HomeMy WebLinkAbout2000-P03423 - plumbing PERMIT
CITY-OF ORONO
27�0 Kelley Parkway - PO Box 66 Permit Number: Po3423
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(612) 249-4600 Date Issued: i2�2��20
SITE ADDRESS: 40 Smith Ave
WAYZATA,MN 55391
PID: 02-�i�-23-2i-0002
DESCRIPTION:
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Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Fixtures>3
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 75.00 Valuation: $ 6,000.00
State Surcharge Fee: $ 3.00
TOTAL FEE: $ 78.00
APPLICANT: JERRY ANDERSON PLUMBING OWNER: ED&CAROLYN JENKINS
9506 STANLEY Ave S 40 SMITH AVE
BLOOMINGTON,MN 55437 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITN ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIIZEMENTS.
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APPLICANT PERMITEE IGNATURE SSUED BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
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CITY OF ORONO APPLICATION FOR PLU'�iBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 '
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GENERAL INFORMATION
1. You may apply for plumbing pernuts by mail or in person at the City offices.
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 properry owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a sepazate building permit must be ob[ained.
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 you have
questions, call 249-4600.
Please check one: New � Addition � Repair Replace
Residential Commercial
JOB SI'TE: �C� �/�1/�� �,''�'� ZiP:
Owner's Name: �v J� ��:c<:+�y Telephone Number: � - , : -� "'� �: Lj :?
Mailing Address: S�.f'�� City: Zip:
Contractor's Name: �/�C�:�v �1c%��1�-�' �lu«���' Telephone I�umber:
Nlailing Address: %�6 Sft.� 4- City: ����v�K•��� Zip: sly 3�
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS:�iT 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 Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT F'EE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�,, c-� c� �� �� x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(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 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 installation 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 Ciry 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 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.
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Applica t g �
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DAT�/ TIME
CITY OF ORONO CALLED IN �— �7• G�� ��' `3 d
INSPECTION NOT ' / SCHEDULED J - v �
PERMIT NO. U 3 `��3 COMPLETED � 2��� ' �
ADDRESS �� ��� �"-Q�
OWNER ' CONTR. '���
TELEPHO NO. �Sa �,� O
� DESCRIPTION�-��'c.�-� C� � �R. � ���L�
tL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 0�-F1NAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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09 PLUMBING RI� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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� �❑ CORRECT WORK&PROCEED !- ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. i PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ! CITATION ISSUED
i=�i INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
Owner/Contra tor on site:
Inspector.
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