HomeMy WebLinkAbout2003-P07125 - plumbing PERMIT
CI�Y �F ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P07125
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(952) 249-4600 Date Issued: i2iz3�2oo3
SITE ADDRESS: 162s Bohns Pt Rd
Wayzata,MN 55391
PID: 17-117-23-11-0003
DESCRIPTION:
Proposed Use: Kesidentiai
Pernut Class: Plumbing
Pernut Type: Fixtures Pernut Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,400.00
State Surcharge Fee: $ 1.20
TOTAL FEE: $ 36.20
APPLICANT: Plymouth Plumbing&Heating OWNER: Roger&Carol Rovick
12270 43rd Street NE 1625 Bohns Pt Rd
St.Micheal,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 BU,ILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Reports. 1-Assessing, 1-Finance Page 1
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�ITIj 4F 4RON4 APPLICATION F4R P�,LT1VfiBING PERM�'F
Bo� 66 (2750 Kelley Parkway)
Crystal Bay, N1N 5�323
GENERAL INFORMATIQN
L You may apply for plumbing permits by mail o; in person at the Ciry offices.
?. 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 .TOB S1TE.
3. Plumbing pernvts may be issued ONLY to ]icensed plumbing con[ractors and to properry owners residing
in the dwellina.
4. ���her. any :�ev� constn�ction or :emodeling 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 i[ 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
�r Residentiai Commerciai
3os sa�: l.Co�S ���'1S b � � z�P:
�3wner's Name: � � u� U�'Y?�S Tetephone Number:
,
i�7ailing Address: City: Zip:
Contractor's l��arne: � 1�(�UV}�'Vl � ��(1(, Telephone Number:�1��/' (�' � (� (�
Mailing Address: ��� �j�".G� 5�' City: �����1�'�lp,,(',j �iA��5�3�b
P�UMBING FIX'�L1RE SCI�EDUI,E
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
�Vater Closet � � Floor Drains '
La��ato�� �� � Sewer Ejeetor
Bathtub I Laundry Tray
�
Sl7owcr ' ' ' Washer
Kitchen Sink ( Water Heater �
Disposal � � Water Softener �
Dishwasher I � I I V�'et Bar �
�.,, ._�,.� � �,• � �
��„����.� , '� � , , r.�isc <«st, , , ,
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a'EP.11��'I' rEE Ct�I,C��TT.Q�
1. 1.25% of C�ntract Price* or 1l�iniarium Fae ($3�.00)
—��(�Q " x .O l 25 $
(contract price)
2. State SurcharQe. *" :qdd the State BuildinQ Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin6 (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add Iines 1-3 above) $
� Cviv�;.�CT PRI�E or JOB�J�T mca��s the ae�ual o:est:mated dol:ar amount ehar�ed fo: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 iiistallation are furnished by the owner,
tenant or any other par[y the reasonable market value of such items must be added to the estimated cost
or contract price for permi[ fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ci�v may request the submission of a sianed copy of the actual contract.
�`* The STATE SURCHARGE is .0005 of the con�ract price uncier �i,U00,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
�vork 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.
,._
Applicant's Signature: Date:
✓
S✓� � DATE TIME
CITY OF ORONO CALLED IN ��
INSPECTION NO ICE SCHEDULED � � �F �
PERMIT NO. � � -`7 COMPLETED
ADDRESS � ���5 ���= I 1 r 1� �y" ��� '
OWNER CONTR. ��41 Yro u-�}-h �Awr�,
TELEPHONE NO. ��Co � �Z c�Co -- �f �S
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� DESCRIPTION ��_Z� �or��x=�c��,-, � % �'+a'-Q-
� 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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PIUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU•_YES_NO
� COMMENTS:
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� ORK SATISFACTORY:PROCEED f-1 PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑ COFRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContra r o site:
Inspector.
White Copyllnspector's F Canary CopylSite Notice
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� � DATE TIME
CITY OF ORONO CALLED IN � ' 3 G'`/
INSPECTIONNOTICE SCHEDULED - -� �'t'.�1 :C�'A^•-�
PERMIT N0. � 7/vZS cornP��Eo
ADDRESS �� � �� s�� � a, ` �'%- L t:
OWNER CONTR. ��v/li • �,�G�f?�I G�
TELEPHONENO. �ti�-� ���=' �%� -.��
� DESCRIPTION _l��>�'�'��� — ��Y1/l�
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAI 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBt AL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContr sit�;,
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice
V
DATE � I ���L'� TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI ,.l �„ SCHEDULED 1 �� C''f� •b t�
PERMIT N0. Z) � ' �"� COMPLETED
ADDRESS ��' 2 � I�c�h/')� �1'`- I��
OWNER CONTR._ ���-!�O u-th
TELEPHONE NO. �� � Z� �-�7
� DESCRIPTION �� bl� a �
� 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W CJ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR
❑CITATION ISSUED
❑ INSPECTIONREQUIRED.CA LTOARRANGEACCESS.
Call for the ,spection 24 hours in advance. (952) 249-4600
OwnerlConUac 't :
Inspector. \
White Copyllnspector's File Canary CopylSite Notice
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