HomeMy WebLinkAbout2007-P11629 - plumbing }
PERMIT
'1T=r► OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11629
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
10/29/2007
SITE ADDRESS: 2248 Shadywood Rd Unit#
Wayzata,MN 55391
PID: 17-117-23-43-0126
DESCRIPTION: _
Proposed Use: �� �1�}p,w;lttc„�,
Permit Class: Plutnbing
Pernut Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 186.25 Valuation: $ 14,900.00
State Surcharge Fee: $ 7.45
TOTAL FEE: $ 193.70
APPLICANT: Grupa Mechanical Contractors Inc. OWNER: Jeff&Sandy Thole
12180 197th Court NW 2248 Shadywood Rd
Elk River,MN 55330 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.
/ _
APPLIC PERMITEE SIGNATURE I UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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P.O.Box 66 =�t�, ���"���i��i � �
2750KelleyParkwaY ���i i� �3���� � ��� "7;,��s�zr,,;� '������_,����
� � Crystal Bsy,MN 55323 ��_ �'� ` ^'�nP�' '�� ,t� �
(952)249-4600 '"�`����s;u,�.'�'�i�..,' �' �5a ,.,C�„ � ,�,'�r*�;*�^��s��
CITY OF ORONO-PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
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l. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
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 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)
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�Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs [g R place
❑ In Accessory Structure?
*You will need nrior aonroval and may need CU.P.(Per Orono City Code,Chapter 78,Article IV)
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Site Address: _���� J��U'jLJaDp �i�•
Cun�T�
�ei': Y��►'C D� L,���i►�s Mailing Address: /b2-l.J, �*�'S-r•
City: l�I��ASI�A� Zip: SS3J 1�
Home Phone: 9�a-31���a 93� Alternate Phone: �/�- a.S�-975a
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Contractor: V1��PA �F�c-�• Contact Person: �2�}'D �i2U�°�
Address: ��-1$�- I 47 t�Cf' y�,�. State Bond#: g��_ �S- �7)a9-c��
City: �LI�. Q-►V� Zip� Expiration Date: 1 � ' � � � �-flb`r'
Phone: 7b3 ``�y�'S 3�a Alternate Phone:
� Insurance-Current:
1
FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OTI�R
TYPE FL FL TYPE FL FL
Water Closet I Z Floor Drains •1
1
Lavatory � � Sewer Ejector
��b � Laundry Tray '
Shower j Washer �
Kitchen Sink f Water Heater
Disposal ' Water Softener
Dishwasher ' Wet Bar
Sillcocks � Miscellaneous
❑ Yes,this section applies
The replacement of a Residentiai fixture or apnliance 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;excludine 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 Permit Fee $
(Permit Fees Continued On Next Page)
2
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
rl0 �
x.0125 $
( ontract 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
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 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 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 Building Department at(952)249-4600 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's Signature: Date: ��--o?9-d �
� 3
� DA TIME v
CITY OF ORONO CALLED IN !� ��
INSPECTION N TICE SCHEDULED � '� �-'�
PERMIT NO. ���a COMPLETED
ADDRESS �a�8 �h ��-
OWNER CONTR.�Q /f/t���
TELEPHONE NO. ��P 3 " �� � " S�61J
� DESCRIPTION �! ����n _L__
� ❑ FOOTING ❑ MECHANICA I ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI � SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNEHICONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W �CORRECT WORK 8�PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the ext inspection 24 hours in advance. (J52� 249-46��
Owner/Con site:
Inspector.
White Copyllnspector's`File Canary Copy/Site Notice
� � � ATE TIME
CITY OF ORONO �` CALLED IN � a 8
INSPECTION TIC� ��Z9 SCHEDULED / �g �� d
PERMIT NO. COMPLETED
ADDRESS �a 7�' �hQ G(JOOG�
OWNER CONTR.
TELEPHONE NO. ` ' ��8 —.�l - < C��
� DESCRIPTION /�/ • �
� ❑ FOOTING � MECHANI RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ 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 '�PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORKSATISFACTORY:PROCEED PROJECT COMPLET
� D CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDIT�ONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (952� 249-4600
Owner/Contr i e
Inspector. �
White Copyllnspector's File Canary CopylSite Notice