HomeMy WebLinkAbout2001-P04269 (plumbing-fixtures) t ��
CITY OF RON PERMIT
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2750 Kelley Parkway - PO Box 66 Permit Number: Po4269
Crystal Bay, Minnesota 55323 Permit Type: F�XtUreS
(952) 249-4600 Date Issued: s�3oi2ooi
SITE ADDRESS: 3195 Casco Cir
Wazyata, MN 55391
P ID: 20-117-23-43-0023
DESCRIPTION:
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Proposed Use: n���u�«�,a�
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 151.56 Valuation: $ 12,125.00
State Surcharge Fee: $ 6.06
TOTAL FEE: $ 157.62
APPLICANT: Westonka Mechanical Inc OWNER: Paul& Leann Hanssen
6501 County Rd 15 3195 Casco Cr
Mound,MN 55364 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERM[SS[ON TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND GREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STA�' OF 1�/fI � ESOTA BUILDING CODE REQUIREMENTS.
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� APPLICANT PERMITEE IGNATUR I SUED BY SIGNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 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 permits by mail or in person at the City offices.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing pemuts 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: Ali work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: � New Addition Repair Replace
� Residential Commercial
JOB SITE: 3 f C'�� CC �� -� � ✓1 T � � r Zip: ���
Owner's Name: L f�.� ,� Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: `�iS >,.� � j ._ �,� _.�,,iz_ Telephone Number: y�-����{�i�''
Mailing Address: Co SU t (�.� F�'t , i� Cit3'� �C,�/�/�'�/,'�1 ZiP� SS
PLiJMSING FIXTUR� SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � � 3 Floor Drains �
Lavatory � � 3 Sewer Ejector
Bathtub ` � Laundry Tray �
Shower 4 7 W asher
Kitchen Sink ' Water Heater 1
Disposal � Water Softener
Dishwasher � Wet Bar �
Sillcocks Misc (list)
PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or 1Vlinimum Fee ($3_�
,��C� x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (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 pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciry 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 Tnspectional 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 statements made on this application are complete, true and
correct. �� � � � �
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� DATE TIME
CITY OF ORONO � CALLED IN
INSPECTION TICE SCHEDULED `� l , �
PERMIT N0. COMPLETED L'� �
ADDRESS � � � '
OWNER ' CONTR. �/ ' `/�-Q
TELEPHONE NO. �7.Z � 1�� �I
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
02 FRAMING ECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION C - "- - RNER/FIREPLACE 34 TREE REMOVAL
Z04 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OW RICONTRACTOR TO MEET YOU:_YES_NO
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor o site:
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Inspector.
White Copyllnspector's File Ca�ary Copy/Site Notice
C---�' � DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI SCHEDULED �
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PERMIT N0. C!Y� COMPLETED '�� ��
ADDRESS � �
OWNER C TR. 1 i .. ' �(
TELEPHONE N0. - c�" �-F� o�
� DESCRIPTION �! � j`'�-�-��
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOFiE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WAIL 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOH TO MEET YOU:�YES_NO
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❑CORRECTUNSAFECOND�TION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
D INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-46�0
OwnerlContra tor on site:
Inspector.i��/�r �Z-�� ���
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN ,�_ _ ''��
INSPECTION N I E SCHEDULED a,,
PERMIT N0. COMPLETED �" '� I� � � � ��
ADDRESS I S �c� �r/t �
OWNER ����.� CONTR.
TELEPHONENO. ���" �7,_����
� DESCRIPTION ��U/n�� �� `� ���T�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULAT�ON 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 2Q9-Q60�
OwnerlContract on site:
Inspector.
White Copyllnspector's File Canary Copy/Site NoUce