HomeMy WebLinkAbout2003-P07050 - plumbing C�rY OF ORONO PERMIT
�2750 Kelley Parkway- PO Box 66 Permit Number: p07050
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: i2�i�2oo3
SITE ADDRESS: 951 Spring Hill Rd
Wayzata,MN 55391
Pl D: 26-118-23-44-0002
DESCRIPTION:
Proposed Use: Kesidenriai
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Mulriple Fixtures
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PernutFee: $ 312.50 Valuation• $ 25,000.00
State Surcharge Fee: $ 12.50
TOTAL FEE: $ 325.00
APPLICANT: Grabow Plumbing,Inc. OWNER' Mr•&Mrs.Dunlap
8420 Redwood Street � 951 Spring Hill Rd
Coon Rapids,MN 55433 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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� APPLICANT ERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Atmlicant,1-Monthlv Renorts, 1-Assessing. 1-Finance Page 1
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 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 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. Si�n 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
JOBSITE• l-s/ ���%,yl,-�/ ,s�-� Zip: ss.�9/
Owner's Name: ,��„�4��?es , Telephone Number:
Mailing Address: f��►� City: Zip:
Contractor's Name: �ra6e w ,�/6s .�c Telephone Number: 763 7�6 39,5?� 3 9s/
Mailing Address: �yA� �?�/w�rd s� City:�.., ;�.p:� Zip: ss y 3;
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PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � � Floor Drains /
Lavato � 3 Sewer E'ector
Bathtub � / Laund Tra �
Shower � � Washer /
Kitchen Sink � Water Heater
Dis osal � Water Softener .
.
Dishwasher � Wet Bar
Sillcocks Misc (list)
\
PERMIT FEE CALCULATION(S) �
2002 State Statute ❑ Yes, Tlus Section Applies
The replacement of a Residential fixture or a�pliance 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; excludin�the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or liceaced 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
,Z�,,vod x .0125 $
,
(conuact price) (minimum$35.00)
2. Stafe Surcharge. ** Add the State Building Code Division a (�iinimum Fee of$ .50)
x .0005 $
(contract price) (m;n;mum$ .50)
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 fiaed costs. It is the amount[o be charged 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 esIImated 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 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: ��r1,•�W /..—� Date:
V
D� TIME
CITY OF ORONO CALLED IN �
INSPECTION TI SCHEDULED � • �
PERMIT NO. COMPLETED
ADDRESS 4��
OWNER CONTR.l� �G_�
TELEPHONENO. 7(0 ?J 7��0 J��S�
� DESCRIPTION PCwrruJ �� �G1���'��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS
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 COMPUUNT
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 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOp TO MEET YOU:_YES_NO
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W� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� O CORRECT WORK,CAII FOR REINSPECTION TEMPORARY
V BEFORE C�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnedContrac�or p�i site:
Inspector. � Ua�/
White Copylinspecto�'a File Canary CopylSite Notice
1�2 � , .
DATE TIME
CITY OF ORONO CALLED IN '
INSPECTION NOTICE SCHEDUIED -O ; O .l�(
PERMIT NO. PD �OSC� COMPLET D �—
ADDRESS r � K�'
OWNER CONTR.�rG�24LJ �/�./n.�.�.
TELEPHONE NO. �GP.3 ��CP 3 9S�
�
� DESCRIPTION
� 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
� 07 DEMO-FINAL 15 SEPTIC INSTAIL. 22 FOLLOW-UP
= 09 PL 23 SEPTIC FI Al 35 HARD COVER REMOVAL
PLUM81 36 FOUNDATION/REMOVAL
� O TO MEET YOU:_YES_NO
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� ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUIREO.CAL�TO ARRANGE ACCESS.
Call for the next spection 2a hours in advance. (g52) 249-460�
Owner/Contr n s e
Inspector.
White Copylinspector's File Canary CopylSite Notice