HomeMy WebLinkAbout2005-P08492 - plumbing < • , �
PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Pog492
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: 3i��2oos
SITE ADDRESS: 1200 Bracketts Point Rd
Wayzata,MN 55391
PID: 11-117-23-32-0021
DESCRIPTION:
Proposed Use: xesidential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 135.00 Valuation: $ 10,800.00
State Surcharge Fee: $ 5.40
TOTAL FEE: $ 140.40
APPLICANT: Dinius Plumbing Company OWNER: John Noble
7816 Stillwater Blvd 1200 Bracketts Point Rd
Oakdale,MN 55128 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS YERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK 1N STRIC'1 COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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PLICANT PE E SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Apolicant, 1-Monthlv Reports. 1-AssessinQ, 1-Finance Page 1
FOR CITY IJSE ONLY
O4� City of Orono � �j
�0 P.O.Box 66 Date Received:.� "3'��y Permit# a�6���-
q*t. 2750 Keliey Parkway
� ��'�� � Crysta]Bay,MN 55323 Approved By: Amount�:���'�'��
�'��,(��$�o` (952)249-4600
CITY OF ORONO -PLUMBING PERMIT
(All Commerciai permits must be approved by the Building Officia]or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by maii or in person at the City offices. Applicarions will be
reviewed and a pernut will be issued within two working days.
i 2. Perxnit 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 pemut must be
� obtained.
r 5. All work must be done in accordance with State Code requirements.
I 6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
f (24-48 hour notice required)
�
�
� TYPE OF PERMIT
�' ' (Check All That Ap ly)
�Residential ❑ Commercial(Approval Required)
� ❑ New ❑Additional ❑ Repairs �Replace
❑ In Accessory Structure?
*You will need nrior aaproval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/ Owner Information:
Site Address: �� v � f�e��c�C e� f� �� 7'� �r,/
�' Owner: /(�D b�- Mailing Address:
clri: ' Dr�o z�p: -�-�"3� f
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� Home Phone: Alternate Phone: �� Z- ��-, �7,S'�
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Contractor Information:
.
Contractor: � /�✓/v S ���M�� Contact Person: �>G�C
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Address: 7b'f� S �7 f/w�-���f��State Bond#: � �/�� 4�5�
City: � �,`,� Zip:��/Zd''Expiration Date: /Z - ��
Phone: 6S/ 7 7,� .S�7 Ya Alternate Phone:
❑ Insurance- Current:
1
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PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
F' TYPE FL FL TYPE FL FL
�
f� Water Closet � Floor Drains
Lavatory Sewer Ejector
Baduoom Laundry Tray �
` Shower � W asher /
�'
�• Kitchen Sink Z Water Heater
� Disposal ! Water Softener
`
Disl�washer � Wet Bar
Sillcocks Miscellaneous _ I
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PERMIT FEE GALCULATION(S)
BASED QFF - 2002 STATE STATUE
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`' ❑ Yes,this secrion applies
�
� The replacement of a Residential fixture or ap hp �ance 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; excludine 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 Pernut $ 15.00
'� State Surcharge $ .50
�
�t Mail-In Fee(If Applicable) $ 1.50
� Total Permit Fee $
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� (Permit Fees Continued On Next Page)
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PERMITFEE CALCULATION S -JOBS OVER$500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
�;; �
�D, �0 0 • — x.0125 $
(contract price) (minimum�35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract 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
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 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 pernut 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 valuarions over$1,000,000 call the Building Deparhnent at(952)249-4600 for the price.
PLUMBING PERMIT APPLICATICJN AGREEMENT'
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 statements made on this application are complete, true and
correct.
Applicant's Signatur • Date: � ' 7 —�S
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��� C�� �D9� � TIME
CITY OF ORONO CALLED IN L�
INSPECTION NO ICE [�C� SCHEDULED � ��T
PERMIT NO. T / � COMPLETED _
ADDRESS �a��
OWNER CONTR. , L`I!L(S
TELEPHONE NO. ^s���7� ���
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WORK&PROCEED !- ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WELL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (952� 249-46��
OwnerlCon ' n site:
Inspector.
White Copyllnspector' File Canary Copy/Site Notice
� � ��Y—' 2D TpE� � TIMEl,
CITY OF ORONO CALLED IN J � ( S
INSPECTION N ICE � SCHEDULED ��� /. Q
PERMIT NO. 4� COMPLETED
ADDRESS ����% _/�� C._%CC'�.-�_.�S ��—``..'
OWNER CONTR. ,�j�.l d,� ��C.ClY�,�
TELEPHONE NO.��� - � �� �S �� ��
� DESCRIPTION ��C.�t.(...�'yl,f.� ���
� 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU• YES_NO
� COMMENTS: J{�� r� � ��
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W� WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next nspection 24 hours irt advance. (J52� 249-4600
OwnerlContractor�o i -
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
��1������ CjTE TIME '✓
�CITY O CALLED IN �`
INSPECTION NOTICE SCHEDULED
�� PERMIT NO. ,�G S��� COMPLETED
� ADDRESS f�D /�'�C-C L�G2-�f S 7` �
OWNER CONTR.
TELEPHONE NO. �� - � �3 �" � ���
� DESCRIPTION c,�')'�'�3"�1( �-"�7 bY�
!y� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 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 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 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_Y S_NO
� COMMENTS: r � W �I '' �
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� ❑CORRECT WORK&PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne �t inspection 24 hours in advance. (J52� 249-46��
OwnerlContra s te:
Inspector.
White Copyllnspector's Fil Canary Copy/Site Notice