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Home My WebLink About2007-P11372 PERMIT CIT�Y O'r ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P11372 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 8/27/2007 SITE ADDRESS: 2237 Shadywood Rd Unit# Wayzata,MN 55391 P�� 17-117-23-43-0129 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 15.00 valuation: $ 500.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 15.50 APPLICANT: Owner/Self OWNER: Paul Cherba NIN 2237 Shadywood Rd 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. � ��l� (l��/��,�Y� G}�/�� ,,.. � APPLICANT P RMI E S[GNATURE ISSUE BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, ]-Septic) Page 1 � - • � I FOK CI'TY tSE O�LY ' ' /�0A�� City of Orono �� `r P.O.Box 66 Date Received: Permit# ��;;,.y,,. � 2750 Kelley Park�vay a "�'��'� C stalIIa �j.. ,�--. ry y,MN 5�323 Approved By: •�• Amount$: ��( ��,='�y.o� (952)249-4600 � ��$w �r�Ho CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved Uy the Building Official or Inspector) �GENERAL INFORMATION 1. You may apply for plumbing perrnits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Pernut cards will be sent by retuin 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 pemut 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 OF PERMIT � (Check All That Apply) esidenti�l ❑ Commercial(Approval Required) � ❑ New ❑Additional. ❑Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site/Owner Information: � �w�� Site Address: �i L �� r-, �,�� Q /� ,. Owner: � ��V� ''�`� '� Mailing Address: �1��-- C�s�� c�ty, z�p: Home Phone: � L �- v� `��`i1 Alternate Phone: Contractor Information: Contractor: Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alten�ate Phone: ❑ Insurance— Current: 1 � � , !'` PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 ' OTHER FIXTURE BSMT 1 2' OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub �� Laundry Tray Shower j'°� Washer `v Kitchen Sink Water Heater F, ; Disposal ;--� Water Softener Dishwasher �`;, Wet Bar Sillcocks Miscellaneous PEP.I`✓II'i' FEE Ct�LCULATIrJT:(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies Th replac ent 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; excludin�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 Pernut Fee $ (Permit Fees Continued On Next Page) 2 r � � . , � . PERMIT FEE CALCULATION(S -JOBS OVER $500.00 If abwe does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) x.0125 $ (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x .0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 �� o G � �- 4. TOTAL PERMIT FEE(Add Lines 1-3 Abo $ �. ■ * CONTRACT PRICE or JOB C means the actual or estimated dollar amount charged for the pernutted work including materials, la r, 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 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 puiposes. 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. PLUMBING PEF.MIT APPLICATION AGREEMENT 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. � , � � �� Q��— ��s�, � L Applicant's Signature: Date: J 3 �,-� ATE TIME V �� t� (D'�l �ITY OF ORONO CALLED IN � INSPECTION N T C SCHEDULED �r��-=-�-� r .b�, PERMIT NO. y �� COMPLETED ADDRESS � � � � L� � OWNER �� C��CONTR. TELEPHONE NO. �.-P � � " a�� - � o � � � DESCRIPTION � �� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 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 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTAIL. 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: a � � , � � ti 0 a � 0 � W � Q � Z W � W � j d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑COFRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED G INSPECTION REQUtRED. ALLTO ARRANGE ACCESS. Ca11 tor the ne t inspection 24 hours in advance. (952� 249-4600 OwnerlConfr' r o 's te: � Inspector. White Copyllnspector's File Canary CopylSite Notice �v` � 1 ` E TIME v ITY OF ORONO CALLED IN / �� INSPECTION N CE SCHEDULED � � ° :_�� PERMIT N0. � COMPLETED � ADDRES OWNER ' CONTR. TELEPHONE NO. t�' - a I O ` L � ( � DESCRIPTION �-�� I� \X!1�.��`� � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PIUMBING FINAL 'n/ ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOy:,�YES_NO V\ � COMMENTS: � W a � J O �. � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN �NSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor o s�te: Inspector. ��.�—/J,�, �� White Copyllnspector's File Canary Copy/Site Notice