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HomeMy WebLinkAbout2005-P08403 - plumbing T1� F R N PERMIT C� O O O O Permit Number: 2750 Kelley Parkway - PO Box 66 P08403 Crystal Bay, Minnesota 55323 Permit Type: FiX�ures (952) 249-4600 Date Issued: 2�2�2oos SITE ADDRESS: 115 Chevy Chase Dr Wayzata,MN 55391 PID: 36-118-23-41-0013 DESCRIPTION: Proposed Use: Kesidentiai Pernut Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 90.00 Valuation• $ 7,200.00 State Surcharge Fee: $ 3.60 TOTAL FEE: $ 93.60 APPLICANT: Signature Mechanical Inc. OWNER: Amy Schuett 3017 Croft Dr. ll 5 Chevy Chase Dr Minneapolis,MN 55418 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 PERMITEE S[GNATURE SUED BY SIGNATURE Copies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 . l 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. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VnLID UNTIL YOU RECEIVE A PERMI"I'. WORK MUST NOT BEGIN UNTIL THE YERMIT CARD IS POSTED ON THE JOQ 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 worl< must be done in accordance with the State Code requirements. 6. All work must be inspected and air testec( before it is covered. Call (952) 249-4600. 24-hour notice required. [nstructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLfCATIONS WILL NOT BE PROCESSED. If you have questions, call (952) 249-4G00. Please check one: New �Addition Repair Replace Residential Commercial JOB SITE: l�� Gtt�v Y GH►r�s�. D 2 Zip: �"-vj 3�� Owner's Name: 5����-�c- Telephone Number: Mailing Address: �. p City: l�q-��,a.�-� Zip: ���g � Contractor's Name: 5��,.{,�� �.� ��� Telephone Number: t�ot2-?�8-q8y�( Mailing Address: ��rf G2o�- .�/t,.,,� City: � Zip: 55z118 PLUMBING FIXTURE SCHEDULE FIXTURE BSMT I ST 2ND OTHER �IXTURE BSM 1 S 2ND OTHER TYPE 1~L FL TYPE T T FL 1=L Water Closet Floor Drains Lavato 1, Sewer E'ector Bathtub Launtlry Tray 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. SI<ip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail In Fee $ 1.50 ------------------------------------------------------------------------- [f above does not apply, follow guidelines below: 1. Contract Price* is .Ol 25 % of job with a Minimum Fee of ($35.00) � � ZC�� x .0125 $ (contract price) (minimum $35.00) 2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of $ .50) x .0005 $ (contract price) (minimum$ .50) 3. Postage and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ * CON"I'RACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profil, and other fixed costs. It is the amount to be charged lo the customer tor the work done. lf any material, equipmenl, labor, or installation are furnished by the owner, tenant or any other party the � reasonable market value oi such items must be added to ihe estimated cosl or contract price ior permit fee purposes. ln the event that there is a dispule on the amouni ot the job cost, the City may requesi the submission of a signed copy of the actual coniract. ** The STATE SURCHARGE is .0005 ot the contract price under $1,000,000 or $.50-whichever is grealer. For valuations over$1,000,000 call the Department oi Inspection Services for the price. The undersigned hereby app(ies to the City for issuance of a Plumbing Permit, agrees to do all worlc 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 com lete, true and correct. Applicant's Signature: Date: Z z o � � Reset Form � � � � a� DATE TIME v CITY OF ORONO CALLED IN INSPECTION NO IC ,/� SCHEDULED -�zZ��'`-s � PERMIT NO. ) ( G�� COMPLETED ADDRESS__ / r � C� l� �-'4� �--G���/1JZ_ lZ_ OWNER CONTR. �-9�l�cz f;u Rs�_ TELEPHONE NO. ��/v� �� � :���7 '7� �7 '��L� � DESCRIPTION �t..!'?�� ��G'Z�.^�c�C ���--Clr�-Lj � 01 FOOTING 11 MECHANICAL RI ` 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTORTOMEETYOU:�,YES_NO � COMMENTS: W � Q� a � � O � � O � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. V pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED G INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 Owner/Co�ntractor ite: Inspector_ White Copyllnspector's ile Canary Copy/Site Notice ��., / v �r � DATE TIME CITY OF ORONO CALLED IN 3-�� INSPECTION N TI SCHEDULED ��1� �D"D PERMIT NO. L D� COMPLETED ADDRESS II S C_.�—�� OWNER CONTR. Sl ��� TELEPHONE NO. �P�Z ��— �7C� � � 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 � 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 J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING Rt 23 SEPTIC FINA� 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET Y :�YES NO � COMMENTS: � W a J '� 0 V� a � O � ti � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C pHOTO TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �-� CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i spection 24 hours in advance. (952� 249-4600 OwnerlCon or n it : Inspector. '� White Copyllnspector's File Canary CopylSite Notice