HomeMy WebLinkAbout2002-P05504 - plumbing PERMIT
C� i � F ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Posso4
Crystal Bay, Minnesota 55323 Permit Type: FiX�res
(952) 249-4600 Date Issued: s�i4�2oo2
SITE ADDRESS: 1420 Shoreline Dr
Wayzata,MN 55391
P I D: 11-117-23-22-0015
DESCRIPTION:
Proposed Use:
Permit Class: Plumbing
Pernut Type: Fixtures Pernut Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: PernutFee: $ 457.25 Valuation: $ 36,580.00
State Surcharge Fee: $ 18.29
Misc. Fee: $ 1.50
TOTAL FEE: $ 477.04
APPLICANT: Lake Side Plumbing&Heating Inc. OWNER: David Feldshon
12469 Zinran Avenue S. 1420 Shoreline Dr.
Savage, NIN 55378 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.
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APPL[CANT YERMITEE SIGNATURE SUED BY SIGNATURE ��
Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway) .
Crystal Bay, MN 55323
GENERAI�INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cazds will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII.. 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 sepazate 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 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WII.,L NOT BE PROCESSED. If you have
questions, ca11249-4600.
Please check one: � New Addition Repair Replace
�� Residential Commercial
JOB SITE: I y� 0 S/�v r Z Ii�I C !�r, ✓-c- Zip:
Owner's Name: �^7,����s Telephone Number:
Maili�lg Addt'ess: l��/L �/'t'IC P.a- �o�� � 1/U City: S�e�Pru,;�� Zip: ..5 5.3��L/
Contractor's Name: n - Telephone 1�Tumber: 9.s.��y=�e�
Mailing Address• �' i Zi
1246�Zi�ran Aue t3'� p:
Saveg8�MN 55378
PLUMB�TG FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS�iT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet j �. .3 Floor Drains �
Lavatorv I � � Sewer Ejector
Bathtub f Laundry Tray ���� �
Shower � � � � Washer
Kitchen Sink .� Water Heater .z
Disposal � � Water Softener
Dishwasher � � Wet Bar
Sillcocks � Misc (list) � -3
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PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
3� ��s� � x .oizs $ y.5 7 �-s
. (contract price)
2. State Surchar�e. ** Add the State Building Code Division �
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Surcharge to each permit. �cos b� — x .0005 $ /�l
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERNIIT FEE (Add lines 1-3 above) $ �/77°`f
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged for the permitted
work including materials, labor, profit, and other fued costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor,ot installation aze furnished by the owner,
tenant or any other party the reasonable market value of such items must be added to the estunated cost'
or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciiy may request the submission of a signed copy of the actual contract.
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** 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 Inspectional 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. �
Applicant's Signature: Date: �/� OG
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N ICE SCHEDULED R-�� � ='? �Al�
PERMIT N0. U COMP�ETED
ADDRESS ���G cS r'� (�^-L OJ2•
OWNER CONTR. L��--�CcS�c.� ���/w-�
TELEPHONE N0. 7 S^� �Y 7CO d0
� DESCRIPTION
� 01 FOOTING t i MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
Q
09 PIUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v G F��- 36 FOUNDATIOWREMOVAL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
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W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
OCORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for th next inspection 24 hours in advance. (g52) 249-46��
OwnerlCon n site:
Inspector.
White Copyllnspector's Ile Canary CopylSite Notfce
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/�_DAT� TIME
CITY OF ORONO CALLED IN � �+�
INSPECTION N cl SCHEDULED ���ZS�3 g:�o
PERMIT N0. ��7 COMPLETEO
ADDRESS ���
OWNER CONTR.
TELEPHONE NO. 9S Z �� �F �� O
� DESCRIPTION � �'���
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z U4 WALL BD• 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 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 HI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� RK SATISFACTORY:PROCEED PRW ECT COMPLETE
W O CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 O CORRECT WORK,CALL FOFi REINSPECTION TEMPORARY
V BEFORECAVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
�NSPECTOR WILL RETURN p CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnedCon on site:
Inspector.
WhNe Copyllnspector'a File Canary CopylSite Notics