HomeMy WebLinkAbout2005 - P08780 - plumbing f PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P08780
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
5/26/2005
SITE ADDRESS: 1101 Willowbrook Dr Unit#
Wayzata,MN 55391
PID: 26-118-23-41-0003
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: $ 37.50 Valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 39.00
APPLICANT: Ridgedale Plumbing OWNER: Mark Wittig&Lucia Delaney
3050 Carriage Drive 1101 Willowbrook Dr
Medina,MN 55340 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.
57 li ' ' _., X---- C (94 )
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Av'AC T PERMI E SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1
,. FOR CITY USE ONLY
4..46 CO66ity of Orono
Permit# 0�0/�(�p (y'O
Box Date Received:
q4`;• 2750 Kelley Parkway
4. Crystal Bay,MN 55323 Approved By: Amount$:
fo.e45., (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)
❑ New ❑Additional ❑Repairs ageplace
El 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: I 0 ( ,U LL;
Owner: �I' �' �� L� L Mailing Address: -3 './v.
City: C)2 0 i1 C) Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: LY05 c o 4./<= PC ,7 Contact Person: Li
Address: ? C nx!��'h) n,n State Bond#:
City: i ) Zip: /Mk, Expiration Date:
Phone: 7(2 3 -c7T 6 0 Z 7 Alternate Phone:
oc/7 774
❑ Insurance-Current:
1
•
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1s` 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub i Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATIONS)
'.BASED'OFF'- 2002 STATE STATUE
❑ 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-iced-mstalkd or replac-ed-bythe-hemeewner-or-licensed-eontr-acter.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
M-ail-ln-Fe-e-(If-Applicable) $ 1-50— -- —
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
f ,
• - : PERMIT FEE CALCULATION(S)-JOBS 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$35.00)
C'U x.0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
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 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 Departiuent at(952)249-4600 for the price.
• PLUMBING PERMIT APPLICATIONAGREEMENT
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: U Date: �' L
3
1
\ DAj TIME
CITY OF ORONO CALLED IN
t/
INSPECTION N TI Ep SCHEDULED - 3/-DS /0:Se,
PERMIT NO. r oD 7KCi COMPLETED
��,/
ADDRESS //Ol /// 10TEU��
OWNER CONTR. e g t
TELEPHONE NO. /Z 8/ 7 _g 7 7�
DESCRIPTION FA( /IA
u , DOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 2 Fig AMING V'�1 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
cal 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
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
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Co)• COMMENTS:
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CC
CC
Q
CC
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2 WORK SATISFACTORY:PROCEED L-1PROJECTCOMPLETE
❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
CO ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
CI CITATION ISSUED
CISTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (952) 249-4600
Owner/Contr or s :
Inspector. -
White Copy/Inspector's File Canary Copy/Site Notice