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Home My WebLink About2003-P06114 - plumbing . w � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P06114 Crystal Bay, Minnesota 55323 Permit Type: FiX�ures (952) 249-4600 Date Issued: 3�19i2oo3 SITE ADDRESS: 1045 Brown Rd S Wayzata,MN 55391 PI D: 10-117-23-24-0002 DESCRIPTION: Proposed Use: Kesiclential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Mulriple Fixtures DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 150.00 Valuation: $ 12,000.00 State Surcharge Fee: $ 6.00 TOTAL FEE: $ 156.00 APPLICANT: Southtown Plumbing Inc. OWNER: Steve Vandeveire 6636 Penn Ave S 1045 Brown Rd S Richfield,MN 55423 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. �'"`'�' ;,�;' � ,� :--, 1� - ! ��-s�'� C� � i f"�G�_.- ��f�`�' -_/ APPLICANT PERMITGE SIGNATURE 7SSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 CITY OF ORONO APPLICA'TION FOR PLUMBING PERNIIT 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 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 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 5tate Code requirements. 6: All work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice required. Instructions Complete all items on this application. Compute the perrnit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. Please check one: �New Addition Repair Replace Residential Commercial JOB STTE: � C.?��`� �;2r`�,�� -� >� Zip: Owner's Name: Telephone l�Tumber: Nlailing Address: City: Zip: Contractor's Name:��-,.,�� ,,�,�/��,� Tele hone l�umber: �C_�-�� Mailing Address: �Q�.�la ��s�,r� �� S�� Cit3'. -�� Zip:�_S�d� � PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet � � Flcor Draias � Lavatory j � Sewer Ejector Bathtub Laundry Tray � Shower � � Washer Kitchen Sink � Water Heater � : Disposal ( Water Softener Dishwasher ( Wet Bar �� Sillcocks �, Misc (list) ��J V PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) ��, �,/� U 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 pemut 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 $1,0OO,OQO call the Department of lnspectional 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: V DATE TIME CITY OF ORONO CALLED IN ��"� INSPECTION IC SCHEDULED �'a i9� �}3'� PERMIT NO. COMPLETED ADDRESS �D�S� L;'�i�LUW?'l �I S • OWNER CONTR. ..��'d1v�'l �� • TELEPHONE NO. �4� � g�p�o 3aS�7 � � DESCRIPTION t' L�►K/ — �'� l "'� � 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 Z04 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOFi TO MEET YOU:_YES_NO � COMMENTS: � W a � �� O � � O � W � Q � 2 W � W � � O W WORK SATISFACTORY:PROCEED O PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (g52) 249-46�� OwnerlCon o o si e: Inspector. W White Copyllnspector's Fil Canary CopylSNe Notice ��— ✓ C! DAT� TIME CITY OF ORONO CALLED IN ��3 -�— � . INSPECTION,AIOTICE, �J SCHEDULED � PERMIT NO.rJ�r � I'-1 COMPLETED ADDRESS j r� �/ � ✓%�7� L�(?l� �-( � . OWNER CONTR. ' �� TELEPHONE N0. �(i I .� 'C) �C� � 7 C � �] �l�-�VL C� � DESCRIPTION � 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 Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT �� hlB=Ft�'�.. 15 SEPTIC INSTALL. 22 FOLLOW-UP �� 09 PLUMBINGB� 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W � 4 " � J O >. � O � W � Q � 2 W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the nex inspection 24 hours in advance. (952� 249-4600 OwnedContr� s e• Inspector. White Copyllnspector's File Canary CopylSite Notice