HomeMy WebLinkAbout2003-P06186 - plumbing PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P06186
Crystal Bay, Minnesota 55323 Permit Type: Fixcures
(952) 249-4600 Date Issued: aiisi2oo3
SITE ADDRESS: 2807 Casco Point Rd
Wayzata,MN 55391
PI D: 20-117-23-32-0014
DESCRIPTION:
Proposed Use: xesidential
Permit Class: Plumbing
Pernut Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 37.50
Valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 39.00
APPLICANT: Mid-City Mechanical OWNER: 7ohn&Patricia Bailey
9103 Davenport Street NE 2807 Casco Point Rd.
Blaine,MN 55449 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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APPLICANTPGRM[TEESIGNATURE ISS EDBYSIGNATURE
Cooies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
Aor-26-20�2 Gi :�dpm From-CIiY OF ORONO +��224BC61"a T-122 P C�2/OCo F-d34
CITY O�' ORONO APPLTCATI0�+1 FO�Z pLIT�,i�P;G p�g;y1zT
Box 66 (2750 Kelley Parkway)
Crystal Bay, A�L�1 55323
�:i�1ERAt,TNFORtiia'TION
1• You may apply for plumbing permits by mail or in yerson at rhe Ciry offices.
2. Permit cards will be 9ent by re[urn mail after a review is completed. PER'�STTS�NOT VALID UNTIL
YOU RECEIVE A PE:tMIT. WORK MUST NOT BEGI�J UNTIL THE PER�IIT CA?�IS PpSTED ON
THE J�B SITE.
3. Plumbing permits may be issued ONL,y co li�;ensed plumbing contrac�ors and ro properry owners residir.g
in the dwelling.
4. When any new construction or reinodeliag is involved, a separate building perruic must be obtained.
5. AlI work musc be done in accordance with thc� Stare Code requiremtnts.
6. All work must be inspecred and air tested t�efore it is covered. Cali (9S2) 249-46C0. 24-hour no�ice
required.
Instructions Complete all items on rhis application. Compute the permit fee. Sign and date the
ce�ification. TNCOMPLETE APPLICATIONS WILL �tOT BE PROCESSED. If you have
questions, call (952) 249-4600.
1�EltiJO�l.
Please check one: New Addition �I2�pai� Replace
Residential � Commerc;al
.�OB SI'i'E: a� SC„� � �.v� +t.0 : Zip:
Owner's Name: ' Telephone Number:
Mailing Address� City: Zjp;
Contrartor's Name: � 1 ���C.�Telephone Number:•��-- '?S`'1—`7 COo
i�iailing Address. �� �, . �;� City' ��,�t, Zip' �S�14S
PLUMBI�IG ]FIXTL�tE SCHED�TI,E
FLXTURE ! BSMT I�T 2ND O?HE12 FIXT`JRE BSIvIT 1ST 2ND OTHER
TYPE FL PL I TYPE F
L FL
Wa�er Closet vZ Floor Drairs I
I �
Lavatorv Sewer E�ector
$achn'S � Laund 7ra � (
—�
Shower vZ ( Washer ,
Kitchen Sin;c � Wacer Heaier
bis osal Water Soft�ner
Dishwasher We[Bar I
Silicocks �tisc (list)
PEIaMIT FEE CALCULATION(Sl
2002 State Statute [� Yes, This Section Applies
The replacement of a Residential fixture or a�pliance 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.
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 ($35.00)
� �,Gt�'� 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. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FE� (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
for the work done. If any material, equipment, labor, or installation 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.
** T'he 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 Pernut, 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.
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Applicant's Signature: �`���--� Date:
,L
,
CITY OF ORONO APPLICATION FOR PLUMBING PEItMIT
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 return 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 permits 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 pernut must be obtained.
5. All work must be done in accordance with the State Code requirements.
6. Ali 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: Zi�a:
Owner's Name• Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: Telephone Number:
Mailing Address: City: Zip:
PLUMBING FIXTURE SCHEDULE
FIXTL'RE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TyF��_ FL FL TYPE FL FL
Water Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laund Tra
Shower Washer
Kitchen Sink Water Heater
Dis osal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
���-�> ,/
' DATE TIME
CITY OF ORONO CALLED IN -5-�� �"
INSPECTION N TICE �_, SCHEDULED � � �i '-3�
PERMIT N0. C� " COMPLETED
ADDRESS �+�.��' � [���c��; f�� ,��'L�
OWNER CONTR.��/C���2�!���1`��
TELEPHONENO. 7�> >-� � ����'
� DESCRIPTION PG lL`j7.��/il�i �-1
� Ot FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING
Q 02 fRAMING 13 MECHANICAI FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 OEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J PLUMBING FINAL � 36 FOUNDATION/REMOVAL
� OWNERICONTNACTOFi TO MEET YOU:�,YES_NO
� COMMENT •
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� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARFiANGE ACCESS.
Cal1 for the nex inspection 24 hours in advance. (952� 249-4600
OwnerlCo o s te:
Inspector.
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