HomeMy WebLinkAbout2003-P07039 - plumbing CITY OF OR N PERMIT
`' � � permit Number:
2750 Ke�ley�Parkway- PO Box 66 P07039
Crystal Bay, Minnesota 55323 Permit Type: FiX�es
(952) 249-4600 Date Issued: ii�2ai2oo3
SITE ADDRESS: 2229 Shadywood Rd
Wayzata,MI�155391
PID: 17-117-23-43-0144
DESCRIPTION:
Proposed Use: Kesidenriai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Mulriple Fixtures
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 61.25 Valuation• $ 4,900.00
State Surcharge Fee: $ 2.45
TOTAL FEE: $ 63.70
APPLICANT: Doug Linden Inc (See Comments) OWNER: Pat&Sarah Donalan
5747 SE 57th St 2229 Shadywood Rd
Delano,MN 55328 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SfRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SI'ATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLIC E ITEE SIGNATURE SSUED BY SIGNATURE
Cooies: 1-File(SiQnitures Required), 1-Aoplicant 1-Monthlv Renorts, 1-Assessin¢, 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 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 pernut 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
JOBSITE: �Z2`fi �`ZCL�- I�ivC% ��' Zip: ;
Owner's Name: �c, r��lC �l ' d'�-t� . ��ne Number:
Mailing Address: c� � City: �i"��°2� Zip:
Contractor's Name: � ,r,�- �;�¢�•�, ' 2 L� Tele hone Number: �!Z --Z yZ -�S� c'�. �
Mailing Address: y 5� S� � 5t. City: /� .� u�c� Zip: �'�I� ,
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � � Floor Drains
Lavato � � Sewer E'ector
Bathtub � Laund Tra /
Shower ( Washer �
Kitchen Sink Water Heater
Dis osal Water Softener
. .
Dishwasher Wet Bar
Sillcocks � Misc (list) `
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes, This Section Applies
The replacement of a Residential fixture or a�liance 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)
�qoo. ov x .0125 $
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .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) $
* CONTRACT 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 that all statements made on this application are complete, true and
correct.
, � �� ,�03
Applicant s Signature: Date: l /
✓
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION �IC SCHEDULED � e �'s�
PERMIT N0. COMPLETED
ADDRESS a � ��
OWNER CONTR. � '�
TELEPHONE N0. - - ?� �
� DESCRIPTION G� t ` � ' r
W 01 FOOTING 11 MECHANICAL RI . 18 EXC V/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAK HORE/WETLANDS
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O 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 COMPLAIM
`� 0 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
_�LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUM8ING FINAL 36 FOUNDATIOWREMOVAL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONOITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CAL�INSPECTOR �CITATION ISSUED
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Call for the next in tion 24 hours in advance. (952) 249-46��
OwnedContractor s'
Inspector.
White Copyll�spector's File Caoary Copy/Site Notice
� DAT TIME
CITY OF ORONO CALLED IN 3'
INSPECTION N TICE SCHEDULED -O %oo
PERMIT N0. D 7�� � COMPLETED
ADDRESS a aa�
OWNER CONT . L�?.�.
TELEPHONE N0. � �v �Z 2�Z- $��n
� DESCRIPTION ��� • ��
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG
Q 02 FRAMING 13 MECHANICAL fINAL 19 LAKESHORE/WETLANDS
O03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q �INAL �� 14 SEWER HOOK-UP O6 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�LUMBING FINAL�� 36 FOUNDATION/REMOVAL
� NER/CONTRACTOH TO MEET YOU:_YES_NO
y COMMENTS:
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W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORE C01/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION RE�UIRED.CALI TO ARHANGE ACCESS.
Call for the ext inspection 24 hours in advance. (952) 249-4600
OwnerlCo o site:
Inspector.
White Copyllnspecto a File Canary Copy/SNe Notice