HomeMy WebLinkAbout2005-P08633 - plumbing C�TY �OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Pog633
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: 4i22�2oos
SITE ADDRESS: 2618 Casco Point Rd
Wayzata,AMI 55391
PID: 20-117-23-24-0038
DESCRIPTION:
Proposed Use: Kesidential
Pernut Class: Plumbing �jX-���
Permit Type: Fixtures Permit Sub-type(s): Multiple��P��an;�a�IiP*�-�.,.�_
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 125.00
Valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
Misc.Fee: $ 6.50
TOTAL FEE: $ 136.50
APPLICANT: Up North Mechanical OWNER: Eric Vogstrom
43900 Elmcrest Ave.N. 2618 Casco Point Rd
Harris,MN 55032 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESI'S 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 PERMITEE SIGNATURE SUED I�Y SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Anvlicant, 1-Monthlv Reoorts, 1-Assessing, 1-Finance Page 1
FOR CITY USE OnZY
v O,�O�O City of Orono
P.O.Box 66 Date Received: Pennit#
2750 Kelley Parkway
a ���� � Crystal Bay,MN 55323 Approved By: Amount S:
���� o (952)249-4600
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CITY OF OIZONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be
reviewed and a pemut will be issued within two working days.
2. Pernut 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 TIiE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing pernuts may be issued ONLY to licensed plumbing contractors and to properiy owners
residing in the dwelling.
4. When any new conshuction or remodeling is involved, a separate building pernut must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspecied and air tested before it is covered. Call(952) 249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
� (Check All'That Apply)
�
� Q�Residential ❑ Commercial(Approval Required)
❑ New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need nrior anproval and may need CUP.(Per Orono City Code, Chapter 78,Article IV)
Job Site/ Owner Information: �,��,�
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Site Address: l� �� ���—� �' �� ��`f` �(� �— ���� � ,�'ln1�
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Owner: �d�_ �(` �� �-��D�✓'� Mailing Address: �.���� �- �., ��,�r.a}, � e� .
City: �� �1�.��.te� �e�r� dlftJZip: :���.5�'3 B
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�� Home Phone: ��� - �.�'������' Alternate Phone: �f� � ��t��-�� ����
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�` Contractor Information:
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� A�Contractor: t, � ��� 'r'S�� ��� �'�`��� � Contact Person: � �.� � " � �.�
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Address: � � � �� �
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City: ;��'� � Zip:,� xpiration Date: �� � ��� ���
Phone: ��— �`���-��.�'��"' Alternate Phone: � �� � �� ���� '
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PLUMBIl'�TTG FIXTURES BETNG INSTALLED
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
� Water Closet Floor Drains
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Lavatory � t Sewer Ejector
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�'' Bathtub p Laundry Tray � �
1
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� Kitchen Sink i Water Heater i
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� Disposal � Water Softener
� Dishwasher � Wet Bar �
�; Sillcocks � Miscellaneous
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PERMIT FEE CALCULATION(S)
' BASED 4FF - 2002 STATE STATUE
❑ Yes,this section applies
� The replacement of a Residential fixture or a plp iance 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;excludine 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 $ 15.0 �
State Surcharge $ .50
- - Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $ E
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- ..�x:sr�'���,m�.r�=�e.,., .,��`�:ar;fix���s����^,a�:�
(Permit Fees Continued On Next Page) ' '
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PERMIT FEE GALCULATION 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)
f�� ��� •�� x.0125 $ ��'J� • l��
(contractprice) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
� b� �t�� • c�� X.000S $ S. DC�
(contract price) (minimum$ .50)
�„ 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
�' -, c.'�;�
�� 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ � �� ` *�"
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�:' ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
�' pernutted 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 fiirnished 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 puiposes. 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 valuarions over$1,000,000 call the Building Department at(952)249-4600 for the price.
PLUMBING PERMIT APPLICAT,�ON AGREEMENT
�
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.
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Applicant's Signature: � Date: � �" f 3'� ��
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V CITY OF ORONO CALL w `��< < �U�
INSPECTION NOTICE SCHEDULED �
PERMIT NO. �'(._'�(n � COMPLETED
ADDRESS �L�/.� �L%c��C'�,�7L /c�
OWNER CONTR "� � -
TELEPHONE N0. �'� � � �S `' � 1 �`
� DESCRIPTION G l'/JC��'7 �I L���� ��7`--�-�
l� 01 FOOTING 11 MECHANICAL 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 OS 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
� OWNERICONTRACTOR TO MEET YO : YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJFCTr�`•"„�_
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR AEtNSPECTION TEMPORARY
V �"'��cRING PERMANENT
--�'`�❑ CORRECT UNSAFE CONDITION WiTHIN HOURS. � pHOTO TAKEN
INSPECTOR W4LL RETURN ❑CITATION ISSUED
❑ STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (952� 249-4600
OwnerlContra site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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��� � � � DATE TIME �
CITY OF ORONO CALLED IN s-ZS�vs
INSPECTION NO CE ,� SCHEDULED s•.27-C�r � :30 �1-'t
PERMIT NO. � COMPLETED
ADDRESS r�� `
OWNER " CONTR. �U �b't� /U�_C�°
TELEPHONE NO. �o �a �.S-C� �-�O�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAI. 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
����07 DE�MO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP
,�09 PLUMBING R 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORKSATiSFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
�u
O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 tor the next inspection 24 hours in advance. (J52� 249-46��
OwnerlContract 'te:
Inspector.
White Copyllnspector's Fil Canary Copy/Site Notice
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DATE� TIME
CITY OF ORONO CALLED IN �
INSPECTION N TI SCHEDULED �� /1�'/�
PERMIT NO. �03 COMPLETED �{ �
ADDRESS ��0�� �� ��
OWNER CONTR. V U
TELEPHONENO. �s ��S
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 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 PLUMBING Rt 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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W� /VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED = ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail forthe next insp ion 24 hours in advance. (952� 249-4600
OwnerlContractor o
Inspector.
White Copyllnspector's File Canary CopylSite Notice
Clo ✓
�A� TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED b- -OS d:O b
PERMIT NO. �-3-3 COMPLETED
ADDR ESS __ alo�� CQSGO � ��
OWNER CONTR. GlY7��L L�C��
TELEPHONE N0. �O�c� -c►7SZ� — c5�D
� DESCRIPTION 0�-�m��n ��'n�`'e J ��n�
� 01 FOOTING 11 MECHANI RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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
� 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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❑CORRECT WORK&PROCEED �_- ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (952� 249-46��
OwnedContr t
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� > � �D TE _ TIME
CITY OF ORONO ����3 CALLED IN � ��
INSPECTION N scHE�u�E� �'1-7�'� � •°�'� �UI
PERMIT NO. COMPLETED
ADDRESS :�(�f� ��1t � C C� / . /�
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OWNER ���c ( �cve CONTR./,�ir���- rrG1JlS� �.�,
TELEPHONE NO. ���",/�7?� �C� �
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
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 k@'FfLUMBING FINAL 36 FOUNDATION/REMOVAL
� OR TO MEET YOU:_YES_NO
� COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. �95Z� Z49-460�
Owner/Contra o e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice