HomeMy WebLinkAbout2005-P09507 - plumbing -� PERMIT
CIT`� OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 Po9507
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 12/29/2005
SITE ADDRESS: 2240 Bayview PI Unit#
Wayzata,MN 55391
PID: 17-117-23-44-0042
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 15.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Norblom Plumbing Co. OWNER: Michelle Roberts
2905 Garfield Avenue S. 2240 Bayview Pl
Minneapolis,MN 55408 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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APPLICANT PERMI'1'EE SIGNATURL UED BY SIGNATURE
Copies: I-Filc(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
f ..
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 � �
G�NERAL INFORMATION . :
1. You may apply for plumbing permits by mail or in person at the City offices. ` �
2. Permit cards will be sent by retum 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 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 se arate buildin
5. All work must be done in accordance with the State Code r quirements. g Permit must he obtained.
�' 6. All work must be inspected and azr tested before it is c r r �
required.
ove_ed. ,.all ,952) 249-4600. 24-hoar r.o:ice
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 (952) 249-4600.
Please check one: New Addition Repair Ke lace
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• ROBERTS,MICHELLE
.
J�$.SI*I*E�. 40 BAYVIEW PLACE
... .
,,,'��• > �- ORONO,MN 55391 ' ;Zlp: `
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Owiier's Name:. (952)471-1056 Number.._ —�_-- .� .
Meiiling Aiic�ress:�� --
; ;�Zip;•,,
Contractor!s lyame: . �
� TelephoneNumber.:, (��z��Z�-yo33
Mailing Address: 2qOS �,� _ .so; —
Cit3'� �,�/S Zip: SS�/aa'
PLUMBING FIXTUI� SCHEDUI,E
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE
FL FL
�=�at:: Clee-e
Pivua Lf21I13
Lavato Sewer E'ector
Bathtub Laund Tra
Shower
Washer
Kitchen Sink Water Heater
Dis osal
._ . _
Water Softener -
, ... _.. .
, Dishwgsher _. . _.. . _. . ..._
Wet Bar .. . . .
Sillcocks
Misc list �
PFRMIT FEE CALCULATION(Sl
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.
j 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.
Ski� nz�ct sectian; Cost oi Fermit $ 15.0�
State Surcharge $ .S�
� Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1, - Contract Price* is .0125 % of job with a Minimum Fee of ($35.00)
x ,0125 $
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
(contract price) (minimum $ .50)
3. Posta�e and Handling (Only mail-in applications) $ 1.50
�
4. TO'TAL PERMIT 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 parry 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 actyal 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 Inspection Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Pernut, 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
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correct. , �
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A licant's Signature: ��.�� ��1�;��� Date:
PP ,��
`;� j/DATE ,r�� TIME (/
CITY OF ORONO CALLED IN �Y'"���X�
INSPECTION NOTICE -7 SCHEDULED y 3Y''��L� v� �.
PERMIT NO. �O�.SC� / COMPLETED
ADDRESS aa � � .�%���.�J � C�
OWNER � ' � CONTR. � �- � 4� �ti -
TELEPHONE NO. G��J�'l.B./� " �.��� y7� /�S^( r
>- DESCRIPTION �6� ��1��'--G`� �'/oc�7�-�-�
�
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 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIG MAINT. 21 COMPLAINT
v 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED CC ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Call for the xt inspection 24 hours in advance. (952� 249-46��
OwnerlContr site:
Inspector.
White Copyllnspector's ile Canary Copy/Site Notice