HomeMy WebLinkAbout2002-P05264 - plumbing �
'� � PERMIT
CITY�OF ORONO
275a Kelley Parkway - PO Box 66 Permit Number: Posz64
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: 6iai2oo2
SITE ADDRESS: 1780 Shadywood Rd
WAYZATA,MN 55391
P I D: 17-117-23-21-0024
DESCRI PTION:
Proposed Use: Kesidentiai
Pernut Class: Plumbing
Pernut Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 1,500.00
State Surcharge Fee: $ OJS
TOTAL FEE: $ 35.75
APPLICANT: Northridge Plumbing Co., Inc. (See Comm� OWNER: Robert Nelson
6960 Madison Avenue W. 1780 Shadywood Rd
Golden Valley,MN 55427 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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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required). 1-Applicant, 1-Monthlv Reports. 1-Assessin�, 1-Finance Page 1
.
Mzy-23-2002 12:46pm FrortrClTY OF ORONO +9522494616 T-310 P.001/002 F-953
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CYTY OF ORONO APPLICATYON FOR PLU1VtBING P�RMYT
Boz 66 (2754 Kelley Parkway)
Crystal Say, MN SS323
CyEIv YI�1�'OLMA'I7'ON
1. You may apply for plumbiag permits by usnil or iu person u the City oPf'ices,
2, persnit cards will ba sant by re�ura raail aftar a review is compleced. PERMITS AR�N07 V,�►Y,Y�YJNTIL
YOC7 RECENE A PE1tMTT. W�O ,YS MU3T NOTflEQLN STT�1'�'(L'�3 p�RMIT CtiRD]S POSTFD ON
THE JO�sIT�-
3. Plumbin�permiu may be ieaued OM.Y to llctnsad plumbing contractors aaci w propersy owaen resictln,g
in the dwellin�.
4, Wheu 2ny new conscrucdon or remodelin�is involved, a separate buildiag permit must bt obtained.
S. All work must be done in accordance with the Stato Code requiremanu.
6, All work must be inspecud and air t�sted before it is co�ver�d. Cal! (932} 249.4600. 24-haur aaricc
required.
Tn�ruct�ans Compictt all items an thLs applic;ation, Compute the permit fee, Sign and date the
certifieation. INC�MPY�TE APPLICATIONS WILL NOT BE PROCESSEA. I� you have
qucstions, call (952) 249-4600.
P�case clteck one: New A.ddition Repaix � Replace
Rcsidential Commercial
JC?B SITE: ��f U 5 h,c��:d�J� Zip•
O�cmer's Name:�a�v�P,i /Jc..� Telephot�e Nuxnber:
Mailing Ad�reess: o � - , ? City: ���` Zip:
Contractor'sName:R1��� r�� � urn +� �� TeleghaneNumber:�7�� �i-/g�o
Ma�fi��Add�ress:f�� MAJ 1 r� f�-t;� vJ Cit� cf���ilJ Zip:s��-2r�
PL_UMB]N(�FYXX'T'XL�tE SC���
�IXTURE BSMT 15T 2ND OTHER FTXT(7RE BSMT 1ST 2ND O'I'HER
TYPL' F!. FL TYPE FL FZ
Wa:er Closet � FIoor Drains
Lavaio � Sewer E'ector
Bat�tub Laun 'fYa
Shower Washer
Kitcheu S4nk Water Heatar
Di sal Water Sofcener
Dishwasher Wet Bar
Sillcocks Misc(llst)
��y-23-2002 i2:45pm Frrnr{ITY OF ORONO +p6224C4616 T-310 P.002/002 F-D53 .
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�Fn�rrr � cai,cv�►�arres�
2002 �LA±A �fA1'flfP ❑ Y�, T� s�tioa App��
The replacement of a Residcrnial fixture ar. applia�ce that meeu all three of the followiag
rcquiremenu;
1) Docs not require modification to electrical or gas service.
2) Has a total cost of$SOd.00 or Icss; e c di the cost of tho fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or l�ceaced cozuc~actor,
Skip ncxt scction; Cost of Permit $ _ 15.b0
Statc Surchargc $ .�0
Mai1 In FeE $ 1,50
Yf above does not appty, follow guidelin,cs below:
1, �ontra�t �s�* is .0125 � of job with a �mum �'ee of (�35.001
► ��c�`� x .4125 $ ���
(coacract price) (�ini.�num$35.00)
2, Statp CnrrharvP �* Add the State Building Code Division a (Minimum �'ee of$ .50)
O ��
� � X .OWg $ . 5
(coruract price} (minimum g .50)
3. Po� and T�1andli� (Only rnail-in appl'�^ations) $ 1„�g
4. TpTAIr PERNIIT FEE {Add lines 1-3 above) $ ��� �5�'
* CONTR4CT PRICE o:]OB C�ST uieans tha actual oc cs�imated dotlar amounc chargai for thc permittcd
work including materials,labor,proflt,and other fixed cosq. Ic is the arnoun�to be eharged to che custom�r
for�he work done. If a�y ms.cerial, equipmeryt, labor,or instilation ue furniahed by the owaer, tenant ar
any otbe:party the reasonable market value ul auch iums must be add��o the estimat,.^d cast ar contract
price for permit fct puc'peses. Cn the evenz that there is a dispute on the amoaut of the job cost,the Ciry uiay
reques�the submis9ioa of a signed copy of�acnial�ontract.
�+ The STATE SURCHARC3�ls .0003 of the coauact yrice undcr Ta1,000,000 or $.50•whichever is greacer.
�or valuatious ovcr$1,Od0,000 call tha Department of iaspecaan Sarvices fcr tha price.
The undersigned hereby applies to the City for issuance of a Plumbing Pcimi.t, agrees to do aiI
work in strict a.ccardance with the ordinances af the City aud the regulations of che Sta�e of
Mi.nnesota, a�d certi�ies that all stataments made on this application are complete, true and
corrcct.
A licant's Si ture: �� Dace: ��`�'���
PP 8�
� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TICE SCHEDULED • �'��� ' O
PERMIT NO. � COMPLETED ��
:�
ADDRESS � � � `� /�
OWNER�L��1�v NTR. � .�wr�j
TELEPHONE N0. ' `/� ��— �.3� R�� l�
� DESCRIPTION
� 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
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 �EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEM - 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
09 PLUMBING F31� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlCon t r on site:
Inspector. GZ��/P�
White Copyllnspector's Ffle Canary CopylSfte Notice