HomeMy WebLinkAbout2003-P06130 - plumbing t
� PERMIT
CITY OF ORONQ
2750 Kelley Parkway - PO Box 66 Permit Number: Po6i3o
Crystal Bay, Minnesota 55323 Permit Type: FiXr�res
(952) 249-4600 Date Issued: 3i2��2o03
SITE ADDRESS: 1635 Concordia St
Wayzata,MN 55391
PID: 17-117-23-22-0040
DESCRI PTION:
Proposed Use: Kesidentiai
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 275.00 Valuation: $ 22,000.00
State Surcharge Fee: $ 11.00
TOTAL FEE: $ 286.00
APPLICANT: Larson Plumbing Inc. OWNER: Howard Alton III
3095 162nd Ln NW 3905 North Shore Dr
Andover,MN 55304 Mound MN 55364
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 'RMITEE SIGNATURE � ISSUED BY SIGNATURE
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
BoY 66 (2750 Kelley Parkway)
Crystal Bay, ".�N 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 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 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�600. 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
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questions, call (952) 249-4600.
Please check one: v New Addition Repair Replace
Residential Commercial
JOB SITE: �� 3�^ �6�v L� ^�� S� Zip;
Owner's Name: S7a t�e t��;�'\ ,����('j�.,�_�'- Telephone Ntunber:
�j_ Mailing Address:7.�- ' City: Zip:
� Contractor's Name: �v.�o�,} ��,�,� ��C� Telephone Number: �'r�3 a�_�6 g�
�> MailingAddress: `�c5�� ����� �,ti 4�,,�� City: �4�.,�0�� Zip: 5 3 �y
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� � PLUNIBING FIXTURE SCI�EEDULE
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" FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
�; TYPE FL FL TYPE FL FL
�" ` Water Closet � �' Floor Drains �
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Lavato f 3 Sewer E'ector
� � Bathtub � Laund Tra �
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U Shower � Washer
Kitchen Sink Water Heater �
Dis osal Water Softener
� Dishwasher Wet Bar �
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Sillcocks � Misc (list)
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes, This Section Applies
The replacement of a Residential fixture or appliance that meets all three of the following
�; requirements:
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� 1) Does not require modification to electrical 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 licenced contractar.
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� Skip next section; Cost of Permit $ 15.00
� State Surcharge $ .50
� Mail In Fee $ 1.50
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If above does not apply, follow guidelines below:
l. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00)
� ��, p�, 8 x .0125 $
(contract price) (muumum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
. (contract price) (minimum $ .50)
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�' 3. Postage and Handling (Only mail-in applications) $ 1.50
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�` 4. TOTAL PERMIT FEE (Add lines 1-3 above) $
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* 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. It is the amount to be charged to the customer
for the work done. If any material, equipment, labor, or installation 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 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 Ciry and the regulations of the State of
� Minnesota, and certifies that all statements made on this application are complete, true and
� conect.
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�' Applicant's Signature: Date: 3—�� �
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� ) D TIME
CITY OF ORONO CALLED IN � �
INSPECTION C SCHEDULED _� �s,.Z�'_
PERMIT NO. COMPLETED �{ `�
ADDRESS C�' �
OWNER CONTR.�
TELEPHONE NO. �(d'�J `� Z7 7�X��
� DESCRIPTION l.L ' �'�
� 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
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
iO�PLUMBING RI 23 SEPTIC FI L 35 HARD COVER REMOVAL
J�10,�LUMBING FINAL 36 FOUNDATION/REMOVAL
��OWNER/CONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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� �COORK SATISFACTORY:PROCEED �OJECT COMPLETE
W ❑CORRECT WORK 8�PROCEED ❑ �SSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance. (952) 249-4600
Owner/Contrac e:
Inspector.
White Copyllnspector's Ffle Canary Copy/Site Notice