HomeMy WebLinkAbout2003-P06756 - plumbing '' , PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P06756
Crystal Bay, Minnesota 55323 Permit Type: FiX�res
(952) 249-4600 Date Issued: 9iioi2oo3
SITE ADDRESS: 2776 Casco Point Rd
Wayzata,MN 55391
PID: 20-117-23-23-0012
DESCRIPTION:
Proposed Use: Kesidenhal
Pernut Class: Plumbing
Permit Type: Fixtures Pemrit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 125.00 Valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 130.00
APPLICANT: Owner/Self OWNER: Camille Wesman
MN 2776 Casci Point Rd
Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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" P LI T P ITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required). 1-Apnlicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
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. Permit 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 (952) 249-4600. 24-hour notice
required.
�%
Instructions Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: New � Addition Repair Replace
� � Residential Commercial
�' �
JOB SITE: �77C� �,,.scc � . �- �i-c�rto Zip: 5��3 , /
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� Owner's Name: (���� (.� �„ �n(.� Telephone Number: 9��— �¢��_ oq°7�
� Mailing Address: �77� ('�.�c� �'-� , �. City: �j�,-� Zip: ��q t
Contractor's Name: ���� �(¢ �i-�,��. ow6��-� Telephone Number: ��,,� �� ��,,,�
�' Mailing Address: �,�,,�,,.� �� ��� City: Zip:
�
�:
�> P�,�71VI�ING �IXTUItE SCHEDLJLE
�;
�
�
�;
� FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
� TYPE FL FL TYPE FL FL
�
� Water Closet � Floor Drains . �
�'
Lavato � Sewer E'ector
Bathtub �- Laund Tra �
Shower � Washer �
Kitchen Sink � Water Heater
Dis osal 0 Water Softener
Dishwasher ! Wet Bar
Sillcocks � Misc (list)
PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes, This Section Applies
The replacement of a Residential fixture or ap�liance 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 licenced contractor.
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�
Skip next section; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.001
c�"'
iU�oao x .0125 $
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
�'
x .0005 $
(contract price) (minimum$ .50)
�;
3. Postage and Handling (Only mail-in applications) $ 1.50
�
� 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,labor,profit,and other fixed costs. It is the amount to be charged to the customer
d 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 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 Department of Inspection 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
correct.
Applicant's Signature: �- Date: � ' �� `� �3
� o� � �
l�E� TIME
CITY OF ORONO CALLED iN '����
INSPECTION N �IC�QE 75 � SCHEDULED �D �
PERMIT NO. COMPLETED ,�
ADDRESS a7 7� �4sG0 � �
OWNER �e�r� C�-�.2� CONTR.
TELEPHON E NO. ��z �.�� ��D
� 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/FIREPIACE 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next'nspection 24 hours in advance. (95Z� Z49-4600
Owner/Contr o
Inspector.
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