HomeMy WebLinkAbout2003-P07123 (plumbing-fixtures) �
� PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�i23
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: i2i23�2o03
SITE ADDRESS: 3753 Casco Ave
Wayzata,MN 55391
P I D: 20-117-23-31-0009
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate perniits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 125.00 Valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 130.00
APPUCANT: B &C Plumbing OWNER: Jason Artemiuk&Alisa Miller
990 Sth Ave SE 3753 Casco Ave
Hutchinson,MN 55350 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 SfATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE UED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
CITY OF ORONO� APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing per�its by mail or in person at the City offices.
2. Permit cards will be sent by returII mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOU RECEIVE A PERMTT. WORK MUST NOT BEGIN UIv�TII,THE PERMIT CARD IS POSTED ON
THE JOB SITE.
3. Plumbing permits may be issued O�]I.Y 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 accorda�ce 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 o�ttus application. Compute the permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-460a.
Please check one: � New Addition Repair Replace
Residential Commercial
JOB SITE: 3 �,S� ��}SL �� Zip:
Owner's Name: _ !.E/' G ,��-�/�--�� Telephone Number:
Mailing Address• City: Zip:
Contractor's Name: �C L`,�� �- T�� Telephone Number:
Mailing Address:Cf'y� S,� �.�'� l�S City:�/��,��y��ip: ,� ,3.�`'�
PLUl�iBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2�,� OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � � � Floor Drains �
Lavato o � Sewer E�ector
Bathtub � Laund Tra l
Shower / l Washer �
Kitchen Sink � Water Heater �
Dis osal � Water Softener .
Dishwasher l Wet Bar l
Sillcocks 2— Misc (list)
PERMIT F`EE CALCULATION(Sl
2002 State Statute ❑ 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 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:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00)
r�;�o�j x .0125 $
(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 Handling (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
Minnesota, and certifies that all st tements made on this application are complete, true and
correct. ,/
,- .
: -
Applicant's Signature: � �/ ��
Date:
DATE TIME
V
CITY OF ORONO CALLED IN I Z'23
INSPECTION TICE SCHEDULED �Z--Z�•�3 Z:o0
PERMIT N0. ���23 COMPLETED �- ��
ADDRESS 3?53 C IASC.o /0...4
OWNER CONTR. B�"� H�
TELEPHONE N0. ��7.1- ��I'��1 �
� DESCRIPTION P U�6 2 S
l� Oi FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
=�b PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContract ,�f��:
Inspecto�: � � � ' '�--"-
White Copyllnspector's File Canary CopylSite Notfce
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DATE TIME
CITY OF ORONO CALLE�IN .�/3 I��y
INSPECTION N TICE 2 SCHEDULED y-lT;/ , , . ;�
PERMIT N0. � c� � I�--J COMPLETED
ADDRESS ?J��� C-C�✓J C_ � .
OWNER � � �/��`"'�"' CONTR.
TELEPHONE NO. �1:� � S�/ J�C�� _
� DESCRIPTION ^
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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-FINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_Y _NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe ne t inspection 2a hours in advance. (952) 249-4600
OwnerlCon3r�c,�or ite:
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White Copyllnspector's Fi Canary Copy/Site Notice
` � DATE TIME
CITY OF ORONO CALLED IN �I"�U'��
INSPECTION N CE ^� SCHEDULED '� '�� 1� �►�l
PERMIT NO. O L COMPLETED
ADDRESS �S � CG:S GU �F(/�,'
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TELEPHONE N0. �� � 3`I �0 �1 v0
� DESCRIPTION '�� � ��S �� �- � C��c.�l a�^�-�-��
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� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 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-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 P 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 0 PLUMBI� 36 FOUNDATION/REMOVAL
� OWN TRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContr e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN -5-�`�
INSPECTION NOTICE SCHEDULED J��- - �� '(� �0 0 A✓�
PERMIT NO. �t Z� COMPLETED
ADDRESS C C.=� S� V ,� (iC,
OWNER �� S� CONTR. �JV-'C
TELEPHONENO. �2� ���� �2 �C�
� DESCRIPTION
� 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
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 0_,7,.-D-EMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W �09 PLUMBING 23 SEPTIC FINAL 35 HARD COVER REMOVAL
JC'i0 PLUM FI 36 FOUNDATION/REMOVAL
� OWFfER/C CTOR TO MEET YOU:_YES_NO
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� EFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContracto �ii�:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice