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Home My WebLink About2003-P06921 - plumbing CITY OF R PERMIT O ONO Permit Number: 2750 Kelley Parkway - PO Box 66 P06921 Crystal Bay, Minnesota 55323 Permit Type: FiX�ures (952) 249-4600 , Date Issued: io�22i2oo3 SITE ADDRESS: 1950 Concordia St Wayzata,MN 55391 P I D: 18-117-23-14-0016 DESCRIPTION: Proposed Use: Kesidential Permit Class: Plumbing Pernut Type: Fixtures Pernut Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,800.00 State Surcharge Fee: $ 0.90 TOTAL FEE: $ 35.90 APPLICANT: SAS Services Inc. OWNER: William&Karen Peters 9-7th Avenue N 1950 Concordia St Hopkins,MN 55343 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. �'` ---- /� �-�- � C�'7'' 4/? /� �-'�� AP LICAN��ERMITEESIGNATURE ISSUEDBYSIGNATURE � j: Copies: 1-File(SiQnitures Required), 1-Anvlicant, 1-Monthlv Reoorts, 1-Assessing, 1-Finance Page 1 CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box�fi6 (2,750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL 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 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 (952) 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 (952) 249-4600. Please check one: ��1ew Addition Repair Replace �-°` Residential Commercial JOB SITE: /�� .��:��"�a ��a�i E� � �- Zip• �.�_3� f Owner's Name: Teiephone Number: Mailing Address: City: Zip• Contractor's Name:_F� '!�� ,� ,�;�.� Telephone Number:.q�;Z y 38-3�,�3 Mailing Address• � C;�'�- �� City:� '',�M Zip: .��`��=3 � PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains Lavato /� Sewer E'ector Bathtub Laun Tra Shower '�� Washer Kitchen Sink Water Heater Dis osal Water Softener . Dishwasher `� Wet Bar ,� Sillcocks Misc (list) PERi��IIT FEE CALCULATION(S1 2002 Stafe Statute ❑ Yes, This Section Applies The replacement of a Residential fi�ture or a�liance that meets all three of the following requirements: 1) Does not require modification to electrical or gas service. 2) Has a total cost of$5�.00 or less; excludin� the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licenced contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 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) �� d �r".�� 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) (muumum$ .50) 3. Postage and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PER��IIT FEE (Add lines 1-3 above) $ * CONTRACT PRICE or JOB COST means the actual or esiimated 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 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 City may request the submission of a signed copy of the actual contract. ** The STATE SURCHARGE is .000�of the contract price under$1,000,000 or $.50 - whichever is greater. For valuations over 51,000,000 call the Department of Inspection 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 � statements made on this application are complete, true and conect. . Applicant's Signature: Date: .�� `��` / DAT �/� TIME CITY OF ORONO / CALLED IN �'��'�t �� INSPECTION NOT CE SCHEDULED /0-�-�-1 � /� PERMIT N0. ��" COMPLETED ADDRESS �GI S_U CC'1 h_L C�l'�i�- S�. OWNER CONTR. S�S S,c/S - TELEPHONE NO. _,��J S�� '�-3 � DESCRIPTION l%�--��-,�'�� ^�1 � � 01 FOOTING 11 MECHANICAL 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 � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 05 FINA 14 SEWER HOOK-UP 06 PROGRESS � 07 MO-SITE 27 SEPTIC MAINT. 21 COMPL4INT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a �.�a,(�l, � �� t�l�� J O � �. � � O . � W � _ ._ __ _ _ Q - �. _ ��Q � . .. - Z _ 4 W � - � ..._ � � � _ � ORKSATI�FACTORY:PROCEED � PROJECTCOMPLETE � ❑ CORRECT WORK 8�PROCEED - - ISSUE CERTIFICATE OF OCCUPANCY W _ � ❑ CORREGT WORK,CALL FOR REINSPECTiON TEMPORARY V BEFORECOVERING PERMANENT ❑CORREGTUNSAFE�ONDiTIONWITHIN HOURS. C PHOTO TAKEN INSPECTOR WlLL RETURN " � CITATION ISSUED - ❑STOP ORDER PpST€D:CALLiNSPEC70R - ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContr r ' site: Inspector. ��. _ _ ._ _ - White Copyllnspector's ile Canary CopylSite Notice ✓ ;QT�2Z�G,3 TIME CITY OF ORONO CALLED IN `l INSPECTION NQTICE SCHEDULED I�/ZV/C�3� PERMIT NO. ��C��,T I COMPLETED ADDRESS l a �C� C' � rc L� � oQ � � S-r OWNER CONTR. S �� TELEPHONE N0. �f 5 a � � �� DESCRIPTION �2 � � � 01 FOOTING 11 MECHANICAL 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 B0. 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 =�LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMME S: � � � �S V1Q� Q. PiS � � 0 � � 0 � W � Q � Z W � W � � O W� RK SATISFACTORY:PROCEED ❑ PROJ ECT COMPLETE W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL AETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for th next inspection 24 hours in advance. (952� 249-4600 OwnedC t on site: Inspector. White Copyllnspect File Canary Copy/Slte Notice �s�� /0 DZ TIME CITY OF ORONO CALLED IN ' INSPECTION N TICE SCHEDULED �0-Z9-o3 j/%.30 PERMIT N0. Z � COMPLETE0. ADDRESS i' � OWNER CONTR. S�S Li�t_ TELEPHONE NO. �� z— .3Y� SZ r� � DESCRIPTION �"�/�5�� — �aSe�rc��'c�'� l� 01 FOOTING 11 ECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti O 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 � 07 DEMO-FINAL 15 SEPTIC INSTAIL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � � O � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 for the ext inspection 24 hours in advance. (952� 249-4600 OwnerlContr site: Inspector. White Copy/lnspector' File Canary Copy/Site Notice