HomeMy WebLinkAbout2001-P04572 - plumbing --� PERMIT
�ITY OF ORONO
`2750 Kelley Parkway- PO Box 66 Permit Number: Poas�2
Crystal Bay, Minnesota 55323 Permit Type: F�Xtures
(952) 249-4600 Date Issued: loi3v2ooi
SITE ADDRESS: 3333 Shoreline Dr
Wayzata, MN 55391
P I D: 20-117-23-11-0024
DESCRIPTION:
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PTOpOSCCl USe: nc�iucii�iai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,600.00
State Surcharge Fee: $ 1.30
Misc. Fee: $ 1.50 �
TOTAL FEE: $ 37.80
APPLICANT: Southtown Plumbing Inc. OWNER: Rick's Super Value
6636 Penn Ave S 3333 Shoreline Dr
Richfield, MN 55423 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 1VIINNESOTA BUII,DING CODE REQUIREMENTS.
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A PLI AN PERMI 'EE 1 NATURE I SUE BY SIGNATURE
Copies: 1-File(Signitures Reguired), 1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1
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PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
� +n(���'�— x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e 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 chazged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be chazged to the
customer for the work done. If any material, equipment, labor,or installation are fumished by the owner,
tenant or any other party the reasonable mazket value of such items must be added to the esti�nated cost
or contract price for pemut 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.
** 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 Jnspectional 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 statemen�s�made on this application are complete, true and
correct. �� i'
Applicant's Signature: ,� Date: ��zl `�
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CITY OF ORONO APPLICATION FOR PLU'�BING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, 1VIN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City o�ces.
2. Permit cards will be sent by retum 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 pemuts 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 ���orl� musr be done in 3ccerdance with the State Code reauirements.
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 WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
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Please check one: New �Addition Repair Replace
Residential ✓Commercial
JOB STTE: .����� S.,q/�a�_(, �� D�2 Zip:
O�vner's Name: Telephone Number:
Mailing Address: City: Zip:
Contractor's Name:� ( Telephone �umber: ���- �o -��17
Mailing Address• ���„ �r,,,o R,� e ��_City: � Zip: ,5-.��?
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS�iT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
��ater Closet Fioor Drair.s
Lava�ory Sewer Ejector K
Bathtub Laundry Tray
Shower Washer
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Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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��`n` � c:`f'�`J • i,� r1�G� • DATE TIME
ITY OF ORONO ��L��-{�-�CALLED IN
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INSPECTION N ICE ! SCHEDULED 10-3 O -
PERMIT N0. � S OMPLETED iv�3��'CJ� ��p U
ADDRESS j 33� c� ��t�;�)i r� � !��"c IC � ✓�
OWNER CONTR. ���4-h�l.��� f�I U•�� -
TELEPHONE NO. L�'I C� 3C�� 0���10 ^ I1Pc,c•'1 f�e��
� DESCRIPTION /�%'�� �1�� �r'l S — (�/�-li�<�
� 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 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 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��10
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
�CITATION ISSUED
❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� 249-Q6QQ
Owner/Contractor on site:
Inspector. �i G�Y�(`��
White Copyllnspector's Ffle Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION N TIC SCHEDULED � -- '_ _ _
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PERMIT NO. `� � COMPLETED ��� `� ��O
ADDRESS �"�--�,��� �f'�-e�.� rv� �� ��C� c/C s l��
OWNER CONTR. �dZc�`-� ��W"�. ����,/,�-
TELEPHpNE NO? tl �� ls� -' 3 O.S��
� DESCRIPTION f�� �rS (.�'��t /� ��-"� � , �l�d/ ��/'�•,�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAVIGRADING/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 NOOK-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 RI 23 SEPTIC F AL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
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PERMANENT
❑CORRECT UNSAFE CONDITION WITNIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-460�
OwnerlContractor on site:
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-nector's File Canary Copy/Site Nodce
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION, OTICE SCHEDULED _ 0-�3— ��G
PERMIT N0. � COMPLETED
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ADDRESS � �J1��
OWNER �1.C�� S� l✓ CONTR. t,'ytJ -
TELEPHONE N0. 1��;�_��� . 8J�
� DESCRIPTION
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS
y 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
iCCJF�ING RI 1' 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� ING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WORK,CALL FOR flEINSPECTION TEMPORARY
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PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARFANCaE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� 249-46�0
OwnerfContr ctor on site:
Inspector.��,cil� �(.�I
White Copy/lnspector's File Canary CopylSfte Notfce
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE�/ SCHEDULED L/-/S- �
PERMIT NO. �7 � COMPLETED ',��
ADDRESS_,�?J 3 � ��'-t-�—� � � ��
OWNER CONTR.s�f�.����_�r-
TELEPHONE NO. /��� �1���. ��-� /
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� DESCRIPTION � � /v�� '
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING ` 13 MECHANICAI 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 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 0�� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J�0 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (952� 249-46��
Owner/Contractor on site:
Inspector._ �-r�
White Copyllnspector's File Canary CopylSfte Notice