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HomeMy WebLinkAbout2002-P04867 - plumbing PERMIT C�,,�„Y O F O RO N O Permit Number: �,'5� Kelley Parkway - PO Box 66 P04867 Crystal Bay, Minnesota 55323 Permit Type: FiXn�res (952) 249-4600 Date Issued: 2�ai2oo2 SITE ADDRESS: 110 Chevy Chase Dr Wayzata,MN 55391 PID: 36-118-23-41-0046 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: Permit Fee: $ 74.69 Valuation: $ 5,975.00 State Surcharge Fee: $ 2.99 TOTAL FEE: $ 77,68 APPLICANT: Plymouth Plumbing&Heating OWNER: Kenneth&Laura Higgins 6909 Winnetka Avenue N 110 Chevy Chase Dr Brooklyn Park,MN 55428 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. � � 1 ,� `' ' ��! ���-��L�" ��'� � �����;--t^ �1� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Covies: 1-File�Sienitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 . � CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL IlVFORMATION 1. You may apply for plumbing pemrits 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 PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD 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 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 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 249-4600. Please check one: New Addition Repair � Replace � Residential Commercial JOB SITE: � � � Zip: Owner's Name: � elephone N mber:(�5�.)4'75-�C�C(�{ Mailing Address: City:��,,,� r `c;EZip: � Contractor's Name:� ` Telephone N ber: ' -- '� Mailing Address: ' City: Zip: �' PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet ' Floor Drains � Lavatory Sewer Ejector Bathtub i Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Misc (list) PERMIT TEE CALCULATION , 1. '_.'_'`� of Contract Pri��* or Minimum Fee ($35.00) / � ��'1 �j , �Q x .0125 $ �`—t . (.p� (contract price) 2. State Surchar�e. ** Add the StatCBuilding Code.�ivision �,, Surcharge to each permit. �C{,^j�j ,�(1 x .0005 $ _��� t (contract price) or $.50, whichever is greater 3. Postage and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � `�, (Q `'� d * 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. In the event that there is a dispute on the amount of the job cost, the Ci�y 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 lnspectional 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 conect. � Applicant's Sig Date: � �� DATE TIME CITY OF ORONO CALLED IN INSPECTION N TICE ��( SCHEDULED � ����� PERMIT NO. � v�� COMPLETED `�-" " � `�'�' ADDRESS //�l �^ (.' C i �GiCc ''� �� OWNER CONTR. ��`I`� ����=rh_ TELEPHONE N0. �I�'� .-�� � � ""� .� � DESCRIPTION 1�-i-��hiY1�� �-�- � Oi FOOTING 11 MECHANICAL FI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 PLUM8ING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � CO3�IAMENTS: '3 °; �:,,�' , ��.=} � � ._- /� � , � f - � 0 a � 0 � W � Q � Z W � W � � � d � W ,�7)WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE �, ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W o ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONOITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALI INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContra�tor on site: Inspecto� � ���C-���I White Copy/inspector's File Canary Copy/Site Notice