HomeMy WebLinkAbout2005-P09225 - plumbing PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09225
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued:
9/27/2005
SITE ADDRESS: 3030 Casco Point Rd Unit#
Wayzata,MN 55391
PID: 20-117-23-43-0052
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#: �
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 106.25 valuation: $ 8,500.00
State Surcharge Fee: $ 4.25
TOTAL FEE: $ 110.50
APPLICANT: Nieman Plumbing&Heating, Inc. OWNER: K Forss& A Ronningen
875 Kunz Dr 3030 Casco Point Rd
Maple Plain,MN 55359 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.
� �,,,, .-, _ � - �
APPLICANT PER EE ATURE ISSUED BY SIGNATURE
Copies: 1-File(SignaturesRequired), l-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� ' FOR CITY USE ONLY
� City of Orono
�� �� P.O.Box66 DateReceived: �� "' "��Permit# ��) 92� �
�;.;,� 2750 Kelley Parkway �
a t`�`?�.�`� � Crystal Bay,MN 55323 Approved By: Amount$: � �J�
����u�i�$o` (952)249-4600
CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
L You may apply for plumbing pemuts by mail or in person at the City offices. Applications will be
reviewed and a peimit will be issued within two working days.
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 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 pernut must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
(Check All That Apply)
/
[v�Residential ❑ Commercial(Approval Required)
❑ New 0"Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need nrior anproval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
Job Site/ Owner Information:
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Site Address:��'�'c_-� C..-�z=5 c�" t c'%7 f�� �� �t/�-� S�'3�/
Owner;�(�+�ss� �j�cr,��_�T Mailing Address: � C�.�U C�S�• f�- ,� l
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City: �%.�a�-�,�� Zip: -�� �c��
Home Phone: Alternate Phone:
Contractor Information:
� �E'���� ���T�� �� Contact Person: ��<�hi
Contractor: f� ,� S
Address: �7S f��-�Z ��^ State Bond#: � �
City: /�UlG' ' � �i�- Zip��3 Expiration Date:
Phone: 7�3�—`�7� �z�"�? Alternate Phone:
❑ Insurance—Current:
1
�
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PLUMBING FIXTURES BEING INSTALLED ,
FIXTURE BSMT 1 2 OTHER FIXTIJRE BSMT 1 2 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 Miscellaneous
� � � PERMIT FE�E CALCULATION(S) �
BASED OFF - 2002 STATE STATUE
❑ 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; excluding the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Totai Permit Fee $
(Permit Fees Continued On Next Page)
2
, . •.
� , �
PERMIT FEE CALCULATION(S °—JOBS OVER $SQ0.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
(co�� x.0125 $
act price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
x .0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on 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 for the work done. If any material, equipment, labor or installations 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 pern-ut 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 Building Department at(952)249-4600 for the pnce.
� PLUMBING PERMIT APPLICATION AGREEMENT
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: Cf � 2 � '-���
3
C, ' O ��'j—'�� Ai� TIME �
CITY OF ORONO CALLED IN �! �
INSPECTION N ICE SCHEDULED �5��
PERMIT NO. S COMPL �
ADDRESS 3�3 O �.SC-U �j�' ���—
OWNER CONTR.N�t��1YiC�–yiO -
TELEPHONE N0. ��D 3 7` 79 a"'� /�7
� DESCRIPTION �� � �J U� �/ �
� 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
Z04 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
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED I l PROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the xt inspection 24 hours in advance. (J52� 249-46�0
OwnerlCo o site:
Inspector. -�`�
White Copyllnspec r's File Canary CopylSite Notice
�/ I � � D E TIME `�
CITY OF ORONO CALLED IN �r� �-
INSPECTION N TICE SCHEDULED -i� -�- `Z
PERMIT NO. COMPLETED
ADDRESS 3a3a �a.sf� �� -
OWNER CONTR. �N�e/r1U-rt� �/u�-.
TELEPHONE NO.
� DESCRIPTION_� i'n !�J l�'t Ci' -' l��S u-`�( '
L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
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
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW �ORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑ CORRECT WORK&PROCEED '-! ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-460�
OwnerlCon on site:
Inspector_
White Copyllnspect r's File Canary CopylSite Notice