❑Commercial(Approval Required)
❑New ❑Additional epairs eplace
❑ In Accessory Structure?
*You will need urior au�roval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Qwner Infc+rmatian:
Site Address: l8�� �
Owner: �� ���2.�[.P� Mailing Address: a"2�Z����
c�ri: �iL�x,c� z�p: v`S3 9 /
Home Phone: �o� �'y 7�'��,� � Alternate Phone: ��o� "" ��v0 � ��J�/
CQntractc�r 1nfc�rmatian:
Contractor: � Contact Person:
- ��8 O
Address: � ���C.JO. State Bond#: �� 8cg
City: � Zip�3 Expiration Date: ,�'�S� �
Phone: /��9—�s.�/ Alternate Phone:
� Insurance—Current:
1
�r� a � ��
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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 Baz i
�
Sillcocks Miscellaneous
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❑ Yes,this section applies
The replacement of a Residential fixture or appliance 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 fixture 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
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w,die iY` ,N,b". �� 2 5i'
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
(��'a. O O x.0125$ �`� �
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surchazge(Minimum Fee of$.SO)
(p O D�D. OO x.0005 $ J, ��
(conVact price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ! ���Q
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged 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 materiat,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.
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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: �-��—O�
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ITY OF ORONO CALLED I 5 Z �-� 1 S
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� DESCRIPTION �-�- � �'`�`���� � " ���X�� ( �
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� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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 COMPL4INT
� 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
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❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnedContractor o�t :
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D TE TIME �
ITY OF ORONO CALLED IN � ��
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PERMIT NO. COMPLETED
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� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING Rt 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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INSPECTOR WILL RETURN
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Call forthe next in pection 24 hours in advance. �95Z� Z49-46��
Owner/Contrac n si e:
Inspector.
White Copylinspector's File Canary CopylSite Notice
Cv ��� AT TIME V
CITY OF ORONO CALLED IN �`�
INSPECTION NO.T,���� SCHEDULED ��-(_-D : O
PERMIT NO. 0`� �� COMPLETED
ADDRESS D �
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y 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 IIdSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN
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❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (g52) 249-46�0
OwnedCont o ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� � �"—`" DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT E SCHEDULED 3 �8� GO'•3 C�
PERMIT NO. �d COMPLETED
ADDRESS � G%C�Od-
OWNER CONTR. �� < ` �
TELEPHONE NO. � �a � D^l�
� DESCRIPTION � -_ ���-G`'L_
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❑ 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
_ ❑ PLUMBING RI ❑ SEPTIC FINAI ❑ HARD COVER REMOVAL
J MBING FINAL }��, ❑ FOUNDATION/REMOVAL
OWNER/C TRACTOR TO MEET YOU/YES_NO
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INSPECTOR W{LL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑IPISPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours irt advance. (g52) 249-4600
Owner/Contractor on site•
Inspector. � �
White Copyllnspecto�'s File Canary CopylSite Notice