HomeMy WebLinkAbout2004-P07923 - plumbing � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P07923
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: 9i�i2oo4
SITE ADDRESS: 2677 Casco Point Rd
Wayzata,MN 55391
PID: 20-117-23-23-0020
DESCRIPTION:
Proposed Use: Kesidenhal
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 1,650.00
State Surcharge Fee: $ 0.83
TOTAL FEE: $ 35.83
APPLICANT: Kingsway Mechanical(See Comments) OWNER: Alan&Susan Kluis
6250 Highway 12 W 2677 Casco Point Rd
Maple Plain,MN 55391 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVENIENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SfATE OF
MINNESOTA BUILDIN,G CODE REQUIREMENTS.
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APPLI ANT PERMITiEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Siunitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystai 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 reiurn mail aiter a review is completed. PERMITS ARE NOT VAL1D UNTIL YOU
RECEIVE A PERMIT. WORK MUST NOT BEGW UNTIL THE PERRIIT CARD IS POSTED ON THE JOB
SITE.
3. Plumbing permits may be issued ONLY to licensed plumbinb contractors and to property owners residing in the
dwelling.
4. When any new construction or remodeling is im�olved, a separate buildinb permit must be obtained.
5. All work must be done in accordance with the State Code requiremenis.
6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the
�: certification. [NCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions,
call (952) 249-4600.
Piease checic one: New �Addition Repair Replace
Residential Commercial
JOB SITE:�_� �� � � Zip;
Owner's Name: Telephone Number:
Mailing Address: 7 ity: ` Zip:
Contractor's Name: - (i.� � Telephone Nu ber: � �/�J
Mailing Address: City: ' Zip•
.; PLUMBWG FIXTURE SCHEDULE
FIXTURE BSMT 1 ST 2ND OTHER FIXTURE BSM 1 S 2ND OTHER
� TYPE FL FL TYPE T T FL
FL
Water Closet Floor Drains
Lavator Sewer E'ector
Bathtub Laundr Tra
Shower Washer
Kitchen Sink Water Heater
Dis osal Water Softener
Dishwasher Wet Bar
Sillcocks Misc list
,
PERMIT FEE CALCULAT[ON(Sl
2002 State Statute ❑ 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
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3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mai( In Fee $ 1.50
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If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00�,
���-��� �� x .0125 $
(contract price) (minimum $35.00)
2. Sta�e Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
; x .0005 $
(contract price) (minimum$ .50).
� 3. Postage and Handling (Only mail-in applications) $ 1.50
S,
4. TOTAL PERM[T FEE (Add lines i-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permiited work
including materials, labor, pro(it, and oUier fixed costs. It is the amount to be charged to the customer for the work
done. fi any riiaterial, equipment, labor, or installation are furnished by the owner, tenant or any ofher party the
reasonable market value of such items must be added to the estimated cost or contract price for permit fee
purposes. ln the event ihat there is a dispute on the amount of the job cost, the City may request the submission
of a signed copy oE 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 Inspection Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all worl<
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 ap 'cation are complete, true and correct.
ApplicanYs Signature: ��� ---- .Date: �
Reset Farm :
DATE TIME J
CITY OF ORONO CALLED IN [' ���
INSPECTION NOTICE SCHEDULED �`� �M
PERMIT NO. P� 7�'2 � COMPLETED
ADDRESS �L��7 7 Ca SCO ,� �•
OWNER CONTR. l�'�SG��/
TELEPHONE NO. C-� �� �q� a�D / c�r�✓VI
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADIN�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 INSPEC710N
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 l 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBI G FI 36 FOUNDATION/REMOVAL
� OW NTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑ RKSATISFACTORY:PROCEED f7 PROJECTCOMPLETE
� CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next i spection 24 hours in advance. (J52� 249-4600
OwnerlContr o n s e
Inspector.
White Copyllnspector's File Canary CopylSite Notice