HomeMy WebLinkAbout2005 - P08512 - plumbing PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P08512
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
3/10/2005
SITE ADDRESS: 1005 Willow View Dr Unit#
Long Lake,MN 55356
PID: 28-118-23-41-0006
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: $ 250.00
Valuation: $ 20,000.00
State Surcharge Fee: $ 10.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 261.50
APPLICANT: Schulties Plumbing OWNER: LeGran Homes
1521 94th Lane NE 1521 94th Lane NE
Blaine,MN 55449 Blaine,MN 55449
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.
j)J-
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
PERMIT
C. OF ORONO Permit Number:
275!0 Kelley Parkway - PO Box 66 P08512
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 3/10/2005
SITE ADDRESS: 1005 Willow Dr S
Wayzata,MN 55391
PID: 10-117-23-24-0012
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
/Permit Type: Fixtures Perm/Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: 2501)0 Valuation: $ 20,000.00
State Surcharge Fee: $ 10.00
Misc.Fee: $ 1.50
TOTAL FEE: r $ 261.50
APPLICANT: Schulties Plumbing OWNS : Martha Spencer
1521 94th Lane NE 1005 Willow Dr S
Blaine,MN 55449 Wayzata MN 55391
THE UNDERSIGNED HEREBY ROQUESTS PERMISSION TO MAKE THE REAL IMP OVEMENTS SPECIFIED
AND AGREES TO DO ALL WORD IN STRICT COMPLIANCE WITH ALL CITY OF OR NO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE/?EQUIREMENTS.
l /
APPLICANT PERMITEE SIGNATURE di.SUED BY SIGNATURE
Conies: 1-File(Siinitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
` •
FOR CITY USE ONLY
City of Orono
� EE e P.O.Box 66 Date Received: Permit# c IVEt,
y 2750 Kelley Parkway
'4r 1 Crystal Bay,MN 55323 Approved By: Amount$:
(952)249-4600T
C�Ty Q 20Q5
CITY OF ORONO—PLUMBING PERMIT OFOin
(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)
New 0 Additional ❑Repairs ❑ Replace
❑ 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: A25 GCdltd/ ) , 1
Owner: ' ' 1 M /44-46 Mailing Address: /50?/ ,-arm
City: - Zip:
Home Phone: `��ii/dam"5XL Alternate Phone:
Contractor Information:
Contractor: / 1- Contact Person: L 1
Address: /j,,2/ >W ' State Bond#: Cf- 1150-4
City: �� Zip i�7 Expiration Date: 31( 10-3
Phone: 77j- b 7 Alternate Phone:
JK Insurance-Current: L
1
,
PLUMBING FITEES BEING NSTALLED.....,<.
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet 1 ,3 Floor Drains /
Lavatory ( Sewer Ejector
Bath y Laundry Tray V
Shower Washer 1
Kitchen Sink Water Heater /
Disposal i Water Softener
Dishwasher / Wet Bar I
Sillcocks a. Miscellaneous /
PERMIT FEE C LCULATI`'N )
�iotellASE .F »2OO.2STt4 EST.STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all thr—olthe following requirements:
1. Does not require modificatio : - ectrical or 1 service.
2. Has a total cost of$500.00 or less;exc the cost of the fixture or appliance: and
3. Is improved,installed or replaced e home. .er or licensed contractor.
Skip next section,if this plies; Cost of Permit -•. $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable)
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
J : '
'PERMIT FEE ATION, S" ' 116)3.S OVER $500.00" ��
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
i(770,,x0,03
x.0125$ OCA
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
c7, x.0005 $ Ili. Oa
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ,,?(12I,�.
■ * 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 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 Building Department at(952)249-4600 for the price.
q9 PL MWG PERMIT APP ,;.„', T ON APREEMENT
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: _� Date: !' ✓ e
ri
ReSet Form
3
(Updated 01/12/04)
CITY OF ORONO SALE OF WATER METER
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. Water meters must be picked up and paid for at City Hall.
2. Water meters must be set and sealed by Orono Water Department(952-249-4600)upon
completion of meter installation.
JOB SITE ADDRESS: 049-5 %/e/h2 rtf-a)
Occupancy Type: X Residential Commercial
Owner's Name: CI -11 ._. /5 14t, Phone Number: z -71z 7'4 4
vi
Mailing Address: /5.12/ '47,61......0t ,9e' City:W-!ii-t, Zip: /
Contractor's Name:r���'=r1.1�,�:-,ll ,,,ed4d Phone Number:7� 7/`' —Se/29
Mailing Address: 9r4 /City: : ' '-'...-7'C'el,'
METER INFORMATION
(5/8" meters= $210.00; 3/4" meters=$250.00; 1" meters=$320.00)
Serial Number: 3 2- >< q 56 g.5 ERT# 03- 9/d 5 3 Vu
Size: I " Brand: ad liL_- Type:
U
� a
� o
Meter Fee: � $
Signature of Applicant: 0� Date: 47- .11/c /,
Make Copies For: I-Address File 1-Uti 'i .ng
Dept 1-Cash Register
V:\(Forms)\Watermeter Sale Form.wpd
DAT TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED /D- -4s 9:30
PERMIT NO. 8085 1a- COMPLETED ,� , /
ADDRESS /o0S W l 1/69,4) Vi � 1�
OWNER CONTR. c.
TELEPHONE NO. 703 7StO (fôcl
DESCRIPTION 1 14L&C v
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
y 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
• 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
14.1 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
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2 WORK SATISFACTORY:PROCEED ROJECT COMPLETE
w ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
E CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (952) 249-4600
Owner/Contran s
Inspector.
°4-1.1)(
White Copy/Inspector's File Canary Copy/Site Notice
91—
BATE TIME
CITY OF ORONO CALLED IN �ap
INSPECTION NOTICE SCHEDULED �f., �P 61- -
PERMIT NO. r 0 51? COMPLETED (./(3/
/
ADDRESS /C S C/, 7 i /(0 LL) v`ILLt)e,
OWNER CONTR. J'-.-t ti/4. ',
TELEPHONE NO. 7(0,30 ��/`�
DESCRIPTION - - �`rn
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
ti 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU: YES_NO
Le)• COMMENTS: .
cc
W
C
cc
O
cc
O
W
W
CC
W
W
CC
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GW WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CCW
❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (952) 249-4600
Owner/Contras n it :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice