HomeMy WebLinkAbout2000-P02592 (plumbing-fixtures) " PERMIT
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C I TY O F O RO N O Permit ►vumber:
2750 Kelley Parkway - PO Box 66 Po2s92
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(612) 249-4600 Date Issued: 6i26ioo
SITE ADDRESS: 3237 Casco Cir
WAYZATA,MN 55391
P ID: 20-117-23-43-0013
DESCRIPTION:
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PCOpOSeCI USe: �c�iucui�ai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Single Family
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,200.00
State Surcharge Fee: $ 0.60
TOTAL FEE: $ 35.60
APPLICANT: LEON DUDA PLUMBING OWNER: G NASIEDLAK& M NASIEDLAK
208 17TH AVE NORTH 3237 CASCO CIR
HOPKINS,MN 55343 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-� REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCE5 AND
STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS.
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AP ,RMITE I RE SSUEDBYSIGNATURE �
Copies: City,Applicant, Assessor, Finance Page 1
CITY OF ORONQ APPLICATION FOR PLUMBING PERMI'�
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. Pemut 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: All 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 cert�cation. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New ��ddition Repair Replace
� Residential Commercial
JOB SITE: , ���� ^ �� �- �. ��� � ZiP: �����
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Owner's Name: �' �� Telephone letumber: ��;�� ,,� ��`�
Mailing Address: � " :� �`�.-�=� ' � City: ��`��.� Zip: ��„�� _ 9a,
Contractor's Name: ,,� , ��� Telephone Number: ��� �a��� �`';�
Mailing Address: '"���� � City: �,��`�� Zip: ���� �
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PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or Minnnum Fee ($35.00)
���� x .0125 $
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(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, laboe, profit, and other fixed costs. It is the amount to be chazged to the
customer for the work done. If any material, equipment, labor, or installation are fumished 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 lnspectional 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
conect. .,
s:
Applicant's Signature: 9
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DATE TIME
CITY OF ORONO CALLED IN ���� ��
INSPECTION NOTICE SCHEDULED ��S_ '� J,��
PERMIT NO. a�- COMPLETED !r7 w � �ad
ADDRESS �Ja3`�7 C�t�S�D �«'c��
OWNER CONTR. �L� �I�►'1b
TELEPHONENO. �`33 'S(o3k�
� DESCRIPTION
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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
J 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING'T�, 23 SEPTIC FINAL 35 HARD COVER REMOVAL
JT1�NAL� 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W Ci CORRECT WORK R PROCEED �I ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
L 1 CORRECT UNSAFE CONDITION WITHIN HOURS. �, pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
Owner/Contrac or on site:
Inspector.�,����,���J
White Copyllnspector's File Canary CopylSite Notice
c�DATE TIME
CITY OF ORONO CALLED IN (3 '2—��
INSPECTION NOTICE SCHEDULED ��'3'o o �"��
PERMIT NO. pO2SG/2 COMPLETED � � '�'" � �3�
ADDRESS 323� GLSC1� C�r.
OWNER CONTR. �uC%Ic� p�r����
TELEPHONE NO. 9Sz- �t 33��� �563�
� DESCRIPTION
ty� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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 O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBIN 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FIN 36 FOUNDATION/REMOVAL
Q O NTRACTOR TO MEET YOU:_YES_NO
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O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR f CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContr or on site:
Inspector/�`'�����
White Copylinspector's File Canary CopylSite Notice