HomeMy WebLinkAbout2007-P11685 (plumbing-fixtures) PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11685
Cryst�l Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
11/15/2007
SITE ADDRESS: 2490 Casco Pt Rd Unit#
Wayzata,MN 55391
P��: 20-117-23-21-0036
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approvcd per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Stieg Mechanical Inc. OWNER: Natalye&Igor Chernevskaya-Yurcbenko
19520 Stieg Road 2490 Casco Point Rd
Rogers, MN 55374 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.
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APPLICANT PERM[TEE SfGNATURE SSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
C�� �� FOR C1TY l�s�oNt�t
� '0�A_ City of Orono
�4 `r��� P.O.Box 66 Date Received_ Pemut�d
���.:, �''' 2750 Kelley Parkway
• �,�,� p`'�. �� Crystal Bay,MN 55323 Approved By: Amount$:
, ° � ; u�% (952)249-4600
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CITY OF ORONO-PLUMBING PERM[T
(All Commercial permits must be appmved by the Building Ot�icial or Inspcctor}
GENER,AL INFORMATION i
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a petmit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL TNE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construcrion or rernodeling is invotved,a separate building permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE 4F PERMIT
Check All That A I )
'���idential ❑Commercial(Approval Required)
❑ New ❑Additional ❑ Repairs ❑Replace
❑ In Accessory Structure?
*You will need arior approval and may need t'UP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: �y�� � �L�p �C�„w� 1Lo/��
Owner: �-�O� `�v�C.H1�N �1tQ Mailing Address: �i�r�c
City: 1,.��4�{'Z_1�TrP�- zip: �3`�1
Home Phone: ��'�i�l-3��� Alternate Phone:
Contractor Information:
Contractor: S`1�E� ►�t'Zi�►�,��, Contact Person: �L C�lc>�-A'�-�-+
Address: �°lS�.c� .S'���� �Fl�%A+4 State Bond#:
City: (�b�-�S Zip:y3�� Expiration Date:
Phone: �,1���3�-$�,�f:� Alternate Phone:
❑ lnsurance-Current:
1
(Permit Fees Continued On Next Page)
2
�
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 � Zy� OTHER FIXTURE BSMT 1' 2 ° OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatary Sewer Ejector
Bathroom Laundry Tray
Shower Washer
Kitchen Sink Water Heater �
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PERMIT"�°EE CALCULATION(S)
BASED OFF -2002 STATE STATUE
❑ Yes,this section applies
The replaceme�t 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 ne�ct section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ l.50
Total Permit Fee $ ��.•op
(Permit Fees Continued On Next Page)
2
� PERMIT FEE CALCULATION(S)-30BS 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$35.00)
x.0125$
(contract price) (minimum 535.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of 5.50)
x.0005 $
(contract price) (minimum b .50)
3. POSTAGE&HANDLING(Only on Mail-In Applicatio�s) $ 1.50
4. TOTAL PERMIT FEE(Add Lines I-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 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 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 Building Department at(952)249-4600 for the price.
PLUMBING PERMIT APPLICATION AGREEMENT
The undersigned hereby appGes 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 ail statements made on this application are complete, true and
correct.
Applicant's Signature: Date: l ��-���
Reset Form
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CITY OF ORONO CALLED W ��'��`-� �'� /
INSPECTION NO IC SCHEDULED �7 ��
PERMIT NO. , � COMPLETED
ADDRESS � �% ���-� �v �
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OWNER I ONTR�S ' �
TELEPHONE N . �r � ^ - l.�' �
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� DESCRIPTION ������ �1��'� '���
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W� y�WORKSATiSFACTORY:PROCEED �ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED � SSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-46��
OwnerlContractor on si�:
Inspector. �, ��
White Copyllnspector's File Canary CopylSite Notice