HomeMy WebLinkAbout2003-P06331 - plumbing PERMIT
CIT�' OF ORONO Permit Number:
2�50 Kelley Parkway - PO Box 66 P06331
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: s�i6�2oo3
SITE ADDRESS: 2821 Casco Point Rd
Wayzata,MN 55391
PID: 20-117-23-32-0009
DESCRIPTION:
Proposed Use: Kesidenhal
Pernut Class: Plumbing
Pernut Type: Fixtures Permit Sub-type(s): Plumbing Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Due to leak on line to appliances,replaced 1/2"copper line
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Center Point Energy Minnegasco OWNER: Ronald&Margaret Demshar
13562 Central Avenue NE 2821 Casco Point Rd
Anoka,MN 55343 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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APPLICANTPERMITEES[GNATURE I SUEDBYSIGNATURE
Copies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
.
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CITY OF ORONO APPLICATION FOR PLLT1�iBING PEIt11�IIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, �1�1 55323
GEiVERAL INFOR�IATION .
1. You may apply for plumbin� permits by mail or in person at the City o�ces.
2. Permit cards will be sen[ by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII. THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing perm.its may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dwelling.
4. When any new constructio❑ or remodelinJ 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 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. I'�i tCO�fPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New Addition �, Repair Replace
Residential Commercial
JOB STTE: �'o ' � � f Zip: .�.� �%
Ow�ner's �'ame: �� �, Telephone Number: �S�'-����j
1�Iailin� Address: City: Zip:
Contractor's l�ame: � ;.�:� � ; ,�,:��� �� Telephone number:7H�:-��-���•
Mailing Address: ,��sG-,�.� /�.�,��� � , ��i��� City: ���,� Zip: ��3�-�
PLUI�IBI'i�1G FIX'TURE SCHEDULE
FIXTURE BS�ST 1ST 2ND OTHER FIXTURE BS:�fT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
. Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Hea[er
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERNIIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
x .0125 $ ' r �
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ �S(�
(contract price)
or $.50, whichever is greater
3. PostaQe and HandlinQ (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ `-s�
l
* CONTRACT PRICE or JOB COST means the accual or estimated dollar amount charged for the perm.itted
work including materials, labor, profit, and other fized 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 aruount of[he job cost,
the Ciry 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 Jnspectional Services for the price.
The undersi�ned 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 re;ulations of the State of
Min.nesota, and certifies that all statements made on th.is application are complete, true and
correct.
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Applicant's Signature: ��� �ti�' ' " '
G;C���'1=-, Date: ����
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✓
DATE TIME
CITY OF ORONO CALLED IN `��7'U3
INSPECTION NO scHE�u�E� ��i_-_�_�-�3 ���
PERMIT NO. � .3 '' COMPLEfED
ADDRESS n 2 ' � �
OWNER � T CONTR.
TELEPHONENO. �� �� � �-� � �� �/
� DESCRIPTION ��� 'Z � _ �"' ���?- �n �cPc�'-C..
� 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 �D. 12 WATER HOOK-UP 17 SITE INSPECTION
Q (p5 FIN 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:�YES_NO
� COMMENTS:
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W� ORKSATISFACTORY:PROCEED ROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTfON RE�UIRED.CALLTO ARRANGE ACCESS.
Call forthe next'nspection 24 hours in advance. (952) 249-46��
OwnerlContrac� 't :
Inspector. _ �
White Copy/InspectoPs File Canary Copy/Site Notice