HomeMy WebLinkAbout2004-P07558 (plumbing-fixtures) " � ` PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po�sss
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: 6�i�2oo4
SITE ADDRESS: 2443 Carman St
Wayzata,NII�I 55391
PID: 2o-ii�-23-12-ooi3
DESCRIPTION:
Proposed Use: Kesidenhal
Pernut Class: Plumbing
Pernlit Sub-type(s): Multiple Fixtures
Pern�►it Type: Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PernutFee: $ 75.00 Vatuation: $ 6,000.00
State Surcharge Fee: $ 3.00
TOTAL FEE: $ 78.00
APPLICANT: Donahue Mechanical Inc. OWNER: Damon Serna
6115 Sunnyfield Rd 2443 Carman St
PO Box 35 Wayzata,MN 55391
Mound,MN 55364
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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APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(Si�nitures Required), 1-Apnlicant. 1-Monthlv Reports. 1-Assessin�. 1-Finance Page 1
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CITY OF ORONO APPLICA�'ION FOR PLUlVIBING 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 off'ices.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PEIZMIT 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 State Code requirements.
6. All 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. 5ign and date the
certification. INCOMPLETE APPLICATIOIVS WILL NOT BE PROCESSEII. If you have
questions, call (952) 249-4600.
Please check one: New Addition Repair Replace
Residential Commercial
�OB SITE: �� `� e{ � `��
� � �-'Z�'�� Zip:
Owner°s Name: d���.��� �'��er.� Telephone Number:
1Vlailing Address: City: Zip:
Contractor's Name: ,���� ��;o ��p'.,<<,� �_ Telephoa�e Number: �/��-�����!7
Mailing Address: ��-��- City: ��� Zap: � �-� SSs"G y
PLLTMBING �IXTUR� SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � �-- Floor Drains �
Lavator �` � Sewer E'ector
Bathtub � Laund Tra (
Shower r Washer �
Kitchen Sink � Water Heater �
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PERMIT F'EE CALCULATION(S)
2002 State Statute ❑ Yes, This Section Applies
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The replacement of a Residential fixture or ap�liance 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
,
If above does not apply, follow guidelines below:
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1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00)
F
�, �%�� X .�I25 �
� (contract price) (minimum$35.00)
� 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of $ .50)
x .0005 $
(contract price) (minimum$ .50)
3. Postage and I�andling (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 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 all
work in strict accordance with the ordinances of the City and the regulations of the State of
Muuiesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: �,,�`�—�- � Date: �"�'�� ��
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CITY OF ORONO ��� CALLED IN ���
INSPECTION NOTI�.0 ' ("� SCHEDULED S��
PERMIT N0. P�'j�`��J O COMPLETED � ' �� �
ADDRESS U--f'
OWNER �� CONTR. �j}.,�4�,�[ _J�'���lr�.
TELEPHONE N0. LP I`� _�G� ��
� DESCRIPTION �C��--(Z��i� ��/1/t,t�lY �
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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- AL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 UMBING 23 SEPTIC FI�NAL 35 HARD COVER REMOVAL
NG FINAL 36 FOUNDATION/REMOVAL
OWNE NTRACTOR TO MEET YOU: YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContra 'te.
Inspector.
Whiie Copyllnspector's File Canary Copy/Site Notice
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� �AT���I �-/ TIME
CITY OF ORONO CALLED IN / ��
INSPECTION N TICE SCHEDULED � �� �
PERMIT NO. � COMPLETED
ADDRESS ��� � ��-t��Y1 1S 1 "
OWNER CONTR � ��
TELEPHONE NO. �� �' �/'' � 7 � �L� \
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� DESCRIPTION �`�'�'t�'��� ���Q � �L/�t��.� �
ly 01 FOOTWG 11 MECHANICAL I 8 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 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 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. f���71/_�22 FOLLOW-UP
� 09 PLUMBING RI 23 SEP IC FINAL � � ����� 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46��
OwnerlContracto on�ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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� DATE TIME
CITY OF ORONO CALLEO IN �
INSPECTION NO CE SCHEDULED � �= �,2
PERMIT N0. U�r'J5� COMPLETED
ADDRESS rZ��� C���'/titt%� �f .
OWNER CONTR. �J i�'►�► .L�O�z-�'�—
TELEPHONE NO. �l� ` CG'� jC�.C���Ln ��W`"G`'`�`'� /���1`'
� DESCRIPTION �-I�.t�Z./►'LL'� �
� 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 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTORTOMEETYOU: YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PEFiMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe ne t inspection 24 hours in advance. (952� 249-46�0
OwnerlContra r o ite:
Inspector. �
White Copyllnspector's Fil Canary CopylSite Notice