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HomeMy WebLinkAbout2006-P10442 - plumbing PERMIT CITY OF ORONO 2750 F:elley Parkway- PO Box 66 Permit Number: p1o442 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 10/11/2006 SITE ADDRESS: 920 Brown Rd S Unit# Wayzata,MN 55391 P��: 10-117-23-12-0002 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: $ 156.25 Valuation: $ 12,500.00 State Surcharge Fee: $ 6.25 TOTAL FEE: $ 162.50 APPLICANT: Stewart Plumbing, Inc. OWNER: 7ay Hulbert 13025 George Weber Dr. Suite#1 920 Brown Rd S Rogers,MN 55374 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. �- � `=v��-�---a-;�-c c`�}'�'1 c.�e � /,� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing(If Septic, 1-Septic) Page 1 , � FOR CITY USE ONLY � City of Orono 4 � P.O.Box 66 Date Received: Permit# ( �;'��c�. � 2750 Kelley Parkway I� '�j'5��;�;� �* Crvstal Bay,MN�5323 Approved By: Amount$: t�������..�u` (9�2)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 peimits by mail or in person at the City offices. A�plications will be reviewed and a pernut will be issued within two working days. 2. Pernut cards will be sent by retuni mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORIi MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbulg pernuts may be issued ONLY to licensed plumbing conn�actors and to property owners residing in the dwelling. 4. When any new consn-uction or remodeling is involved,a separate building pernut must be obtained. 5. All work must be done in accordance with State Code requuements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-43 hour r.otice rc�uired) TYPE OF PERMIT ' (Check All That Apply) �Residential ❑ Commercial(Approval Requu�ed) �] New ❑Additional ❑Repairs ❑ Replace ❑ 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: y�V ��c�.;n �o c..�, S�4�'� --_ Owner: f�U � �E't�}" Mailing Address: City: Zip: Horne Phone: Alternate Phone: Contractor Inforn7ation: i Contractor: S fC;.�o,,(�' ��uM�r� Contact Person: ,k�Il� �3���- Address: �3�o�.S �e�`�c,wt'��"�'' State Bond �: City: �4G e�^s Zip: ���7�/Expiration Date: Phone: �6�' - y'��/��� Altemate Phone: �f��3 6 6 6�I/ ❑ Insurance- Current: 1 � t `PLUMBING FIXTIJRES BElNG II�TSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet - � Floor Drains / .:�. Lavatory ; _� �/ Sewer Ejector �� / Bathtub � / Laundry Tray / / Shower 1 � i Washer J / Kitchen Sink � Water Heater Disposal / Water Softener Dishwasher } Wet Bar / / Sillcocks � Miscellaneous PERMIT FE.E CALCULATION(S) "�� BASED OFF -2002 STATE'STATLTE '` :' � � ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requu•ements: 1. Does not require modification to electrical or gas service, 2. Has a total cost of$500.00 or less; excludinQ 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 Suscharge � .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee � (Permit Fees Continued On Nest Page) 2 r t , � 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) �.� S �'�C� a .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 ou Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lii�es 1-3 Above) $ � * CONTRACT PRICE or JOB COST means the actual or estimated dollar amowit charged for the peimitted 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 fumished 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 pernut 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 conn�act. ■ *� The STATE SURCHARGE is .0005 of the contr�act price under $1,000,000 or $.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(9�2) 249-4600 for the price. , , ` PLUMBING PERIv1IT APPLICATION AGREEMENT , ' The undersigned hereby applies to tne Ci� far issuance of a Plumbir�g Pe��,�it, ag.-ees t� �o 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: ��9`� ��� Date: l���/'D6 � � ✓ ,� DATE � �n ITY OF ORONO CALLED IN '�� �r � INSPECTION NOT� E'r -7 � SCHEDULED �? . �-u ��.3� flNl PERMIT NO. `���� COMPLETED ADDRESS �L� �7�V�i t� � OWNER CONTR. TELEPHONE NO. � • —r-- - � DESCRIPTION � � 01 FOOTWG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIR PIACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 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: � W � � � O � � O � W � Q � Z w � W � � d f/ W WORK SATISFACTORY:PROCEED PROJECT COMPLETE ✓ � ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN �:�CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContr o ite: Inspector. White Copyllnspector's File Canary CopylSite Notice ��U C�J DATE TIME / CITY OF ORONO CALLED IN / — ryl'S�� INSPECTION NQ���� SCHEDULED �� ��d "��� � PERMIT NO. y` COMPLETED ADDRESS�?o .B�-o�.J n �a� S� OWNER CONTR. S7�)��-�,/ ����.� TELEPHONE NO. �-O I a � Cn � —' � 3.� S� � DESCRIPTION ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 D - AL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J �� 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j 4 n� O-.._ � O � W � Q � Z W � W � � d W ❑WORKSATISFACTORY:PROCEED Cl PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next ihspection 24 hours in advance. �95Z� Z49-4600 OwnerlContr r" ite�� ' Inspector. '� �^ , ✓ White Copyllnspector's File Canary CopylSite Notice \ TIMEy <<�r� / (�ITY OF ORONO CALLED IN /��` � , INSPECTION N TIC��at /� SCHEDULED � � � � PERMIT NO. � T COMPLETED ADDRESS � a� ������ � � �- OWNER CONTR. �� r TELEPHONE N0. ��l/`, `t � - ��3� ���� � DESCRIPTION �--�� L� 01 FOOTING 11 ME HANICAL RI 18 EXCAV/GRADING/FILLIN � 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 FO�LOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNOATION/REMOVAL Z OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � j d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIOtJ REQUIRED.CALLTO ARRANGE ACCESS. Cail for the n xt inspection 24 hours in advance. (J52� 249-46�� OwnerlContr r site: Inspector. White Copyllnspector's File Canary CopylSite Notice