HomeMy WebLinkAbout2005-P08445 - plumbing ITY F R N PERMIT
C O O O O
A750 Kelley Parkway - PO Box 66 Permit Number: Pos44s
Crys+�! Bay, Minnesota 55323 Permit Type: FiXr�res
(952) 249-4600 Date Issued: 2iisi2oos
SITE ADDRESS: 3015 Casco Point Rd
Wayzata,MN 55391
P I D: 20-117-23-34-0003
DESCRIPTION:
Proposed Use: Kesiciential
Pernut Class: Plumbing
Permit Type: Fixtures Perniit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 181.25 Valuation: $ 14,500.00
State Surcharge Fee: $ 7.25
TOTAL FEE: $ 188.50
APPLICANT: Steve Santema Plumbing OWNER: Daniel&Helena Seidel
4407 Locke Ave SW 3015 Casco Point Rd
Cokato,MN 55321 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.
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APP[SfCANT PERMITEE SIGNATURE ISSUGD BY S[GNATURE
Cooies: 1-File(SiQnitures Repuired), 1-Anplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO 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 offices.
?. Permit cards �vill be sent by return mail after a review is completed. PER�ti11TS ARE NOT VALID UNTIL YOU
RECEIVG A PERMIT. �VORK MUST NOT BEG1N UNTIL THE PERMIT CARD 1S POSTED ON THE IOB
SITE.
3. Plumbing pennits 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 pennit 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. [NCOMPLETE APPL[CATIONS WILL NOT BE PROCESSED. [f you have questions,
call (952) 249-4600.
Please chec{c one: �New Addition Repair Replace
l Residential Commercial
JOB SITE: S ��5 �� s ��� �� 7�'�c� Zip:
Owner's Name: Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: S���� S�t--; �:�-�.-, ' � Telep on/e Number: �i�-�/G -iG/�
Mailing Address: yyo� ��>�,�� /�L' � S � City: �'��;t� Zip: �5 3:;Z(
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT l ST 2ND OTHER FIXTURE BSM 1 S 2ND OTHER
TYPE FL FL TYPE T T FL
FL
Water Closet l Floor Drains �
Lavator � Sewer E'ector
Bathtub ,;Z. Laundr Tra
Shower � Washer
Kitchen Sink � Water Heater
Dis osal Water Softener
Dishwasher Wet Bar
Sillcocks Misc list
PERMIT FEE CALCULATION(S)
2002 State Statute ❑ 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; excludin the cost of the fixture or appliance: and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail In Fee $ 1 .50
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If above does not apply, follow guidelines below:
l. Contract Price* is .Ol 25 % of job with a Minimum Fee of ($35.00�
/�/ 5O� x .0125 $
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Buiiding Code Division a (Minimum Fee of $ .50)
j�/� �vu x .0005 $
(contract price) (minimum� .50)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERM[T 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 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. ln 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 Department of lnspection 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 statements made on this application are complete, true and correct.
A licant s Si nature: > Date: �/S� �
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DATE TIME
CITY OF ORONO CALLED IN ^ �
INSPECTION �(� SCHEDULED � '�/
PERMIT NO. J COMPLETED
ADDRESS ���� C�—� � �
OWNER CONTR. �
TELEPHONE NO. ���' �l� �10� �f
� DESCRIPTION
l� 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �RKSATISFACTORY:PROCEED f� PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
O ❑Ct�RRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ;� pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL tNSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46�0
Owner/Cont o ite:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
C(0 � a o�� TIME t/
CITY OF ORONO c,n���Eo iN
INSPECTION N TIC SCHEDULED �-da-oS D.'
PERMIT NO. �� COMPLETED
ADDRESS ��S (�'� �
OWNER CONTR. �-�1- �
TELEPHONENO. �D�a Cgl�n �� I � �
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� DESCRIPTION �� � I
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 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
v 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 ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor o,r�site:
Inspector. v
White Copyllnspector's File Canary CopylSite Notice