HomeMy WebLinkAbout2003-P06260 - plumbing PERMIT
CITY OF ORONO Permit Number:
2750 Kelley P.�way - PO Box 66 P06260
Crystal Ba��, Ulinnesota 55323 Permit Type: FiXcu�es
(952) 249-4600 Date Issued: s�2�2o03
SITE ADDRESS: 2965 Casco Point Rd
Wayzata,MN 55391
P I D: 20-117-23-31-0063
DESCRIPTION:
Proposed Use: Kesidential
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 15.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 15.50
APPLICANT: Owner/Self OWNER: K Eric A Berg
� 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 STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE, /IREMENTS '
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AP ICANT PERMITEE SIGN E � SSUED BY SIGNATURE
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Copies: 1-File(SiQnitures Required). 1-Anplicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERIVIIT
Box 66 (2750 Kelley Parkway)
� Crystal Bay, MN 55323
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GENERAI,INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOU RECEIVE A PERMdT. 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 pernut 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 �Re lace
P
Residential Commercial
JOB SITE. 2� � S ��-S C.o �'�- �� Zip: �J!�J g�
Owner's 1Vame: �� � L „ � Telephone Number: j�.�� -�'7 � -f�o G
Mailing Address: � L�,S�� �
�'� City: (�vc. �'t<� Zip: `�
Contractor's Name: Telephone Number:
Mailing Address• City: Zip:
PI.UM�ING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavato � Sewer E'ector
Bathtub � Laund Tra
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Shower Washer
Kitchen Sink Water Heater
�" Dis osal Water Sofrener
Dishwasher Wet Bar
Sillcocks Misc(list) � �'�' ��
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� PERMIT FEE CALCULATION(S)
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1' 2002 State Statute �Yes, This Section Applies
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�; The replacement of a Residential fixture or appliance that meets all three of the following
�.
' requirements:
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�' 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
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'' 3) Is improved, installed or replaced by the homeowner or licenced contractor.
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�' Skip next section; Cost of Pernut $ 15.00
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k State Surcharge $ .50
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� Mail In Fee $ 1.50
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If above does not apply, follow guidelines below:
� 1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00)
x .0125 $
P;
(contract price) (minimum$35.00)
�' 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
' x .0005 $
:s
(contract price) (minimum$ .50)
� 3. Postag�e and Handlin� (Only mail-in applications) $ 1.50
'� 4. TOTAL PERMIT F'EE (Add lines 1-3 above) $
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` * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
i 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 permit 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.
** 1'he 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 Inspection 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 stateme on th' 'cation are complete, true and
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correct. �,..�-' �
Applicant's Signatu� Date.
2 ,2oc��
�� � DATE TIME �
CITY OF ORONO CALLED IN ��
INSPECTION NO�ICE SCHEDULED �s-I 8'4`f �/-�✓i�
PERMIT N0. O�D"�C� COMPLETED
ADDRESS �1L0� �� Ct.SLp �� �� .
OWNER Gr�L L�rCx CONTR. ��Z���-�-�
TELEPHONE N0. �S� LI / � ���Q
� DESCRIPTION l;�f��ij
ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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 Rt 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 0 PLUMBING FIN 36 FOUNDATION/REMOVAL
� OWNE NTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �CORRECT WORK E�PROCEED r� ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP OROER POSTED.CALL INSPECTOR
❑ INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
Owner/Contrac n te:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
✓
CITY OF ORONO �(�(p�� CALLED IN � / �I��
INSPECTION N SCHEDULED o U;3
PERMIT NO. � �� COMPLETED
ADDRESS �`��05 CQSG �
OWNER ^ 1C�� CONTR.
TELEPHONE N0. ��� � �t"7 � � ��
� DESCRIPTION �/�C�.
� Ot 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 � 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
MO-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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Ca11 for the ext inspection 24 hours in advance. (952) 249-4600
OwnerlCont�ct"c�l� site:
Inspector.
White Copyllnspector' Ffle Canary CopylSite Notice
�"v" � DATE TIME "
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CITY OF ORONO CALLED w �--���-3
INSPECTIONN� IC _ scHE�u�E� -S--G�� /:C'U'�
PERMIT N0. � COMPLETED
ADDRESS �.�l�S C��-�C`k � ��_�--
OWNER �' � � � CONTR.
TELEPHONE N0. �°-� � / l� f � ���
� DESCRIPTION f� � ,�L-�L�yvr.�
� 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL /� 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTORTOMEETYOU:VYES_NO
� COMMENTS:
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREOUIRED.CALLTOARRANGEACCESS.
Call forthe ext inspection 24 hours in advance. (952� 249-4600
Owner/Con sit :
Inspector.
White Copyllnspector's File Canary CopylSite Notfce