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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. _4�1)A 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�- N Phone: 74,3 yy/-/y 99 Alternate Phone: ��oZ ' 70 ' A, 3 Op ❑ Insurance-Current: 1 PLUlY1BII G:VWroRE5`:BEWG' <� } 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. kia 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: cc W a cc O a ac O U_ W cc Q Z W z W cc O LUWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE w 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 ccO O Sco 7 516 S f s le-- -i W CC Q z W W j 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