HomeMy WebLinkAbout2005-P08909 - plumbing PERMIT
CITY OF ORONO
27,650 Kelley Parkway- PO Box 66 Permit Number: P08909
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952)249-4600 Date Issued:
7/8/2005
SITE ADDRESS: 3655 Togo Rd Unit#
Wayzata,MN 55391
PID: 17-117-23-31-0036
DESCRIPTION:
Proposed Use: Religious
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
I
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 62.50 Valuation: $ 5,000.00
State Surcharge Fee: $ 2.50
TOTAL FEE: $ 65.00
APPLICANT: Boutin Plumbing OWNER: Mound Cong Jehovah Witness
515 Jackson Avenue 3655 Togo Rd
Elk River,MN 55330 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 PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: I-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE ONLY
OA' City of Orono D
P.O.Box 66 Date Received: 'OS Permit#
2750 Kelley Parkway
T ' Crystal Bay,MN 55323 Approved By: Amount$: (oO�.
4 (952)249-4600
CITY OF ORONO-PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. 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 Apply)
❑Residential Commercial(Approval Required)
rew ❑Additional [IRepairs ElReplace
❑ In Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: SS 7-0 P e3
Owner: /S,gde�i's' G�t`/�L S 5 Mailing Address:
City: ,ON-& /A-A!a X Zip:
Home Phone: Alternate Phone:
Contractor Information
Contractor: 6a&-'h cf Contact Person:
Address: � 7SjecewIle State Bond G
City: u�� ;Alf K- Zip:,T-C'3-'�Expiration Date: 92TES�-
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Phone: 74,3 yy/-/y 99 Alternate Phone: ��oZ ' 70 ' A, 3 Op
❑ Insurance-Current:
1
PLUlY1BII G:VWroRE5`:BEWG'
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FIXTURE BSMT 1 2 N 0 OTHER FIXTURE BSMT 161 2 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 Miscellaneous /
UIL �s Z
:`g, ;PERMIT FEE
� '` "BASED OFF,-2002'STAE.STATL�E;
❑ Yes,this section applies
The replacement of a Residential fixture or appliance 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 licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
4 `
I'
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
x.0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $ a `5P d
(contract price) (minimum . 0)
3. POSTAGE&HANDLING(Only on 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 installations 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 City may request the submission of a signed copy of the actual contrac
■ ** 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 time Building Department at(952)249-4600 for the price.
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PIUMBIl�TC PERIVII`T°APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do a
work in strict accordance with the ordinances of the City and the regulations of the State o
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signa Date:
'k
3
�AT TIME tI
CITY OF ORONO CALLED IN
INSPECTION N TIC �j SCHEDULED '
PERMIT NO. D / COMPLETED
ADDRESS 3&65 —7-^
OWNER / CONTR. 6
TELEPHONE NO. a 6 -70 62 :300
DESCRIPTION J
W 01 FOOTING 11 MECHANICAL RI 18 CAV/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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LU 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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LUWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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W [ICORRECT WORK&PROCEED 1:1ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
11STOP ORDER POSTED.CALL INSPECTOR E)CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next insp ction 24 hours in advance. (J52) 249-4600
Owner/Contra e:
Inspector. K
White Copy/Inspector's File Canary Copy/Site Notice
G'DATE TIME
CITY OF ORONO CALLED IN / ---��- ,
INSPECTION N IN SCHEDULED
PERMIT NO. COMPLETED 't6 -° , ;7 0�
ADDRESS 55 7�ocvo
OWNER CONTRz
TELEPHONE NO. �
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
LU C> 14
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Sco 7 516 S f s le-- -i
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x� [01
ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
RRECT WORK&PROCEED El CERTIFICATE OF OCCUPANCY
W O
QO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on ite:
r
Inspector. r
White Copy/Inspector's File Canary Copy/Site Notice