HomeMy WebLinkAbout2001-P04052 - plumbing w PERMIT �
C�TY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po4os2
Crystal Bay, Minnesota 55323 Permit Type: F�X�res
(952) 249-4600 Date Issued: �i9i2oo1
SITE ADDRESS: 3800 Shoreline Dr
Wayzata, MN 55391
P��: 17-117-23-33-0007
DESCRIPTION:
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PPOpOS0C1 USO: i�c�iiiciiiia�
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: $ 50.00 Valuation: $ 4,000.00
State Surcharge Fee: $ 2.00
TOTAL FEE: $ 52.00
APPLICANT: Northridge Plumbing Co., Inc. OWNER: Mark Brewer
6960 Madison Avenue W. 3800 Shoreline Dr
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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I A RMITEE I NATURE ED BY SIGNATURE
�ignitures Required), 1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1
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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 sepuate 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 APPLICATTONS WILL NOT BE PROCESSED. If yog have
questions, ca11249-4600.
Please check one: New Addition Repair �_ Replace
Residential � Commercial
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JOB SITE: � Zip: �cj
Owner's Name: w Telepho e umber: -
Niailing Address: 7 City: � � Zip: S��(6,c�_
Contractor's Name: Tele hone 1�'umber: � 7(03 �-J�v�
Mailing Address• I City: �ip: S5�-��
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Sottener
Dishwasher Wet Baz
Sillcocks Misc (list)
PERNIIT TEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) ,�
��� x .0125 $ ��
(contract price)
2. State Surcharge. ** Add the State Building Code Division .�
Surcharge to each permit. � x .0005 $ a .
(contract price)
or $.50, whichever is greater
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 dollaz amount charged for the permitted
work including materials, labor, profit, and other fiaed costs. It is the amount.to be chazged to the
customer for the work done. If any material, equipment, labor,or installation aze furnished by the owner,
tenant or any other party the reasonable mazket 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 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 lnspectional 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: `= ..Ad. Date: ��
��� DATE TIME
CITY OF ORONO CALIED IN
INSPECTION N TICE SCHEDULED � �
PERMIT NO. O � COMPLETED � G ZS
ADDRESS��L�a �
OWNER .�li(Gr���C�t-t�-'� CONTR. I�C���� P���'-�.
TELEPHONE N0.�S� �7a -�1�3 '-� ��a `� �� - �J'3�'`
� DESCRIPTION��� ��U�-�J •
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATIGN 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 O6 PAOGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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_NO
� COMMENTS:
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� �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W �O CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTIONREQUIRED.CALITOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContr ctor on site:
Inspector�,�/J�U����'�
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE ^� SCHEDULED � .3
PERMIT NO. 't��)Sd. COMPLETED � > <<'f` ' -'�J
ADDRESS��� � � ���P I � tl� I � •
OWNER ���c k r?� E� CONTR. Cn1�.-�l
TELEPHONE NO.�SZ���- �� ��
� DESCRIPTION V�"I��� i�r��Cc.it
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FfiAM�NG 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
r 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOYAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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��ORKSATISFACTORY:PROCEED �ROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REfNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS.
Ca11 forthe next inspection 2a hours in advance. (952� 249-4600
OwnerlContractor on site:
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Inspector. �,/��,�'� C-- �� -��%'
White Copyllnspector's File Canary Copy/Site Notice