HomeMy WebLinkAbout2003-P06121 - plumbing ` � PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway - PO Box 66 Po6i2i
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: 3i24i2oo3
SITE ADDRESS: 12s smithave
Wayzata,MN 55391
PID: o2-1i�-23-2i-ooi�
DESCRIPTION:
Proposed Use: Kesidential
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PernutFee: $ 35.00 Valuation: $ 2,100.00
State Surcharge Fee: $ 1.05
TOTAL FEE: $ 36.05
APPLICANT: Jim Swanson Plumbing Co., Inc. OWNER: Bradley&Pamela Horner
4190 Vinewood Lane 125 Smith Ave
Plymouth,MN 55442 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
MINNESOT UILDING COD QUIREMENTS.
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A IC NT [T S NA U ISSUEDBYSIGNATURE
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Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City off'ices.
2. Pemut 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 perm.its 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 (952) 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 (952) 249-4600. �
Please check one: New Addition �Repair Replace
Residential Commercial
JOB SITE: <� !� Zip:
Owner's Name: , � Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: ` h Telephone Number: � fdt-��,�����
t
Mailing Address:Ty�3 O 3/'i����f'�9���City: Zip:
�►-?lY �-l!� -4�C1�- S-�'��t� .
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laun Tra
Shower x Washer
Kitchen Sink x Water Heater
Dis osal Water Softener
Dishwasher Wet Baz
Sillcocks Misc(list)
PERMIT FEE CALCULATION(S)
2002 State Statute �Yes, This Section Applies
The replacement of a Residential fixture or a� lin ance that meets all three of the following
requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excluding the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below: �
1. Contract Price* is .0125 % of job with a Minimum Fee of($35.001
��QCS � x .0125 $
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
(contract price) (minimum$ .50)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERNIIT 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 fued costs. It is the amount to be charged to the customer
for the work done. If any material, equipment, labor, or installation aze fumished 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 City 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 Inspection Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Pemut, 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 1 statements mad on this application are complete, true and
correct.
Applicant's Signature: Date: ���7 ��
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION N CE SCHEDULED '
PERMIT NO. a COMPLETED
ADDRESS ��� c�/�7/f �'f�/��
OWNER CONTR.���c��SOn P�Uti► .
TELEPHONE NO. �lO��t�� ��i��
� DESCRIPTION �UUrl ' .� �����t�,�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING '
Q 02 FRAMWG 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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMpLPJNT
� 07 D - INAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
09 PLUMBING I 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 1 INAL 36 FOUNDATIOWREMOVAL
OWNERI TRACTOp TO MEET YOU:_YES_NO
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W��RK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
W CORHECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR W{LL HETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins tion 24 hours in advance. (952) 249-4600
Owne�/Contra n sit :
Inspector. `
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DAT TIME ���
CITY OF ORONO CALIED IN ���
INSPECTION N TICE SCHEDULED Z-� T,�1' 'UU
PERMIT NO. COMPLEfED
�AD SS�� �S/Yl/�2 .�1/`e�
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TELEPHONE N0. `7'a
� DESCRIPTION ���m'6i� ��" ` �lr��S�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANOS
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 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
Q��07-+D�EMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
�(�UMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
y 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
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� OWNERICONTRACTOR TO MEET YOU:V YES_NO
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W� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE C�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on '
Inspector.
White CopyMspector's FI Canary Copy/Site Notfce