HomeMy WebLinkAbout2005-P09418 - plumbing � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09418
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
11/14/2005
SITE ADDRESS: 2948 Casco Point Rd Unit#
Wayzata,MN 55391
P��� 20-117-23-31-0036
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: Permit Fee: $ 35.00 Valuation: $ 2,800.00
State Surcharge Fee: $ 1.40
TOTAL FEE: $ 36.40
APPLICANT: Pipeworks Plumbing Inc. OWNER: Paul F. Johncox
1216 Macey Way 2948 Casco Point Rd
Sillwater,MN 55082 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRI�CO P�ANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIRE N
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L[CAN E GNATU � ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), l-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY USE ONLY
• ¢0� City of Orono
P.O.Box 66 Date Received: Permit#
��'�,,.: �r � 27�0 Kelley Parkway
a '�ji�?h�;`: � Crystal Bay,MN 55323 Approved By: Amount S:
��i,��;�,�i�l,�o` (952)249-4600
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CITY OF ORONO- PLUMBING PERMIT
(All Commercial pern�its must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within two working days.
2. PemZit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. ��ORK MUST NOT BEGIN UNTIL THF.
PERMTT C.ARD 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 consriuction or remodeling is iuvolved, a separate building permit 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)
�'Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
Job Site/ Owner Information:
Site Address: 5.,��� ���� �G�-�� ��,�j� �.
Owner:�`j�/������ Mailing Address: �d'r �-'
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Clty: �/ I 11 Zlp:
Hoine Phone: Alternate Phone: ��� Z �� �� 1 �
Contractor Infornlation:
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Contractor: �: %� � 5 � � ,�j � � ontact Person: ,� �
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Address: � � � �� -i/''"' State Bond#: - -
City: ����G✓l' Zi • �%�U EX iration Date: � � " �-��
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Phone: ��� /l����(r%,�y�� Alternate Phone: ��iv �
❑ Insurance- Cuirent:�� l� � ��
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PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 2' OTHER FIXTURE 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 FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes, rhis section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not requue modification to elecn•ical or gas service.
2. Has a total cost of$500.00 or less; excludin�the cost of the fixhire or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable j � i.50
Total Permit F'ee S
(Permit Fees Continued On l�ext Page)
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PERMIT FEE CALCULATION(S)—JOBS OVER $500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of conn�act price with a(Minimum F of$35.00)
Z�����. �� x .0125 $ � ���.��
(contract price) �(minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
1
X .000� $ ;� 1 . �G
(contract price) (minimum� .�0)
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
pernutted 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 pernut 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 coni�•act.
■ ** 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 price.
' PLUMBING PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Plumbing PernZit, 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 thi a � tion are complete, true and
correct. � � �
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Applicant's Signature: �����!-� � Date:
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\�� CITY OF ORONO CALLED IN ��� "�
INSPECTiON NOTICE SCHEDULED 1/-/S-OS� "00
PERMIT NO. �O 9y I� COMPLETED
ADDRESS ��/'� � ��SC lJ � r�.
OWNER CONTR. /'"i G� (�✓Cr I�CS
TELEPHONE N0. � ( � �(.e ��� �-`-( �
� 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/FIREPLACE 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J AL 36 FOUNDATION/REMOVAL
� OWNEfi/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '-�CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (952� 24J-46��
OwnerlContra o ite:
Inspector.
White Copy/lnspector's F e Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N/O�TICE�/ SCHEDULED
PERMIT NO. (SC' g 7I �_ COMPLETED
ADDRESS �q4� �Q SGc7 ���
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 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 COMPIAINT
� 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
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContr r n site:
Inspector. ~ -
White Copyll�spector' File Canary Copy/Site Notice
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'Vr VtSONO CALLEDIN � /
INSPECTION NOTICE , scHEou�E� � ,b�
PERMIT N0. � � COMPLETED
ADDRESS � � ��
OWN ER CONTR.
TELEPHONE NO. (Si I�—�CP t�G1�`�` -� ��JP�u-YY/�
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� DESCRIPTION y'l �'�- � � �����m �
� 01 FOOTING 11 MECHANICAL RI 8 CAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINA LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 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 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 S T FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOFi TO MEET YO . YES_NO
� COMMENTS:
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PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-4600
OwnerlContract � ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice