HomeMy WebLinkAbout2004-P07339 - plumbing PERMIT
C�T� OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P07339
Crystal Bay, Minnesota 55323 Permit Type: FiX�es
(952) 249-4600 Date Issued: 3�29�2ooa
SITE ADDRESS: 2245 Shadywood Rd
Wayzata,MN 55391
PID: 17-117-23-43-0128
DESCRIPTION:
Proposed Use: xesicientiai
Permit Class: Plumbing
Pernut Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation• $ 1,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: ��er/Self OWNER: Kathleen Sather
M� 2245 Shadywood Rd
Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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AP ICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Covies: 1-File(Si�nitures Required). 1-Aunlicant, 1-Monthlv Renorts, 1-Assessine, 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 INFORMATI0�1
- 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 OIVLY 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: o�o��� � �t a�t� w c-�c� ��� • Zip: .�� °
Owner's Name: j-��{�, sj a-�) ('a„ n o,--5 Telephone Number:
Mailing Address: ,�aYs' .Sl,a�c,����d' f� City:��v�,� Zip: ,�,�?�q /
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Contractor'sName: �-� r� ��K-���� r TelephoneNumber:
� � Mailing Address: City: Zip:
PLUMBING FIXTURE SCHEDULE
t
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
+ TYPE FL FL TYPE FL FL
Water Closet � Floor Drains s
Lavato � Sewer E�ector
Bathtub Laund Tra
Shower x 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 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 licenced contractor.
Skip next section; Cost of Pernut $ 15.00
State Surcharge $ .50
1�1ai1 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)
�
�, T�J x .0125 $
(contract price) (minimum $3�.00)
2. State Surcharge. ** Add the State Building Code Division a (1�linimum Fee of $ .50)
x .0005 $
(contract price) (minimum$ .50)
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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 cosu. It is the amount to be charged to the customer
for the work done. If any material, equipment, labor, or instaliation 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 Ciry may
request the submission of a signed copy of the actual conuact.
** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.50 -whichever is �eater.
For valuations over $1,000,000 call the Department of Inspection Ser�-ices for the price.
The undersigned hereby applies to the Gity 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's Signature:L-- / c_ - Date: �'�9—� �
_ �� �
DAT TIME
CITY OF ORONO CALLED IN L G�y�
INSPECTION NOTICE �} SCHEDULED �/
PERMIT NO. /�� �'��/ COMPLETED
ADDRESS G1 G'C C. Cx,�'�
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OWNER ' CONTR.
TELEPHONE N0. ��, 7� " ����
� DESCRIPTION �i(,(.(�G� /�-��
tL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/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 OS 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 SEP FINAL 35 HARD COVER REMOVAL
J 10 PIUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ;� pH0T0 TAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-4600
OwnerlContracto s�:
Inspector.
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Z04 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 SEPTfC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
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❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
Owner►Contractor y�i�e:
Inspector. , U
White Copyllnspector's Fil Canary CopylSite Notice
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E��DATE TIME
CITY OF ORONO CALLED IN o
INSPECTION NOTICE SCHEDULED �f' �
PERMIT NO.��_�� COMPLETED
ADDRESS oZ��� ��ij�EsQ�d1L?�
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� DESCRIPTION �-��. l°�L.z
� 01 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
Z04 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES NO
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INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (g52) 249-4600
OwnerlCon site:
Inspector. '�
White Copylinspector's Fil Canary CopylSite Notice