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HomeMy WebLinkAbout2004-P07193 - plumbing " - --� PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Po�193 Crystai Bay, Minnesota 55323 Permit Type: FiXtures (952) 249-4600 Date Issued: ii2si2ooa SITE ADDRESS: 2965 Casco Point Rd Wayzata,MN 55391 P I D: 20-117-23-31-0063 DESCRIPTION: Proposed Use: Kesidentiai 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: $ 15.00 � Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 15.50 APPLICANT: Owner/Self OWNER: K Eric A Berg MN 2965 Casco Point Rd 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. ; _ _ _� -��� � � �---� -� 2 �'� APVLICANT PERMITEE SIG �TURE SSUED BY SIGNATURE Copies: 1-File(Sienitures Requir-ed). 1-Aoplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 CITY OF ORON� APPLICATION FOR PLUMBING PERMIT 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 o�ces. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE P,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 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 (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 V� Replace Residential Commercial JOB SITE: 2��1 � �S[-o i� �av�o Zip: J-�3�� Owner's Name: ��� � Telephone Number: Mailing Address• City: Zip: Contractor's Name: �r'� Telephone Number: Maiiing Address: City: Zig: � PI.�TIi�IlVG FIXTURE SCHEDULE FIXTURE BS�IT 1ST 2NI3 OTHER FIXTURE BSMT 1ST 2ND OTHEIt TYPE FL FY� 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) � , �. � r �.' § g`.:" �a. 7'-�+ a --� s �,a- 92� � '^� .t6,F "�° �. `��'� �-3t ;�- -t ac,, �� `��y,°; . �`'� ��#r�-�a�,�.����� ��^�'���� � '��'� � ��"4�'' � �������``�� � '�ry � ��� ���� � �,, � �� �' � v` c� ���� � ������ , � �� � Y rs� ��� " c .� '� j q�..r��#'{,�. �,�,""�� � ��� �, &:�'��'�..s"Y ,r'�'�"'' ��� ���'a"c 'a. �C t"�`��x�'�:,�fi � ` � v.«-.�j'�;�� ���i � �s � h � -� € �' g �,;. r � k �,e "�'€ ` �-a-a _�a-<.���a�� '�� r�'�'.,.��.� '� '`��'s '� .>ea�� z�;�'('; f ,6� � ^n � �s ,p �v`sq* T a r� 4 �u. .&- ".�3,..�.`-- '���.;; � ._�a,a� i � s� - `S.p�s. � �5.,�;r�-� .�.� ,.-��` ,r'� -. ����`..,€u, ,�,�_,. �8x ��„� .�'�,�f `� x��:��' ��`',� � s� p' ��a �ss t.a€d-� �-�a ,<b ::�' :n�i-��,:, .s a.��,��`�5�,'�`''�� v 7:.: s�r 7 r'' �a��r-*d^� ��s� `���r ��,�� � ��''��t�'��` ''�� .�.' g � r^ s ; �. � . t,� s' E . :r���"€� ,�^-�Z,. � . �� �`� iS,. �'�',�'�"c��`i+y, -- v+ � '� ,�_�:c ,,:�., i�.;.. �, y:', �ja �z� 5i. :s:: � � r..,�sx�"k�'Y"�Y � :�� :� 'i� "�3 s";�._t t .. �,£�' ....� � ���..�: ��,�,?� �. : ��, � �: r- � ,� ,� =s'�� t�� �� '� ���_ 'a�-k� ` r � �- 4 �, .� � � �,F�e�, r= .� � � _ �,�. � �.� �� � � � �k� s'�3 y,f<,-�,�` s $�% [„�'. �- ., . > .,�:. .� . -,wa�ftf�� �#'�� "���*'�� �_ s � _���� �.��.� y�F '�i��T� �� �` �t r�� � 3 �t x�`,�r ,i� � . � t '.��,�. .. � „ {4 Y,` . } #� _ �., t z�����t_ f�� �ct . ,�:����.e'.`,�'�� ac``�,*'�,���^� �fi� �' y i�E �i,�. � ! <N�Y�.���+�'�� '�:`^�ata�',�� ..fb.3,',y"n, k".�#r°^'::u£.�.�w;?Cil.!h�`cs�'�Yt:.a•' s��- .. �z2��',;+#'�.$`Y�M'+�c.".�h D�.Y'3a'.b�'1'.4��`0'ek§4:A`_��``'�.F+:"''...S�Y`id'.'�c.�.,�!'r� �'�s'�;..`'�, md . �§ .,,J�`'_`.s ,..+s . ..��. :�. �."2L�it� PERMIT FEE CALCULATION(S) 2002 State Statute � Yes, This Section Applies The replacement of a Residential fixture or ap�liance 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. �? s, �' 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) x .0125 $ (contract price) (minimum$35.00) 2. State Surch�rge. ** Add the State Building Code Division a (Minimum Fee of$ .50) x .0005 $ (contract price) (minimum $ .50) �' f � 3. Posta�e anc� Handling (Only mail-in applications) $ 1.50 ¢ �,,: �* 4. TOTAL PER'VIIT FEE (Add lines 1-3 above) $ � � * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including Enaterials,labor,profit, and other fixed costs. It is the amount to be charged to the customer ' for the work de�e. If any material, equipment, labor, or installation are furnished by the owner, tenant or j: any other pam� 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 subnission of a signed copy of the actual contract. ' ** The STATE St-RCHARGE is .0005 of the contract price under$1,000,000 or $.50 -whichever is greater. �; �; For valuations o�-er$1,000,000 call the Department of Inspection Services for the price. The undersigned hereby applies to the Gity for issuance of a Plumbing Pernut, agrees to do all work in strict accor�ance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on ' application are complete, true and correct. � � Applicant's Signa� Date: o� � / ATE TIME CITY OF ORONO CALLED IN �� ��� INSPECTION NOTICE SCHEDULED ' � ` � '� PERMIT NO. j COMPLETED ADDRESS ��C'� o�c Lr,c� f�t- �c�/- OWNER /l.t.r ,�c'�.r CONTR.�G/L-e�t TELEPHONE N0. �.S-oz C.� 7 / �UU � � DESCRIPTION �G�.�-��'L Iy� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL LUMBING FINA 36 FOUNDATION/REMOVAL � TOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O >. � O � W � Q � Z W � W � j d W ORKSATISFACTORY:PROCEED PROJECTCOMPLETE � ❑CORRECT WORK�PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor o ite: Inspector. �� �.� White Copyllnspector's File Canary CopylSite Notice ✓ DAT TIME CITY OF ORONO CALLED IN I«4� d �•��' INSPECTION ICE SCHEDULED �� ro � 1C7,3� PERMIT NO. COMPLEfED ADDRESS ��� ��S' � � GT OWNER CONTR. TELEPHONE NO. � `�''�l— �� � DESCRIPTION �Ji1� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANOS � 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 i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a - J � _ l � �� O � � �„ e < < �� . � 0 � W � Q � Z W � W � � � �ORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContra �ite: Inspector. White Copyllnspector's File Canary CopylSite Notice