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Home My WebLink About2005-P08810 - plumbing ' ~ PERMIT CI�`Y OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p08810 �, Crystal Bay, Minnesota 55323 Permit Type: Fixtures \` (952) 249-4600 Date Issued: 6/10/2005 \` � SITE ADDRESS: 745 Spring Hill Rd Unit# �� Wayzata,MN 55391 P�� 36-118-23-21-0002 DESCRIPTION: Proposed Use: Residential 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: $ 237.50 Valuation: $ 19,000.00 State Surcharge Fee: $ 9.50 Misc.Fee: $ 1.50 TOTAL FEE: $ 248.50 APPLICANT: Wayne Dauwalter Plumbing OWNER: David Ericson&Jamie Wilson 15525 Green Meadows Circle 745 Spring Hill Rd Carver,MN 55315 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. \�.�,.P (�� (/ /YL"/G'M` APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 . � I �" FOR CITY USE ONLY City of Orono p � O¢��O P.O.Box 66 Date Received: Permit# ��0 � . 2750 Kelley Parkway R� 1� � r'''• Crystal Bay,MN 55323 Approved By: Amount$: C��E�.I , + ' o� (952)249-4600 Jr�� "�A� v � � ZQ�� CITY OF ORONO—PLUMBING PERMIT CI T (All Commercial permits must be approved by the Building Official or Inspector) Y�F ORONO GENERAL INFORMATION l. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return 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 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 separate building permit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT (Check All That A 1 dResidential ❑Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑ Replace ❑ In Accessory Structure? *You will need arior aparoval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: '�� 5(�Y��VI G h�-�,� RO Q� Owner: �Y1Lk��I(,�t�`�� Mailing Address: City: �J�'6Y10 Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �,� .1�1� ��b� Contact Person: (n��.� Address: ��=s-;�� l DI��lAl�i�Cl�tate Bond#: �I.L.J 3 7 0 q�-�o City: �1 JL Zip:�(SExpiration Date: .�C� 'J I� Z�G� Phone: �5Z��4-�-�7l�� _ Alternate Phone: �l Z-��(.(-(�� ❑ Insurance—Current: 1 . � PLUM�B�N(3 FIXT'URES�EING 1N3�'ALL�+,D _ FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � 2 Floor Drains _J Lavatory � Sewer Ejector Bathroom Laundry Tray � Shower I Washer I Kitchen Sink r Water Heater Disposal ' Water Softener Dishwasher � Wet Baz I Sillcocks � Miscellaneous F'LR1�ll.T F�C�L.�,�'I'IC�� BA�EU OF�-2Qf�.S"�'�`I�E S',�'�; ❑ Yes,this section applies The replacement of a Residential fixture or aonliance 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;excludine the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. • Skip next section,if this applies; Cost of Pemut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Nezt Page) 2 � � ��4E4�1/Vl#3r�� . y� ,."'' ' ��'; VW, If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) �q��00. �� x.0125$ Z�'1 S� (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surchazge(Minimum Fee of$.50) I q� b 00�G O X.000s s � � (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ Z �q SG ■ * 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 charged to the customer for the work done. If any material,equipment, labor or installations are furnished by the owner,tenant or any other pazty,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 City may request the submission of a signed copy of the actual contract. ■ **The STATE SURCHARGE is.0005 of the cont�act price under$1,000,000 or$.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. PLiJMBING PERMTT APFLL�ITT�+�QN A 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 conect. ��_� Applicant's Signa Date: ~ � Rwt Form 3 Total Fee: $ Date Received: T's'�5 Entered By: Permit#: �D�'S 7j� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER O CONTRACTOR JOB SITE avD�SS: _�� S�1Z-I��- l--l.l C.� Z� ZIP: �5�3 1/ Will this be P rade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �O If yes,a special event permit is reyuired with Police Departmenl and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates suffzcient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: �l_ )+'J,7Q ��L-`��/�'�A^i PHONE: (home)CZSZ— �73—ZZ�Z (work) MAILING ADDRESS:��S,S�1ZJ�� l LC_��ITY: 0��O ZIP: • ' � CONTRACTOR: ��AS �1! tA h��-- �1�-�, PHONE: 7�'�2—�'c�(�--�3 0� CONTACT PERSON: �il/� 2-�✓� MOBILE/PAGER: �/Z-3�3--3��U MAILINGADDRESS: 3� N-��^��Ic��Jk1� ig�tl�OCITY: �--S�t��Sfc��ZIP: S"53�� STATE LICENSE: # �� EXPIRATION DATE: 1 O� � ARCHITECT/ENGINEER: �� b� PHONE: 6/ Z 332'�UOU� MAILING DDRESS: J^3� iJ � 3�4 S�_ CITY: �-S ZIP: �� NAME: � y'l�S �r'c.-tis U'"��C�....� REGISTRATION: # � �� TYPE OF WORK: New Addition � Accessory Structure Move Home Remodel/Alteration �'� PROPOSED WORK(describe in detain: ,� �K�!T c}•JS /�^-'� !�-.�'T'�L.l C�V� (�.�-�-�b �-�-(�,1� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED �/'�J � ESTIMATED CONSTRUCTION VALUATION(excluding land): $ T 7`� �a � I hereby apply far a building permit cknowledge that the information above is complete and accurate; that the work will be in confo nce with th rdinances and codes of the City and with the State Building Code;that I understand this is ot a permit and ork is not to star t a permit;and that the work will be in accordance with the appro ed plan. APPLICANT'S SIGNAT . DATE: � � � � 31 �e��, � ,ss�.� � o,�=�� '�`� ��. a� Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual.An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the putpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or fedetal law to receive the data.This requirement shall not apply when an individual is asked to supply investigative data,pucsuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue may olace the notice required under this subdivision in the individual income tax or p�rry ta�c refund instructions instead of on those forms. Subd.3.Access to data by individual.Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his fiuther request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be infotmed of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. 1'he responsible suthority shall provide copies of the private or public data upon request by the individual subject of the data. 1'he responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. T'he responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.If he cannot comply with the request within that time,he shall so infotm the individual,and may have an additional five days witivn which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete.An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nahue of the disagreement.The responsible authority shall within 30 days either: (a)coaect the dats found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data co be correct.Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. 'I'he deterrtrination of the responsible suthority may be appealed puisuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or confidential inforniation. You are notified that: 1. The information you fiunish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data,but refusal may require that the City deny the permit or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the pernut or license. 4. If your requested permit or license requires Council action to approve,some information may become public. 5. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself. 6. Your full name is required to process this application or permit. �st h W c l�� -. �zR-�Tw S First Middle Last z l �3 v Y��...r �r �-cs..l�-vo (�w� . Address � �x �-.��Rt �� 33 ► SSZ��i-�3vU City State Zip Phone I un erst id my righ as stated above. Si nature 32 J ' C(/ � DAr TIME � CITY OF ORONO CALLED IN 6`/�� INSPECTION n SCHEDULED � �� PERMIT NO. � � v COMPLETED ADDRESS ��s S/�11'ys?C, ��-i� "' - OWNER CONTR. �� TELEPHONE NO.l�-1�/6 "" ��a �7��-'�� 7/ ��5�/-�73 7—� ,,Q � uJ� ctD�iX A6csa�, � DESCRIPTION �< " / �!-' l�+'iou.s dtf�-to, ty 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 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 � 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: � W 0. � J O � � O � I W � Q � Z W � W � j d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN :�CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952� 249-46�� OwnerlContr o ite: Inspector. White Copyllnspector's File Canary CopylSite Notice ` ��td� L��u. �� I o r rr� P°S s b1.� ,/ � DATE TIME CITY OF ORONO CALLED IN V INSPECTION NO IC p j� SCHEDULED '�"� '� PERMIT NO. D v COMPLETED ADDRESS � � C' � f � � OWNER CONTR. � <'-� r/�. TELEPHONENO. �S-� S��tI��Q�,�.f.�' � �Z /�l C)y�73 Cz.� 4 i2 2 Z� Co 7 O � � DESCRIPTION� Z�[�Q('ti ttfk� �- �Nt�-� l�- � 01 FOOTING 11 M�HANICAL 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 Z04 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBIN I 23 SEPTIC FINAL 35 HARD COVER REMOVAL J G FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � Q�'� 0 a � 0 � W � Q � Z W � W � � d W ORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE � C RRECT WORK&PROCEED C ISSUE CERTIFICATE OF OGCUPANCY W � ORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � ORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ne inspection 24 hours in advance. (952� 249-46�0 OwnerlContr o �sit : Inspector. - White Copyllnspector's File Canary CopylSite Notice O� AT�� TIME CITY OF ORONO CALLED IN �� INSPECTION N TI E SCHEDULED / �` PERMIT NO. COMPLETED ADDRESS 7fJ^ �'ctW�L' �� OWNER CONTR. 1��GGtJIc'L��f�� . TELEPHONE NO. �SL �{�� ,6/Z ZL! (o]d� � DESCRIPTION � ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 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-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: W C a � J 0 � � 0 � W � Q � 2 W � W � � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 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 ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (952) 249-46�� OwnerlCon on i e: Inspector. White Copy/lnspector's File Canary CopylSite Notice .J 1 r�v�t�.�� - �/ DAT/ TIME CITY OF ORONO CALLED IN Il^l INSPECTION N SCHEDULED — � � PERMIT NO. I� COMPLETED '� �� ADDRESS �Z OWNER CONTR. TELEPHONE NO. f��j � DESCRIPTION �I �,1 ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h O 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL MBING 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o �i�. �'d �)��r�l e��n �'i9u�'e �- � �''� f � 1slc� c��..f � �`aow�. 0 � W � Q � Z W � W � j d W ❑WORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED ❑ INSPECTIO(V REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on 'te: Inspector. , �, v White Copyllnspector's File Canary CopylSite Notice