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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. /� � � � � � C�:� v%� �.-C'�"� /'l' ,,Cl� � 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 i �jd� � ����i tIZ 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) ������ � O s� ��I� n ���c . L{- I � � fab-12-2003 09:50am Fram-CITY OF ORONO +8522494616 T-912 P 003/003 f-3T1 � � 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� � i� •°� 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� / 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 :�- � � 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 v, ` MENTS: � W C � � �� [�,/�, O "- � � O � W � Q � 2 W � W � � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 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 ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NO CE SCHEDULED PERMIT N0. �� COMPLETED oZ ADDRESS oZl Ct� - OWNER CONTR. TELEPHONE N0. � � 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: � W � � J O �. � O � W � Q � 2 W Si W � � G �i W� ORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑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