HomeMy WebLinkAbout2004-P07999 (Plumbing) -� � PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway - PO Box 66 P07999
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: 9i28i2ooa
SITE ADDRESS: 1444 Baldur Park Rd
Wayzata,NIN 55391
P I D: 08-117-23-43-0004
DESCRIPTION:
Proposed Use: xesidential
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 106.25 Valuation: $ 8,500.00
State Surcharge Fee: $ 4.25
TOTAL FEE: $ 110.50
APPLICANT: City View Plumbing&Heating OWNER: Patrick&Loring J Kaveney
1880 B Wayzata Blvd W. 1444 Baldur Park Rd
P.O.Box 150 Wayzata,MN 55391
Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
,
' �,�--C����
PLICANT PERM TEE IGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessins, 1-Finance Page 1
� -
CITY OF ORONO APPLICATION FOR PLiJ�iBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFOItNIATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by retum 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 properry 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 i[ is covered. Call 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 249-4600.
Please check one: � New �ddition Repair Replace
�_ Residential Commercial
, n
JOB STTE: �< < � ��� 4�� Zip: .���3 � ,.
Owner's Name: Po��- 'c�! �v?;�,,�� Telephone Number: 9s:� -�SD�S��b
Mailing Address: City: Zip:
,' ,, � P�i�:-;.-P j �-c Telephone I�umber: 9�,,1�73��
Contractor's Name: C �- i.��'�',,��.� ,
�
Mailing Address: �,Ci, (;c-�x 1 S`�� City: L�'�:�a Lr�l�l� Zip: �S.�,��
PLUMBING FIk"TURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS�iT 1ST 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 � �Vater Softener
Dishwasher I Wet Bar
Sillcocks c�— hlisc (list)
. ti
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fe� ($35.00)
g S Q(� �-x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (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 Ciiy 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 Jnspectional 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.
r
` � a� c�
' Applicant's Signature: �` Date:
�:
//, DATE TIME �
CITY OF ORONO CALLED IN ( v'�-U�
INSPECTION NOTICEq SCHEDULED !O-'S"4y
PERMIT N0. �C'�( �I COMPLETED
ADDRESS I yUu �� �.� �f� ��'
OWNER CONTR. C,.rf� �'�-Z' ��vc:��'
TELEPHONE N0. �7/-�� `1 ,�� ����� �'��� /v��'T ��
� 73�
� DESCRIPTION G'Lv��i,�.�ur`C
�
l� 01 FOOTING 1 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 D - INAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 9 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J �0 y� 36 FOUNDATION/REMOVAL
Z OWNERIG�NTRACTOR T MEET YOU: YES_NO
1
�-.—__..__.._
� COM � .
W �' � \ C� �
�
�
�
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W ❑WORK SATISFACTORY:PROCEED CI PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALI INSPECTOR n CITATION ISSUED
❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�./
�D�F� TIME
CITY OF ORONO �q 99 CALLED IN ��/�,
INSPECTION I�.�jI SCHEDULED --S�L_/_(1 � ___�_�'—'�
PERMIT NO. �'� COMPLETED
ADDRESS �y�`t `�-���'`� ��� ��
OWNER CONTR. � ����
TELEPHONE NO. � ��� ��S a��� /"��
� DESCRIPTION �J �
l� 01 FOOTING 11 MECHANICAL RI 18 E CAV/GRADING/FILLING
� 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
w
a
�
�
O
�
�
O
�
ti
�
Q
�
Z
W
�
W
�
j
d
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑ CORRECT WORK&PROCEED '_' ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION V'JITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-4600
Owner/Contr�ctQr n site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
��� 2 � z._ ✓
�--� DATE TIME
CITY OF ORONO CALLEO IN �� -(S'r�I
INSPECTION NOTICE SCHEDULED 12 ILo-G��I �• _ ; � v�'(
PERMIT NO. �L�Cl��� COMPLETED '1 U
ADDRESS ti� ���- �c��: - C � �C�
� � �
OWNER CONTR. �_ �� I�i.t-'
TELEPHONE NO. L��2 LI�� �y /�l 3
� DESCRIPTION ��'C-�C��:('� ` /���,� �--�U�-l-
� 01 FOOTING _�-t�10f�CHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING f 13 HANICAL 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
Z
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
J 10 PLUMBING FINAL / 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� �❑CORRECT WORK 8 PROCEED :� ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W4LL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-46QQ
Owner/Contractor s' .
Inspector.
White Copylinspector's File Canary Copy/Site Notice