HomeMy WebLinkAbout2004-P07973 - plumbing IN
PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P07973
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 9/21/2004
SITE ADDRESS: 680 Willow Dr S
Wayzata,MN 55391
PID: 03-117-23-33-0007
DESCRIPTION:
Proposed Use: Kesidentiai
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: $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 36.00
APPLICANT: Burnomatic Mooney and Ridler Mechanica OWNER: Michael&Stephanie March
2925 Garfield Ave. S 680 Willow Drive
Minneapolis,MN 55408-2107 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.
PLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Conies: 1-File(Si-anitures Required), 1-ADDlicant. 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
a • ti
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
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 the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions,
call (952) 249-4600.
Please check one: New Addition Repair Replace
_�C Residential Commercial
JOB SITE: 604�c) l,J:\k u-(-- Zip:
Owner's Name: Telephone Number:
Mailing Address: City: Zip:
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Contractor's Name: I ,,-o -�MeA c- fvt4�.. q R aw Telephone Number: G jz-
Mailing Address: Z--,Z5— C-,,-�_, I a A ' s City: plels Zip: 'u-s 4_-) is
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT I ST 2ND OTHER FIXTURE BSM is 2ND OTHER
TYPE FL FL TYPE T T FL
FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink 2 Water Heater
Disposal 2 Water Softener
Dishwasher Wet Bar
Sillcocks Misc list
PERMIT FEE CALCULATION(S)
2002 State Statute ❑ 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; excludine the cost of the fixture or appliance: and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00 .
0 -2, 0oz> x .0125 $ _3'
(contract price) 1(minimum$35.00)
2. State Surcharge. **Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $ -�
(contract price) (minimum$ .50)
3. Postage and Handling (Only 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 installation 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 Department of Inspection Services for the price.
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: �Z� (l
r fRoset Fom
r
D7V TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED -�
PERMIT NO. Zq DCOMPLETED
ADDRESS L0/l Z&1A-) V0 .Q,,�
OWNER CONTR.
TELEPHONE NO. &/ Z 8Z7 2_$2S_
DESCRIPTION LXAIP V
01 FOOTING 11 MECHANICAL RI 18 AV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
2 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
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
co COMMENTS:
W
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cc
J
O
cc
O
LL
W
cc
Q
2
W
Z
W
d
W WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for t inspection 24 hours in advance. (952) 249-4600
OwnerlContr
Inspector.
White CopylInspector's File Canary Copy/Site Notice
DATE TIME V
CITY OF ORONO CALLED IN U
INSPECTION NO,KIE SCHEDULED �- -� " 3C)
PERMIT NO. VO 75j'S 1 COMPLETED
ADDRESS �o �� \ MAJ 29
�
OWNER CONTR. rnoY�e �L
TELEPHONE NO. -7 Z7
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
LO03 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
Q
07 DEMO- L 15 SEPTIC INSTALL. 22 FOLLOW-UP
9 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PL BING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
W
J
O
O
W_
W
cc
Q
Z
W
Z
W
QC
J
O
W ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CCW CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY
❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
1-1STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (952) 249-4600
Owner/Contract st
Inspector.
White Copy/inspector's File Canary Copy/Site Notice