HomeMy WebLinkAbout2001-P04574 - plumbing � . PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P04574
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: loi3ii2ooi
SITE ADDRESS: 2060 Shadywood Rd
Wayzata, MN 55391
P ID: 17-117-23-31-9999
DESCRIPTION:
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PiOpOSeC�USe: nc�iuciiva�
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
1 sprinkler line/1 vacuum breaker/sump pump,gas lines to water heater,cooktop
FEE SUMMARY: Permit Fee: $ 386.81 Valuation: $ 30,945.00
State Surcharge Fee: $ 15.47
TOTAL FEE: $ 402.28
APPLICANT: Plymouth Plumbing&Heating OWNER: James Kline&Jacquelynn Kelly
6909 Winnetka Avenue N 2060 Shadywood Rd
Brooklyn Park,MN 55428 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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APPL A T PERM[TEE SI NATURE ISS' D BY SIGNATURE ✓'
�ies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
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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 retum 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 pernuts 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 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 249-4600.
Please check one: x New Addition Repair Replace
� Residential Commercial
JOB SITE: � ` � Zip:
Owner's Name: � �, ` Telephone Number: � c{ L _ Qq
Mailing Address: City: -� �p;
Contractor's Name: �, ` Telephone N ber� � -� 3�j'l
Mailing Address: Q ' City: � ip. �'
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND 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 Misc (list) �
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PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
x .0125 $ �`��� � , _
(c ntract price)
2. State Surcharge. ** Add the State Building Code Division �--7
Surcharge to each permit. O Q �' �� x .0005 $ '�G j��-C 1
( ontract price)
or $.50, whichever is greater
3. Post,a�e 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 dollaz amount charged 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 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 pernut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ci�y 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 Inspectional 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
conect.
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Applicant'sSign Date: -'j�
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �� !CU�.tit
PERMIT N0. �/�7�_ COMPLETED � Y� f o 'be�
ADDRESS��/� C)o��,t,��'�� K��
OWNER CONTR. J�Ic.u6tit � lAI c1�2t.� .
TELEPHONE NO.�l�3 J�'� 3 ' y�S�
� DESCRIPTION G � � ti _ �� �6.L��Cc�
� 01 FOOTING 11 ME HANICAL 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 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 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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��ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL FETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContr r on site:
Inspector. � � �
White Copyllnspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICEr / SCHEDUIED � � ��'�
PERMIT N0. `"���y COMPLETED Q
ADDRESS o2U f�C� ��<�%�-,'u�c,�,�J
OWNER CONTR..����+- l�/�.1n�-23 �
TELEPHONENO.�� �J --s�� � U:jS'�
� DESCRIPTION �-�- ����'�- ���,�
� O7 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 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 INSTALL. 22 FOLLOW-UP
= UMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 NG FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspec ' n 24 hours in advance. (g52) 249-46��
Owner/Contract te:
Inspecto
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION��TI /E� SCHEDULED - —Q .�• �G' �
PERMITNO./� �' 4./ - COMPLETED '� �-��
ADDRESS � � �-��-�c �
OWNER ��--�� C��>n.�� CONTR. �' �-t�! '�i�-"'�
TELEPHONE N0. �I �o � `�' 3 3 �� 7
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� DESCRIPTION G� � ��-C�.��f ti� v- � �Q
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/ ADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNEFi/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46Q0
OwnerlContra tor on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN �_ T_
INSPECTIO OTICE [�� �/�SCHEDULED - �%2- O�'
PERMIT N��� T � �TCOMPLETED � ��Z ��
ADDRESS � c'
OWNER � NTR. �'m-�
TELEPHpNENO. ��0 3 .S 3.� �J �
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUM 23 SEPTIC FINAL 35 HARD COVER REMOVAL
PLUMBING FI�NAL 36 FOUNDATION/REMOVAL
� DRTF� CA T TO M�FE^YOU:_YE _
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W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE
W RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlConUa n site:
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice