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HomeMy WebLinkAbout2005 - P09319 - plumbing PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P09319 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 10/18/2005 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: $ 35.00 Valuation: $ 2,095.00 State Surcharge Fee: $ 1.05 TOTAL FEE: $ 36.05 APPLICANT: B&D Plumbing&Heating Inc. OWNER: Mark Wittig 4091 Maciver Avenue NE 1101 Willowbrook Dr St.Micheal,MN 55376 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. ( c-,vo /Z/09 APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 A FOR CITY USE ONLY ',11::°.:1111.0 City of Orono : O .'�O P.O.Box 66 Date. Received: Permit# ' 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount S: n "y (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 [I] Replace rk,agit ❑ 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: k O' W:Iko wbro.., . Owner: 17110,r K `++: Mailing Address: City: r.,yi.� Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: 434' Pt.-%"l ' k4c•°'''") Contact Person: La t: Lha Address: Lloctt iv& State Bond#: City: St: k Zip:SSC. Expiration Date: Phone: 7003-Oc -2.213 Alternate Phone: l -32 S--77 t' n Insurance— Current: 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT ls' 2ND OTHER FIXTURE BSMT 16T 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal 1 1 Water Softener Dishwasher ' Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) 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 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 A 1 I 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) 20ctS. p 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 Department at(952) 249-4600 for the price. PLUMBING PERMIT APPLICATION AGREEMENT 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: .Z4--- Date: 3 ge-t— a TIME \/ CITY OF ORONO CALLED IN /6°C912.5-`-S INSPECTION Nj TI9 Q SCHEDULED l -/-DS 9 SOD PERMIT NO. (fes ! COMPLETED ADDRESS //e / /11///07-O OWNER CONTR. £1-L7 v )". TELEPHONE NO. 6/2 32S O36�-- DESCRIPTION gee- 711-e4Zitj7f-2- L 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 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 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: CC Q. CC 0 01/4* C14OLkdg1S cc W ecr cc �e cc W z W cc d W2 WORK SATISFACTORY:PROCEED Ll PROJECT COMPLETE ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT El CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next in •ection 24 hours in advance. (952) 249-4600 Owner/Contractor ' e Inspector. t White Copy/Inspector's File Canary Copy/Site Notice 3 DAT TIME CITY OF ORONO CALLED IN INSPECTION N IQr, q SCHEDULED 6 o2f uU PERMIT NO. (J41 3/41 COMPLETED ADDRESS 1I OWNER I CONTR. 6 /d -P P TELEPHONE NO. 'i �fltgert 'n.0.4. '3 2 5'73 428s� DESCRIPTION 0")2W 4.1 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 • 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 IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W Q. CC tt W OK CC W W CC Lu• El WORK SATISFACTORY:PROCEED ROJECT COMPLETE CC W CICORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY 0 LI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CISTOP 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 site: Inspector. LL) ff iS White Copy/Inspector's File Canary Copy/Site Notice