HomeMy WebLinkAbout2003-P06033 (plumbing-fixtures) CITY CJF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po6o33
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: 2�i3�2oo3
SITE ADDRESS: 3721 Casco Ave
Wayzata,MN 55391
PID: 20-117-23-31-0058
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Floor Drains
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 815.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Al's Master Plumbing OWNER: Doug Welty
3041 Aldrich Ave S 3721 Casco Ave
Minneapolis,MN 55408 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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APPLICA PERMITEESIGNATURE ISSUEDBYSIGNATURE
Copies: 1-File(Si�nitures Required), 1-Apnlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
Feb-12-20�3 09:50am From-CITY OF ORONO +g522494616 T-812 P 002/003 F-371
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CITY OF ORONQ APPLICATTON FOR PLCTMBING pERMIT
Box 66 (2750 Kelley Parkway)
Crystai Bay, MN' S5323
�ENE���IF'ORNL�T�ON
1. You may ap�>ly for plumbing permi�s by mail or in person at the Ciry offices.
2. Permic cards will be sent by return mail after a raview is comploted. PERMITS AR�NOT VALID UNTYL
YOU Tt�CEI v�A PERMTT. wORK MUST NOT BEGIN UNTTL THE PERMTT cARD YS PosTEn ON
THE JOB SITE.
3. Plumbing permi�s may be issued QNLY�o licensed plumbing contractors and to property owners residing
ia che dwelli,�g.
4. When any new construc[ioa or remodeling is involved, a Separate building permit must be obtained.
5. All work musc be done in aceord$aee with the Stare Code requireraen�s.
b. Alt work must be inspected ar�d air tested before it is covered. Call (952) 249-460p. 24-hour notice
required.
Instructions Con�plete all items on this apglication. Compu�e the permit fee. Sign and dare the
certification. INt:4MPLETE APPLICATIONS WTLL NOT BE PROCESSED. If you have
questions, call (952) 2A.9-4600.
Please check one: Ne�uv Addition Repair l/ R�place
Residential Commercial
J'OB SITE;
..�3 '(�o V2, zip: SS?v�l l
Owner's Name:___j�.e,`�y1 Se.vn r►�,c� _Telephane Nvmber;�5 L-4�4 -�t S�
Mailing Address: City Zip•
Contractor's Name: l`5 -n Teleprione Number-•�l Z-�7Z SZq Z
Mailing Address: 30�t 1 r4ll�l�l.l� 1�/�LS City: Zip; �"4O`D
PLUMBIN� FIXTURE SCHEnYJLE
FLXTURE BSMT 1S7 2ND OTHER FIXTURE BSMT IST 2ND OTHER
TYPE FL FL TYPE FL PL
Wacer CIose[ Floor Drains
Lavaco Sewer fi'ector
Bachtub Laund Tra
Shower Washer
Kitchen Sir�k Water Heater
Dis osa! Water Softener
Dishwasher Wet Bar
SiI:c�ks Misc(lisc)
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fab-12-2003 09:50am Fram-CITY OF ORONO +8522494616 T-912 P 003/003 f-3T1
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� PERMIT FE� CALC[TLATION(S)
2002 State Statul.e � Yes, This Section Applies
The replacement of a T2esidencial fixture or ap�liance that meets all three of the following
requirements:
1) Do�s not require modification to electrical or gas service.
2) Ha;; a total cost of$500.00 or less; exc in the cost of the fixture or applian�ce:
and.
3) Is improved. instalted or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ _. 15.00
State Surcharge $ _ _SO
Mail In Fee $ 1.SQ
If abovc does not apply, follow guidelines below:
1. �ontract �'rice* is .�125 % of job with a Mintmtim_Fee of($35.00�
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X .oi�s � 35�ov
(conttact prict) (minimum$35.00)
� 2. �tate Surclharee. "'* Add the Stace Building Code Division a (Minimum Fee of$ .50)
�`-��0i� x .0005 $ ��b
(contrac[price) (minimum$ .50)
3. PostaEe and Handlin� (Orily mail-in applicatiorts) $ 1_50
4. TOTAL P]:R'VIYT FEE (Add lines 1-3 above) $ ?j� � �
"' CONTRACT P�C�or JOB COST means the actual or esr,imatcd dollar amount chazged for ihe permined
work including mattrials, labor,profit,and other flxed costs. It is the amount to be charged to the customer
for the work clone. Tf any material, equipment, labor,or installation are furnished by the owner, tenant or
any ocher pany che reasonabte market value of such icems muct be added to the estimatCd eost or eontraec
price for perriiic fee purposes. In the event[hat�here is a dispute on the amount of the job cost,the Ciry u�ay
requesc che submission of a signed copy of tha acnsal con[ract.
'"'" The STATE SURC�TATtGE is .0005 of che con[rac[price under$1,000,000 or $.513-whichever is greater.
For valvation�;over 51,000,0�0 call�he Deparcment of Inspection Services for the price.
The undersigned h�reby applies to the City for issuance of a Plumbing Pern�it, agrees to dv all
work in strict accordance with the ordinances of the Ciry ar�d the regulations of the State of
Minnesota, and certifies that all statements made on rhis applicacion are complete, true and
correct.
Applicant's Signature: Date: l�
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DATE TIM�,
CITY OF ORONO CALLED IN ��'�
INSPECTION NOT E � SCHEDULED -- -�� — '�/1
PERMIT N0. � COMPLETED
ADDRESS =��7,� � ��c:ti��� �V'�
OWNER CONTR. : 1 .S ±Vlc,, S ��n��v�L�
TELEPHONE N0. C.� I ��- Y�t3 S-� �l :�-
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� 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
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
`� 0 L 15 SEPTIC INSTALL. 22 FOLLOW-UP
=`�9S_PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
ING FINAL 36 FOUNDATIOWREMOVAL
Q OWNERI NTRACTOR TO MEET YOU:✓YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContrac on i e:
Inspector.
White Copyllnspector's F e Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED
PERMIT N0. �� COMPLETED oZ
ADDRESS oZl Ct� -
OWNER CONTR.
TELEPHONE N0.
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� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIL�ING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSUL4TION 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�LUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ORKSATISFACTORY:PROCEED PROJECTCOMPLETE
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call forthe ext inspection 24 hours in advance. (g52) 249-4600
OwnerlContra o site:
Inspector.
White Copyllnspecto's File Canary CopyfSite Notice