HomeMy WebLinkAbout2004-P07616 - plumbing CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po�616
Cry�tal Bay, Minnesota 55323 Permit Type: FiX�ures
•- (952) 249-4600 Date Issued: 6�2i�2oo4
SITE ADDRESS: 3225 Bohns Point La
WAYZATA,MN 55391
P I D: 08-117-23-44-0010
DESCRIPTION:
Proposed Use: Kesicienhal
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 750.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: City View Plumbing&Heating OWNER: H&v SwEATT
1880 B Wayzata Blvd W. 3225 BOHNS POINT LA
P.O.Box 150 WAYZATA MN 55391
Long Lake,MN 55356
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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APPLICA E T SIGNATURE 1 UED BY SIG'VATUR�
Copies: 1-File(SiQnitures Required), 1-Applicant, 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 �rF'ORMATION
1. You may apply for plumbing permits by mail or in person at the City o�ces.
2. Permit cards will be senc by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK �1UST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to license� plumbing contractors and to property owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a separate building pemut 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 APPLICATIO\TS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
. Please check one: New Addition Repair � Replace
Residential Commercial
JOB STTE: 0� v} S ,� �' �-G(h.� Zip: � q �
Owner's Name: -� �'�-� � ' S� Telephone Number: 9,�� �/ --$�C1
Nlailing Address: City: Zip:
Contractor's Name: �-,'-�-�� �;�,,.� /�,v� ;���,, Telephone I�umber: 0�5��173 ����j
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Mailing Address: P. 0� Bo� I S d City: L� Lol l�e.. Zip:S�.�>��2
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS:�iT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lava[ory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
PERMIT FEE CALCULATION �
1. 1.25% of Contract Price* or Minimum Fee ($3�.00) .
�)� `� x .0125 S
(contract price)
�► 2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 �
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) � 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) S
* 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. I[ is the amount to be charged to the
customer for the work done. If any material, equipment, labor,or installation are fumished 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 Jnspectional 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.
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Applicant s Signature: � Date: b �� �
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DAT TIME
CITY OF ORONO CALLED IN Y Z r ��
INSPECTION N TICE ( SCHEDULED � f�' � '9''�''
PERMIT NO. � � � `�' COMPLETED
ADDRESS��� � �v�� S �
OWNER CONTR. �-f"(l V � P�.L>
TELEPHONE N0. � �� y �� ��� � /
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� DESCRIPTION � � .��f �� ���e�
LV 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
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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
W 09 3 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINA 36 FOUNDATION/REMOVAL
RACTOH TO MEET YOU:_YES_NO
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d PROJECT COMPLETE
W WORKSATISFACTORY:PROCEED
W ❑ CORRECT WORK&PROCEED � r' ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-4600
OwnerlContract it .
Inspector. � �"�
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