HomeMy WebLinkAbout2005-P08358 - plumbing CIT� OF ORONO PERMIT
2150 Kelley Parkway - PO Box 66 Permit Number: Pog3ss
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: iii4i2oos
SITE ADDRESS: 775 Brown Rd S
Wayzata,MN 55391
P I D: 03-117-23-34-0001
DESCRIPTION:
Proposed Use: Kesidennal
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Mulriple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 100.00 Valuation: $ 8,000.00
State Surcharge Fee: $ 4.00
TOTAL FEE: $ 104.00
APPLICANT: Freedom Mechanical(See Comments) OWNER: Mr. &Mrs. Peterson
ll 135 Hwy. 7 775 Brown Rd S
Watertown,MN 55388 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED E3Y SIGVA CURE
Cooies: 1-File(Sienitur•es Requirerl), 1-Applicant. 1-Monthlv Reoorts, 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPL[CATION 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 oHices.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU
RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD (S POSTED ON THE JOB
SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the
dwellinb.
4. When any new construction or remodelinb is involved, a separate building permit must be obtained.
5. All work must be done in accordance with the State Code requirements.
6. Ali 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 APPL[CAT[ONS WILL NOT BE PROCESSED. If you have questions,
call (952) 249-4600.
Please chec{c one: New �Addition Repair Replace
�_ Residentiai Commercial
JOB SITE: � �,S �fS-�'���-� ,/� Zip:
Owner's Name: �'.L��-�C ,i�� -���'5��- Telephone Number:
Mailing Address: City: Zip: �
Contractor's Name: -�y-���>e�lr�-�-�-, � ��- _ _ Telephone Number: ���--yy�-���y
Mailing Address: "l " City: /j1/��en�f�,,,-Zip: 7�,�3��
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSM 1S 2ND OTHER
TYPE FL FL TYPE T T FL
FL
Water Closet � Floor Drains
Lavator � Sewer E'ector
Bathtub Laundry Tra
Shower l Washer
Kitchen Sink / Water Heater �
Dis osal � 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 a�pliance 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; excludin 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
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[f above does not apply, follow guidelines below:
1. Contract Price* is .Ol 25 % of job with a Minimum Fee of ($35.00)
��t�CrG%T� x .0125 $
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of $ .50)
x .0005 $
(contract price) (minimum� .50)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRfCE 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 al( work
in strict accordance with the ordinances of the City and the rem.�lations of the State of Minnesota, and
certifies that all statements made this application are complete, true and correct.
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Applicant's Signature: �,��.- �-� t�- :�%��c-�-. Date: / ��!>-5
Reset Form
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� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED I-�� O•' U
.,
PERMIT NO. COMPLETED
ADDRESS � �5 �: %��CGvi 7 �
OWNER CONTR. �����Cc���a /�l� � .
TELEPHONENO. l�"�� �ls':� �� 7D
� DESCRIPTION �/%SU��
� 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
Z
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 9 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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� WORK SATISFACTORY:PROCEED G PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CQRRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR W4LL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-Q6QQ
OwnerlContractor site:
Inspector. �
White Copylinspector's File Canary CopylSite Notice