HomeMy WebLinkAbout2002-P04900 - plumbing `� PERMIT
CI�`Y O� ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P04900
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(952) 249-4600 Date Issued: 2iiai2oo2
SITE ADDRESS: 2200 Shadywood Rd
Wayzata,MN 55391
PI�: 17-117-23-42-0006
DESCRIPTION:
Proposed Use: Kesidenriai
Permit Class: Plumbing
Pernut Type: Fixhzres Permit Sub-type(s): Multiple Fixtutes
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 262.44 Valuation: $ 20,995.00
State Surcharge Fee: $ 10.50
TOTAL FEE: $ 272.94
APPLICANT: Westonka Mechanical Inc OWNER: Brenshell Dev.
6501 County Rd 15 P.O.Box 125
Mound,MN 55364 Mound,NIN 55364
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
M SOTA BUILDING CODE REQUIREMENTS.
O s �` �
r ,%.
�'�-�C, ' .(� C����c i1 /��
� � ,
APP AN PERMITEE SIGNATURE ISSUE BY SIGNATURE
Conies: 1-File(Si�nitures Required), 1-Avnlicant, 1-Monthlv Reuorts, 1-Assessin�, 1-Finance Page 1
��
. i
�
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 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 the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952) 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 (952) 249-4600.
Please check one: New Addition Repair Replace
Residential Commercial
JOB SITE: ��� Q . Zip:
Owner's Name: � Telephone Number:
Mailing Address: City: Zip•
Contractor's Name:��,� � �C�,(`����-. Telephone Number:�.5'd� �a'�-{��
Mailing Address: 5 Cit Zi � �l
C� C��S'�t� r�1. )�" Y� Mbt���, p: Ss3(c�-
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains �
Lavato � L Sewer E'ector
Bathtub O� Laund Tra �
Shower � � Washer
Kitchen Sink l Water Heater �
Dis osal � Water Softener �
Dishwasher l Wet Bar
Sillcocks � Misc (list)
V T
PERMIT FEE CALCULATION(Sl
2002 State Statute ❑ Yes, This Section Applies
The replacement of a Residential fixture or a�pliance 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; excludin� the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00)
�, �G}S ,(�(� x .0125 $
(contract price) (minimum $35.00)
2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
(contract price) (minimum $ .50)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* COIVTRACT PRICE or JOB COST means the actual or estimated dollar 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 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 Department of Inspection 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 t at all statements made on this application are complete, true and
correct. _ _
Applicant's Signature: � Date: a � (�(�
'3e.,
�'1 DATE TIME
tONO � CALLED IN ��
�ON N TICE ��D SCHEDULED � �•UL' �
� NO. COMPLETED
�Ess �Z�c� Sh��-� t�co r'�
�IVNER CONTR. i "]'1P_1�����(mS
TELEPHONE NO. C{�� �� � y� ��
� DESCRIPTION ��Y�-� ��ID
t� Ot FOOTING 11 MECHAN�CAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
Q 03 INSULATIGN 24/25 WOOD BUANER/FIREPLACE 34 TREE REMOVAL
Z 04 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 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATIONlREMOVAL
� OWNER/CONTRACTORTOMEETYOU:�YES_NO
� COMMENTS:
�
W
a
j
� L�' l
� �
�
O
� _
W
� �
Q
ti
2
W
�
W
�
�
d
W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO RANGE ACCES
Call for the next ins e ' 24 h advance. (J52� 249-46��
Owner rac n s'
Inspector. '�
Wh opyllnspector's File Ca Copy/Site Notice