HomeMy WebLinkAbout2005-P09472 - plumbing PERMIT
CITY OF ORONO permit Number:
2750 Kelley Pa�Rway- PO Box 66 P09472
Crystal B�y, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 12/8/2005
SITE ADDRESS: 760 Brown Rd S Unit#
Wayzata,MN 55391
P��� 03-117-23-43-0004
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: $ 1,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Manatee Plumbing OWNER: Mr. &Mrs.Browne
11525 199th Circle 760 Brown Rd S
Silverlake,MN 55381 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.
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APPLICAN ER EE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
t
FOR CITY USE ONLY
. 040�0 City of Orono
P.O.Box 66 Date Received: Permit#
��;;,<,,, 27�0 Kelley Parkway
jji����',�' �* Crystal Bay,Mtv'S5323 Approved By: Amount$:
` � ���;j��i��o` (952)249-4600
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial perniits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing pemuts by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within two working days.
2. Pernvt cards will be sent by retunl 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 pernuts may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new constcuction 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 inust be inspected and air tested before it is covered. Call(952) 249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
(Check All That A ply)
�Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑Repairs �Replace
❑ In Accessory Structure?
*You will need prior approval aud may need CUP. (Per Orono City Code, Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: �� O 5 1�Y pv�v� Pr J �
Owner: TC7�l �'�4W � Mailing Address:
City: VJr�,�(Z G.�� Zip:
Home Phone: Alteinate Phone:
Contractor I�lformation:
Contractor: �a�no.�,e.� �`n�M�;�n� Contact Person: �Ov� ��.��{�
Address: ��SZ� I��t�C�rCI� State Bond #:
City: �j t �Ve�r lc{�GC Zip. S� Expiration Date:
�'hone: (�l 2-7�a�^ ��7 Z Alternate Phone:
❑ Insurance— Current:
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PLUMBP�TG FIXTURES BE1NG INSTALLED
FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet ' Floor Drains
Lavatory 1 Sewer Ejector
Bathtub � Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal 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 tluee of the following requirements:
1. Does not require modification to elecn•ical or gas service.
2. Has a total cost of$500.00 or less; excludin�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 SurcharQe $ �0
Mail-In Fee(If Applicablej �, L50
Total Pertnit Fee �
(Permit Fees Continued On �est Page)
�
�—' 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)
` a�0 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. PO�TAGE&HAI�rDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $
■ * CONTRACT PRICE ar JOB COST means the actual or estimated dollar amount charged for the
pernutted 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 itenLs must be added to the
estimated cost or contract price for pennit fee puiposes. 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 conh-act.
■ ** The STATE SURCHARGE is .000� 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.
� �_ PLUNIBING 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 inade on this application are complete, true and
correct.
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Applicant's Signature: Date: � z — 8" � S
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' ,D� TIME
CITY O O N CALLEDIN
INSPECTION TICE SCHEDULED -� —� ��2
PERMIT N0. � � COMPLETED �t"U'�G C (,�.<.�
ADDRESS 7�D �Tr1 ��.
OWNER CONTR.��QiKL�,e.
TELEPHONE N0. �P� 2 7.�1�P � I� �
� DESCRIPTION � �- V ���
� 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
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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 HARO COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE
� ❑CORRECT WORK&PROCEED �SUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. I , J �
White Copyll�spector's File Canary CopylSite Notice
�/ , � ��,�CJ� �/�F, TIME ✓
CITY OF ORON6 � CALLED IN ��O��
INSPECTION NOTI E SCHEDULED �1������ �
PERMIT NO. �COMPLETED ��
ADDRESS ��'G , �C�-��
OWNER CONTR.�J("�l�-}��,Lp�/��(��,�
TELEPHONE NO. /��o� �- 7�Ca -'// -7oZ
� DESCRIPTION
ly 01 FOOTING 11 MECHANIC RI 18 XCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 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
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W�DQ�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ��CORRECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WiTHIN HOURS. �j pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector. v� T��� �
White Copyllnspector's File Canary CopylSite Notice