HomeMy WebLinkAbout2006-P10007 (plumbing- fixtures) PERMIT
CI�Y i�F ORONO permit Number:
2750 Kelley Parkway- PO Box 66 P10007
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued:
6/19/2006
SITE ADDRESS: 3650 Casco Ave Unit#
Wayzata,MN 55391
PID: 20-117-23-31-0043
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 vaivation: $ 2,000.00
State Surcharge Fee: $ 1.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.50
APPLICANT: McGuire&Sons Plumbing,Heating&Coc OWNER: Mr. &Mrs. Gersovitz
605 12th Avenue S 3650 Casco Ave
Hopkins,MN 55343 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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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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� FOR CITY USE ONLY
��0�\,� City of Orono
�� �� P.O.Box 66 Date Received: Permit# ���
�` ';,, 2750 Kelley Parkway ���' 1
i a �'��:� �� Crystal Bay,MN 55323 Approvcd By: Amount$:
'����;�.t�ti�� (952)249-4600 9 2006
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CITY OF ORONO-PLUMBING PERMIT �`� �F pRONO
(All Commcrcial pennits must be approved by the Building Official or Inspector) y
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be __
reviewed and a permit will be issued within two working days. f��`
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT `� �ct��
VALID UNT[L YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE �a
PERMIT CARD IS POSTED ON THE JOB SITE. -
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained. �
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required) �
TYPE OF PERMIT ��
Check All That A 1
�,Residential ❑Commercial(Approval Required) �
❑New ❑Additional ❑Repairs �Replace �
❑ In Accessory Structure? �
*You will need urior aparoval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) �
Job Site/Owner Information:
Site Address: ��o`s� C`=5��� ���-�
Owner: 1'�����$� G�-�5��"�f2 Mailing Address: S9m�
c�ty: >('vnv z�p: S�S3 �/
Home Phone: �5�-�7�- ��7� Alternate Phone: 1 S�� ��� � ����
Contractor Infor►nation:
Contractor: ��G����2 �'",S J/L� Contact Person: ����'`�`�`j
Address: �0 0 � �e�- ���`�-S State Bond #: /�����/ ' I
/� � SS�I/�
City: ��6�' n Zip:� Expiration Date:
Phone: �S`�— ` 3� ��' 7b Alternate Phone: �,5�'/�� ���4� �'-��`f��
❑ Insurance-Current:
1
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������ PLUMBING FIXTURES BE1NG I'€` STALLED�
FIXTURE BSMT 1'� 2�D OTHER FIXTURE BSMT 1 � 2"D OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathroom Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PERMIT FEL CALCULATION(S) �
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance 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 fess;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 Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Cootioued On Next Page)
2
"' � ���� �PERMIT��FEE CALCULATION S --J�BS OV�R$�500.00 ��� � ��
a ��� �;
[f above does not apply; foilow guidelines below:
l. CONTRACT PRICE * is l.25%of contract price with a(Minimum Fee of$35.00)
% �`�,c��
��� x.0125 $ � � ' �
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
�O�� x.0005 $ � ,� �
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on 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 installations 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 Building Department at(952)249-4600 for the price.
PLUMBING'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 made on this application are complete, true and
correct.
Applicant's Signature: Date: � �/�— �6
� ��
'�' ' Reset Form
3
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G 1 DATE,l TIME �
CITY OF ORONO CALLED IN �/
INSPECTION N TICE SCHEDULED \ `� '�� -L�'tiJ
PERMIT NO. G COMPLETED L:���%� �� �d
ADDRESS v (�°� �' Ct S�C C% �� G�r=- �
OWNER I�-t� fi-� (-��SG�1�Z CONTR. !t-'� .� <<����-S S�
TELEPHONENO. U�(��Zij' ��5�- �I�71 ,� c�-�7�
� DESCRIPTION}/�°�`�� ��-'��-��-i'� l�c`7�'C'_!°'S
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PL 23 SEPTIC FINAL 35 HARD COVER REMOVAL
MBING FINAL � 36 FOUNDATION/REMOVAL
�1.�J CTOR TO MEET YOU: YES—NO
� COMMENTS:
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� ORK SATISFACTORY:PROCEED C i PROJECT COMPLETE
W ❑ RECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR -�CITATION ISSUED
❑ INSPECTION REQUiRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-Q6QQ
OwnerlContractor on s' e:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice