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HomeMy WebLinkAbout2000-P03465 - plumbing _ PERMIT � �;ITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po346s Crystal Bay, Minnesota 55323 Permit Type: F�Xtures (612) 249-4600 Date Issued: �it6�2oo SITE ADDRESS: 2130 Shadywood Rd WAYZATA,MN 55391 P I D: 17-117-23-42-0020 DESCRIPTION: �,--��_, PTOpOSeCI US2: nc�iucuiiai Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Fixtures>3 DETAILS: • Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 266.20 Valuation: $ 21,296.00 State Surcharge Fee: $ 10.65 Misc. Fee: $ 1.50 TOTAL FEE: $ 278.35 APPLICANT: LAKESIDE PLUMBING&HEATING 1 OWNER: DONALD F HAGEN TRUSTEE 12469 ZINCAN AVE S 2130 SHADYWOOD RD SAVAGE, MN 55378 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 REQU[REMENTS. �, � -� �� ���! /;' � � � APPLI A PERMITEE SIGNATURE L� SUED BY SIGNATi.JRE Copies: City,Applicant,Assessor,Finance Page 1 • �� � . �� ' � � �} - CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) .,. Crystal �ay, MN 55323 :���;1 GElVERAL L�'OR��iATION . i. You may apply for plumbing permits by mail or in person at the City offices. 2. Pemut 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. I 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 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: � New Addition Repair Replace Residential Commercial ,�-x��� JOB SITE: �2 I 3 u S l�u-C�t�, ��s- +e C�c.� r1� Zip: j.5 3S'7 Owner's Name:�-���,�p�, ��„�h,��, ,i✓/�9�s Telephone Number: i 3 a-yy 3- 3��� L, Mailing Address: i bD I a (=z.-,s , �� f�'�r,!y e. City: f r.�'t'��r��.„� -c•Zip: S S 3�� Contractor's Name: ,�,� �I;� �iu.�b,.�� Telephone Number: ys.z ;Y:��-��c r: Mailing Address: j���� J �, n.-�t„ /�v�� City: ��c 4��t. Zip: �-�3��_ PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER i TYPE FL FL TYPE FL FL Water Closet j -►lc� � � Floor Drains � � � Lavatory - /�� ,j i Sewer Ejector Bathtub � � Laundry Tray � Shower � - �� ;� Washer Kitchen Sink I Water Heater Dis osal Water Softener � P 1 Dishwasher � Wet Baz ( Sillcocks Misc (list) ( � 5,,�M p � M ' � PERMIT �'EE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) d212clov`' x .0125 $ a � � Z`s - (contract price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ %L� �s (contract price) � or $.50, whichever is greater 3. Postage and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � 7 f�3� * CONTRACT PRICE or JOB COST means the actual or estimated dollar 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 material, equipment, labor,or installation are fumished by the owner, tenant or any other party the reasonable market value of sucn items must be added to the estii7�ated cost or contract price for pemut 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 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 correct. Applicant'sSignature: ,������ i�_�C�s�- Date: /—� t-- �G'� � . ✓ CITY OF ORONO CALLED IN /.3 ITE u ' !'TZS_ �'M � INSPECTION NOTICE SCHEDULED 2 -I- U I ) J :c�vA� PERMIT NO. 3 y� COMPLETED C� � ADDRESS t� I � U �/)C�CX����GG� �CO, OWNER CONTR. L�-S���-- ��vw6"`�, TELEPHONE NO. ��n2 r d g� � ! �O �� � DESCRIPTION �� v;nS v�-.� lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 9 PLUMBING 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10� BING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � w a � J O � � O � W � Q � Z W � W � j �RKSATISFACTORY:PROCEED CI PROJECT COMPLETE W W ❑ CORRECT WORK 8,PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContractor te- Inspector. White Copyllnspector's File Canary CopylSite Notice '('(`��" q�✓ (� � DATE TIME � CITY OF ORONO c.r 1 �3 CALLED IN a'l-U I 8"" 3 �C� INSPECTION NOTI E /�, SCHEDULED o�a�O � �P�M PERMIT NO. 3��-�w COMPLE�� � ADDRESS ��3� S/1 �C��� � OWNER CONTR. ��el/2- (�G� �C TELEPHONE NO. �S� � � �� ' ��� � � DESCRIPTION � J � 2 ��S � G� ��'�' '1 �� �S� lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING ��r• � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS �L � Q 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP � 09 P�UMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � w a � J O � � O � �u � Q � Z W � W . � j d f�WORK SATISFACTORY:PROCEED � PROJECT COMPLETE � ❑ CORRECT WORK&PROCEED �: ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ STOP ORDER POSTED.CALL INSPECTOR f CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspectior�'24 hours in advance. 249-46�� OwnerlContractor o �-� i Inspector. ��--' White Copyllnspector's File Canary CopylSite Notice ✓ DATE T� CITY OF ORONO CALIED IN z����o �`� � � INSPECTION T C G.� SCHEDULED ''� `''� i� ( �C1�G- PERMIT N0. �� / � COMPLETED �' � � ADDRESS 3 � OWNER ' ONTR. ..� TELEPHONE NO. / �s2 �S J�j! ��o O� � DESCRIPTION �,- ,��� � 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRAOING/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 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO�FINAI_� 15 SEPTIC INSTALL. 22 FOLLOW-UP � 09 PLUMBING RI _�% 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a J �"'�� 0 � � 0 � W � Q � z W � W � � � � �IORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W�❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETUFiN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. GZ White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN � /7 D/ �/�'� INSPECTtON NO CE / C SCHEDULED g 0 ' � PERMIT NO. �D 3�y LO✓ COMPLETED -J — � ADDRESS ,�(�� Sr1 G�o'��C%�-'� � OWNER CONTR. �-�� ��� ��t` TELEPHONE NO. �5,� �'c�� _ —7� Q� � DESCRIPTION _ ���umh�r�� `� t- i/ia / lL 01 FOOTWG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL 8D. 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 0 PLU G FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTR OR TO MEET YOU:_YES_NO Z � O ENTS: � /A�/� ,, / � � �!�V' �/`c-C`c.�(-�-�1 �'Cc '��'� o _� - v � �� �` �. - . - ,.,� 0 � W �� _� Q %r�l� � � z W � W � � d �JORKSATISFACTORY:PROCEED �OJECTCOMPLETE � �❑ CORRECT WORK&PROCEED �G ISSUE CERTIFICATE OF OCCUPANCY O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. — pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContr on site: Inspector.��r���ti���2 White Copyllnspector's File Canary CopylSite Notice a � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED � �`i ,�� PERMIT NO. �� COMPLETED '�-�' "� �:-3d ADDRESS � �✓����� �-�C OWNER CONTR. ' cf-/���-. TELEPHONENO. �5��� � y� I � DESCRIPTION �''��` �( �L� � Ot 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 NOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT - v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � � /�WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ( O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952� 249-46�� OwnedContra on site: Inspector., , �f��'��� White Copyllnspector's File Canary CopylSite Notice