HomeMy WebLinkAbout2001-P03884 - plumbing F w^
� PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: po3gg4
Crystal Bay, Minnesota 55323 Permit Type: F�Xtures
(952) 249-4600 Date Issued: 6�a�2ooi
SITE ADDRESS: 133 Chevy Chase Dr
WAYZATA,MN 55391
PID: 36-118-23-41-0022
DESCRIPTION:
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Pl'OpOSOCI USO: nc�iucuuai
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: $ 40.00
Valuation: $ 3,200.00
State Surcharge Fee: $ 1.60
TOTAL FEE: $ 41.60
APPLICANT: Vetsch Plumbing Services OWNER: Mr. &Mrs. Robert Olson
2451 Lachaman Ave.N.E. 133 Chevy Chase Dr.
St. Michael, MN 55376 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 BUII,DING CODE REQUIREMENTS.
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APPLICAN'1'PERMITEE.IGNATURE ISSiJ�D BY SIGNATURE
Copies: City,Applicant,Assessor, 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 o�ces.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE 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.
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Instructions Complete all items on this application. Compute the pemut 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 STI'E: ° � � � 0 Zip: �`S,��.�
Owner's Name: � � Telephone Number: ��`� � ��� �
Mailing Address• City: Zip:
Contractor's Name: �C, � z, ,�� Telephone I� ber: '?`�7- ��- �7,�
Mailin� Address: ,�,�S`l C.�.av�,� � Cit3': ��6���� Zip: d`< s�'�7�
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS;�1T 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains �- C��
Lavatory �. Sewer Ejector
Bathtub Laundry Tray
Shower -- � Washer
Kitchen Sink �---- Water Heater
Disposal � Water Softener
Dishwasher �` Wet Bar
Sillcocks --� Misc (list) � '
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PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
_�J�,2n� G'� x .0125 $
(contract price)
� 2. State Surcharge. ** Add the State Building Code Division
� Surcharge to each permit. x .0005 $
k (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) $
* CONTRACT PRICE or JOB COST means the actual or esti.mated dollar amount charged for the permitted
�� work including materials, labor, profit, and other fixed costs. It is the amount to be chazged to the
t 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 Ciiy may request the submission of a signed copy of the actual contract.
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** 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 Jnspectional Services for the price.
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�: 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.
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� Date: � �< � l
� A licant's Signature: C�=-�'�s"� (�/
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D� ATE TIME
CITY OF ORONO CALLED IN �'�
INSPECTION NO CE�j7,�(� SCHEDULED �� 3' � Pa
PERMIT NO. C� 7�0 �/ 1 COMPLETED 'fl �_
ADDRESS I .�� � �Oy �h�S-e
OWNER aISO� CONTR. vE 7—'�Ch�
TELEPHONE NO.__ �I�3 —� / 7— ���
� DESCRIPTION�I�1h-b � V S U�
� Ot FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/V✓ETLANDS
y 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 O6 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
OCORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (Q��
OwnerlCon tor on site:
Inspectort'//�� UCP��--T'
White Copyllnspector's File
DAT /i TIME
CITY OF ORONO � , CALLED IN �
INSPECTION NOTIC ���j�( SCHEDULED / ����
PERMIT NO. l�� COMPLETED ` �
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ADDRESS � �'
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OWNER CONTR.
TELEPHONE NO. ��1'� "- L��� ` c� ��-�
r : �
� DESCRIPTION V � S ��-� �"j� ����r�� -
L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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d i ORK SATISFACTORY:PROCEED l PROJECT COMPLETE
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C7 CORRECT WORK&PROCEED 'I ISSUE CERTIFICATE OF OCCUPANCY
❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContra n site:
Inspector. � � -- «--��-J
White Copyllnspector's File Canary CopylSite Notice