HomeMy WebLinkAbout2006-P09882 (plumbing- fixtures) PERMIT
CITY OF 'ORONO
2750 Kell�y Parkway- PO Box 66 Permit Number: p09882
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
5/18/2006
SITE ADDRESS: 3251 Casco Cir Unit#
Wayzata,MN 55391
P��� 20-117-23-43-0007
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Mulriple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 225.00 valuation: $ 18,000.00
State Surcharge Fee: $ 9.00
TOTAL FEE: $ 234.00
APPLICANT: Podnay's Plumbing OWNER: Mark Gaylord&Lori Anderson
1218 Sugar Lane 182 2nd. St.
Chaska,MN 55318 Excelsior,MN 55331
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IIr1 STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESO BUILDING COD R�QUIREMENTS.
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APPLICA T PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE ONLY
, ,�0�, City of Orono
P.O.Box 66 Date Received: Permit#
, �a;;, � 2750 Kelley Parkway
� "�� 'r Crystal Bay,MN 55323 Approved By: Amount$:
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,,����,�O�o (952)249-4600
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CITY OF ORONO-PLUMBING PERMIT
(All Commercial permits must Ue approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing pernvts by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Pernut cards will be sent by retiun 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 pernuts may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new consh-uction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
I (Check All That Apply)
�Residential ❑ Commercial(Approval Required)
�,New ❑Additional ❑Repairs ❑ Replace
❑ In Accessory Structure?
*You will need qrior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/ Owner Information:
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Site Address: ��� �'�� ��' (����l Z
Owner: �°L=`��- � �'���/ Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information,�
; -�.
Contractor: � Contact Person:
Address: �� S�t �"' ' State Bond#:
�G' /
City: IG�sS �� /'l� - Zip:��3�Expiration Date: -
,�- yy�3 v� ��- ���-���� C�� ��
Phone: Cf� � � Altemate Phone: .� -
❑ Insurance- Current:
1
` PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet 1 J � Floor Drains 1
� �
Lavatory j I � Sewer Ejector
Bathtub 1 � Laundry Tray I �
Shower /� W asher
ar• ► I
Kitchen Sink � Water Heater �
Disposal Water Softener
�
Dishwasher j Wet Bar �
Sillcocks � Miscellaneous
PERMIT FEE CALCULATION(S)
; BASED OFF - 2002 STATE STATUE
❑ 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 licensed contractor.
Skip next section, if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
. PERIVIIT FEE CALCULATION S —JOBS OVER'$500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
(,���-�x.0125 $
(contra t price) (minim�m$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on 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
pemutted 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 installations 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 perxnit 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. Far valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
`, � � $ PLUMBING PERIVIIT APPLICATION AGREEIVIENT;. � ' `
�„�. ..�.. __ ..y E.E.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the 6i-dinances of t Ci�% and the regulations of the State of
Minnesota, and certifies that all,,�atements made �'''this application are complete, true and
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Applicant's Signature; Date:
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C� , DAT�/� TIME
J CITY OF ORONO � CALLED IN ��"�
INSPECTION TIC SCHEDULED ,��','—�—� : Da
PERMIT NO. � COMPLETED
ADDRESS�aS/ �CO Cl�^C�2.
OWNER CONTR. ��Gf]C�i i
TELEPHONE NO. f�/�� �c�� Y 7/�'
� DESCRIPTION `!� U /�'1- .' i� � �
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l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FIN L 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 INSTALI. 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
� COMMENTS:
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS.
Cail forthe next inspectian 24 hours in advance. (952� 249-4600
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OwnerlContractor -
Inspector.
White Copyllnspector's File Canary CopylSite Notice
���\ DA E TIME �
CITY OF ORONO CALLED IN ��a7 1: �C5
INSPECTION NOTICE SCHEDULED c�� a' 3a
PERMIT NO.�+ 0 � g�� COMPLETED
ADDRESS����I C (�Sc.a C r' • _
OWNER CONTR.��a�'1�J � FJ��
TELEPHONE NO. � la -�a I - ���j� - G a r-�/
� DESCRIPTION ��°� � �� ✓16..I
l� 01 FOOTING 11 MECHANIC��L RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 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
v 07 DEMO-FINAL 15 SEPTIC INSTAIL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDiTIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (J52� 249-4600
OwnerlContra site:
Inspector.
White Copyllnspecto s File Canary CopylSite Notice
�'� �j_� l.'�„J � ` I `� AT .� � TIME �
CITY OF ORONO � CALLED IN � ��
INSPECTION NO ICE scHE�u�Eo �0 �
PERMIT NO. COMPLETED
ADDRESS �� � � C ':Q S �'����Z_�
OWNER CONTR. � Pe��--t-
TELEPHONE NO. �r� -r����—����
� DESCRIPTION �
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/ RADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 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
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
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the xt inspection 24 hours in advance. (J52� 249-4600
OwnerlContract r site:
Inspector. �
White Copy/inspector's File Canary CopylSite Notice