HomeMy WebLinkAbout2001-P04708 - sewer/water permit PERMIT
CITY G� ORONO Permit Number:
2750 KP�iey Parkway - PO Box 66 P04708
Cryatal Bay, Minnesota 55323 Per'mit Type: sewer and water Permit
(952) 249-4600 Date Issued: 12ii li2ooi
SITE ADDRESS: 2807 Casco Pt Rd
Wayzata,lV�I 55391
PID: 20-117-23-32-0014
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer/Water Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
Other-(A Special Covenant was signed per Building&Zoning to Authorize this permit)
NOTICES/REMARKS:
Connecting Existing Sewer& Water to Garage
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 500.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Widmer Inc. �WNER: John& Patricia Bailey
Box 219 2807 Casco Point Rd.
St. Boni, MN 55375 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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PLICANT PERMITEE SIGNATURE ISSUEDBY S[GNATURE
Copies: 1-File(SiQnitures Reauired). 1-Avolicant 1-Monthlv Reoorts, 1-Assessin�, 1-Finance Page 1
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CITY OF ORONa APPLICATION FOR PLUMBING PERMIT d'�
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 ��'
GENERAL INFORMATION ``��
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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 pernuts 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 pemut 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 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 PRQCESSED. If you have
questions, call 249-4600.
Please check one: New Addition Repair Replace
Residential Commercial
JOB SITE:_ o��0 7 �.�,�.�'�.c:�- �� �� Zip:
Owner's Name: ,�����_ f�� _ Telephone Number:
Mailing Address• ,�,gv � �;e��.� ,�� City: �/J Zip: .�-5 3 �,
Contractor's Name: ��_ ' �' Telepho umber�� l{y-�.-%��
Mailing Address: � �-✓� � � City: �_4��_` Zip: ��..3 7.�
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PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
x .0125 $ �-� �'�
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater ����
3. Posta�e and Handlin� (Only mail-in applications) $ ' �^
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ���•.�U
* 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 pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ci�y 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 lnspectional 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 statem�nts made on this application are complete, true and
correct.
Applicant's Signature: l�—� Date: �— c��
.
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(TnPHFR nNL ('__�I.I-
F.�.Y: 651-354-0170
PHOiVE: 651--�54-0002
FAX-a-LOCaTE REOUEST FORIVI
Caller ID Number 212 Fax number 952-446-1836
Company name Widmer Inc.
�'� Phone number 952-446-1495
Caller name�-�y
Ex losives � No R.O.W. (Y/I� Yes Duration of job �C(�s
P �'
Type of�vork s�`�``- ��-'%al��� /�c/
Work being done for /1'%�.�� ����'� C'�a " ��� � ����
County /l`,�,� City/Place �oti� � -
Address ,�� � Street �s� � ��� -
Nearest cross street C��-SCJ ��'� -
Location of�vork /���5 � � ���G �� �"`J� -
Remarks /y1%'��/ ��/i 2 � �/ —
Township Range Section/Quarter
Township Range Section/Quarter
OR
Cj�_ . �- �
Hudson Page and Grid �
For Gopher State One-Call use only
Ticket number ��> > y�� � Work to begin date
Utilities Notified ��- ��� l��� ����J
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DATE TIME
CITY OF-n�ONO �� CALLED IN
INSPECTION NOT C� � SCHEDULED �%2 1 ��U -,G�
PERMIT N0. COMPLETED �� �
ADDRESS �-�C�� �CJ`S�C? PT��
OWN ER CONTR._I I I i CQ `Y�n-
TELEPHONE NO. � `-I��O " �"7 Cl �
� DESCRIPTION �� `� (.���? ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TFEE 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 C MPLAiNT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 NP,RD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: /TOJ�
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W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W K&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� O CORRECT WORK,CALL REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAF�ONDITION WITHI HOURS. p pHOTOTAKEN
INSPECTO�� N
� �CITATION ISSUED
❑STOP ORDER POSTED.CAI�� TOR
INSPE UIRED.CALL ACCES .
Ca11 forthe next ins tion 24 hours in a ance. (g52) 249-4600
OwnedContra o n s'
Inspe or
White Copylinspector's File anary CopylSfte Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N T SCHEDULED � // �
PERMIT N0. COMPLETED � �'r -( �
ADDRESS � � '�D � /"�`
OWNER � -2 CONTR.
TELEPHONE NO.
� DESCRIPTION_ �/1---�������'I7'� �✓ S�'��
� 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
Z 04 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
� C MENTS:
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
�TOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector. ������
White Copyllnspector's File Canary CopylSite Notice