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HomeMy WebLinkAbout2005-P09375 (Plumbing) PERMIT CITY�OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Po9375 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 10/31/2005 SITE ADDRESS: 540 Barrett Ave Unit# Wayzata,MN 55391 PID: 02-117-23-31-0022 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Floor Drains DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 900.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Steinkraus Plumbing Inc. OWNER: Robert&Victoria Jaffray 112 E. Sth St., Suite 101 540 Banett Ave Chaska,MN 55318 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. �, _ � ; �,� , ---�---__ ARP CANT PERMIT SIGNA 7RE 1 ED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 - ,. _ OR�'Tl'1"USE UNLI' ��(j�� Clty of Orono , ; ' �Q O P.O.Box 66 Data Rcae'tvsd: _�� Pertnit#,�,,,,,�,�w,: _' �„ ,� 2750 Kelley Parkway ��� ,I�'���' � Crystal BEry,MN 55323 Approved 6y. �� AmQunt�;,��,�,'� �,,�������� (952)249-4600 ��4::_:=�_� CITY OF ORONO—PLUMBING PERMIT (All Coimnercial permits must be approved by the Building Official or lnspector) GENERAL INFOR.Iv1�1TIUN ' ,: I. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit wilf be issued within two working days. 2. Permit cards will be sent by return mai!after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEG[N 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 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 AI1 That A 1 �f Residential ❑Commercial(Approval Required) ❑New ❑ Additional ❑Repairs �j Replace ❑ In Accessory Structure? *You will need arior aaproval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job 5ite/Owner Infortttat�q,�; , _. _ . Site Address: ��U "�ur�'r+ 1�e. Owner: �c�6 �G('rC'rq S'1�� �4�c�'f' �1� y Mailing Address; City: ��°�'v Zip: Home Phone: Alternate Phone: Contractor Informationc Contractor: � 1 ������tS ��^�1� Contact Person: �G�' Address: ��E S�� S't" S�'e. �0� State Bond #: ��� � City: C�k�l��l Zip;SS�I� Expiration Date: �2�3�—D S Phone: RS�' S b���Z� Alternate Phone: W / Insurance—Current: }! C S V 1 4 :.,,Sj�i t t t''�� :'.�3 ut�'.�� FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathroom Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous S •tl`� ; bNf�, t b��T�„r^r�' ��?�� � �T�r� '. � JC'�R,x � �� .2 .r y' 1 �1�Wy j{j� �y/�j��/� � �,S ,.)., __.1��_ I � �'��U4' ���1 � 4N�� �`J.SF��� �'�, ,�� `�� ! kf V ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets ail three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and 3. [s 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) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 u �; ' ; \��k ����1���.l�t"��4.� If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) � ��, �� X.o�zs $ 3 S.v� (wntract price) (minimum$35A0) 2. STATE SURCHARGE "'*Add the State Bldg Code Div.Surcharge(Minimum Fee otS.SU} 1 Q�-UD x.0005 $ . S v (contrect price) (minimum� ,50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ `� , �'j � ■ * CONTRACT PR[CE 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 custaner for the work done. ]f any material, equipment, labor or installations are furnished 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 .0005 of the contract price under$1,000,000 or$.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. �s=' ';�;� ��7z � � 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 statetnents made on this application are complete, true and correct. Applicant's Signature: Date: ` O^���� ��t�• , ,�� � � �.;v 4; � �,�� , ��`1,.' n,+':�; i �� �,,�::t' _, .. 3 n . �// , �`\�� �� DATE TIME �I T OF ORONO ALL� iN INSPECTION TI �— SCHEDULED ,//�.� PERMIT NO. � � COMPLETE !/-) -oJ �' ADDRESS � �`� OWNER CONTR. - G2-e--(.y TELEPHONE NO. � - ��'��/� � DESCRIPTION � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FR,4MING 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 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 J 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU YES_NO � COMMENTS: � W a � ' �' C.J � — � �f A�/�,��' �'l�r>,/� �/��I i.� �' ° � ,' �1-� ���,�� � W � Q � z W � W � � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE ❑CORRECT WORK&PROCEED f-1 ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on, sit�: Inspector. w / � � White Copyllnspector's File Canary CopylSite Notice �� .,�" D �TEJ TIME CITY OF ORONO CALLED IN � ` G� iNSPECTION NOTICE SCHEDULED / � /�. •'��� PERMIT NO. �b i � �7S COMPLETED ADDRESS S`-f G l� c1i �✓� t'I �--c'�, OWNER CONTR. St['rh,�/�.�-�-1] TELEPHONE NO. ! �� 3� � ` L��v�-�� ��t�'�� � DESCRIPTION � �'�-�-�--�'�'1� � � 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 � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 FOL�OW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d W� WORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � U CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ext inspection 24 hours in advance. (952� 249-4600 OwnerlCont�C�e,r site: Inspector. White Copyllnspector' File Canary CopylSite Notice