HomeMy WebLinkAbout2005-P09397 - plumbing � PERMIT
. CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09397
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
11/8/2005
SITE ADDRESS: 1640 Bohns Pt Rd Unit#
Wayzata,MN 55391
P��� 16-117-23-22-0002
DESCRIPTION:
Proposed Use: Residential
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: $ 473.13 Valuation: $ 37,850.00
State Surcharge Fee: $ 18.93
TOTAL FEE: $ 492.06
APPLICANT: Freedom Mechanical OWNER: Scott Ross
11135 Hwy. 7 2411 Lorien Street
Watertown, MN 55388 Minnetonka,MN 55305
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 PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
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. FOR CITY USE ONLY
� City of Orono
4 � P.O.Box 66 Date Received: Permit#
�'' � 2750 Kelle Parkwa
�,�:;.,a Y Y
� �j{�?�'' � Crystal Bay,MN 55323 Approved By: Amount$: Z,Ub
�����i�.$o~ (952)249-4600
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CITY OF ORONO - PLUMBING PERMIT
(All Commercial peir�its must be approved by the Building Ofticial or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within two working days.
2. Pemut cards wili 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 constcuction or remodeling is involved, a separate building pennit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT �
(Check All That Apply)
.[�,Residential ❑ Commercial(Approval Required)
,�.New ❑ Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior approval and may need CiJP. (Per Orono City Code, Chapter 78,Article IV)
Job Site/ Owner Information:
Site Address: ����Ci (d�,�hh,�� r%"7` �/�-1
Owner: �C �G�-�L� Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Infornlation:
Contractor: ���a� ��i�rGGC ContactPerson: f;r��«� /���--•-ti
Address: ��13� � 7 State Bond #:
City: ��- �i�f�iv Zip:S3",��s Expiration Date:
Phone: �/,Z ,3G.j �l j�� Altei-nate Phone: ySa -`-�Y� � l5�'�{
❑ Insurance- Current:
1
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PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL ���L�j
Water Closet / � � Floor Drains � �
Lavatory / � � Se«�er Ejector
Bathtub I 1 Laundry Tray �
Shower � / � Washer �
Kitchen Sink / 1 Water Heater f
(
Disposal / 1 Water Softener /
6 �
Dishwasher l 1 Wet Bar
Sillcocks � �>���r � Miscellaneous
l�-µ-� /
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATLTE
❑ Yes,this section applies
The replacement of a Residential fixnue or appliance that meets all tlu�ee of the following requirements:
1. Does not require modification to elech�ical or gas service.
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 licensed contractor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) � 1.�0
Total Pexmit F'ee S
(Permit�'ees Continued On Next Page)
�
PERMIT FEE CALCULATION S) —JOBS OVER$500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of conh•act price with a(Minimum Fee of�35.00)
_�7�'���� X .oizs �
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x .0005 $
(conh�act price) (minimum� .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pernutted work including materials, labor, profit, and other fixed costs. It is flie amount to be charged
to the customer for the work done. If any material, equipment, labor or installations are furnished by
the owner, tenant or any other party, the reasonable inarket value of such items must be added to the
estimated cost or contract price for pernut fee puiposes. 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 actual connact.
� ** 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 Building Depariment at(952)249-4600 for the price.
�: PLUMBING PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Plumbing Pernlit, 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 inade on this application are complete, true and
correct.
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Applicant's Signature: --�� ��%����-� Date: 1����G'�
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PERMIT NO. COMPL T o
ADDRESS
OWNER CONTR. ���C:YV� �}f��
TELEPHONE N0. lX 1���D�' �O��
� DESCRIPTION { �` �' Y�1
lL 01 FOOTING 11 MECHA ICAL RI 18 EXCAV/GRADING/ LLING
� 02 FRAMING 13 ME NICAL FINAL 19 LAKESHORE NDS
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Q 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J1 BING FINAL ,..� 36 FOUNDATION/REMOVAL
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Call for the xt inspection 24 hours in advance. (952� 249-46��
OwnedCo site:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice
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INSPECTION NO IC � � SCHEDULED — � ��G � . ?�
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TELEPHONE NO. '�I i'A.� ' �I� � "��'I��D
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� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING Rf 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU•_YES_NO
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
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❑ CITATION JSSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CA L TO ARRANGE ACCESS.
Ca11 for e next nspection 24 hours in advance. (952� 24J-4GOO
OwnerlCo o si e:
Inspector. '�
White Copyllnspector's File Canary CopylSite Notice
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� DAT TIME
CITY OF ORONO CALLED IN �� ���
INSPECTION NOTICE SCHEDULED � =��3 p!�''�
PERMIT NO. ��7�'i 3�'! 7 COMPLETED ��� � U� ���/l�
ADDRESS � Lp `�C% �� /� l�S �T.. ��t.
OWNER CONTR. �l-�C�G'N�-
TELEPHONE NO. �ri �.� �l1% � �' ��T�
� DESCRIPTION l�r�C�(/,{ 9/Z�lc/y�-c=�'
� 01 FOOTING 11 MECHA AL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 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 05 FINAL �4 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J NG FINAL 36 FOUNDATION/REMOVAL
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WlLL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
lnspector_ �� /S�S
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White Copyllnspector's File Canary Copy/Site Notice