HomeMy WebLinkAbout2005-P08870 - plumbing PERMIT
CITY OF ORONO
Permit Number:
2750 KF�',i�y Parkway- PO Box 66 P08870
Crystal Bay, Minnesota 55323 Permit Type:
(952) 249-4600 Fixtures
Date Issued: 6/21/2005
SITE ADDRESS: 1265 Bracketts Point Rd Unit#
Wayzata,MN 55391
PID: 1i-117-23-32-0010
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:
Also water lines
FEE SUMMARY: Perniit Fee: $ 1,087.50 Valuation: $ 87,000.00
State Surcharge Fee: $ 43.50
TOTAL FEE: $ 1,131.00
APPLICANT: Thompson Plumbing OWNER: Roger O'Shaughnessy
15001 Minnetonka Ind. Rd. 10562 Estate Drive
Minnetonka,MN 55345 Eden Prairie,MN 55347
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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APPLI T PER ITEE SIGNATURE SUED BY SIGNATURE
Copies: I-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
PER1VlI't' FEE CA�,CfJL��'E�N(Sl
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2002 State Statute ❑ l�e�, '�'his Section Applies
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The replacement of a Residential fixture or appliance tfiat meets all three of the following requirements:
1) Does not require modification to electrical or gas service.
2) Has a totai cost of �500.00 or (ess; 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
_� 1V�ai1 In Fee $ 1.50
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If above does not apply, follow guidelines below:
1. Contract Pr°�ce* is .0125 % of job with a 1Vlinimum Fee of ($35.00�
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�. '.1 ��� ,� � x .012 5 $ � C��,1 'r' `�e.�`�.
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(contract price) (minimum $35.00)
2. �tate �urchar�e. ** Add the State Building Code Division a (1Vllinimum Fee of $ .50)
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��� ��r�� .� x .0005 $ '-J''-�� , �-���
(contract price) (minimum$ .50)
3. Postage �nd Handl�n� (Only mail-in applications) $ ��
4. TOTAL PERM[T �EE (Add ]ines 1-3 above) $ ���,�m�3����
* CONTRACT PRICE or JOB COST means the actual or estimated dol(ar 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. lf any material, equipment, labor, or installation are furnished by ihe 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. ln the event lhat there is a dispute on the amount of ihe job cost, the City may request ihe submission
of a signed copy oP 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 ali work
in strict accordance with the ordHnances of the City and the regulations of the State of Minnesota, and
certifies that all statements r►�ade on this application are complete, true and correct.
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Applicant's Signature: ,-`�� ` � �
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�eset Forn� ,
CITY OF ORONO APPL[CATION FOR PLU1VtB[NG PERIViIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City oifices.
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 $EGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB
SITE.
3. Plumbing permits may be issuecl ONLY to licensed plumbing contractors and to property owners residing in the
dwelling.
4. When any new construction or remodeling is involved, a separate buildin�permit must be obtained.
5. All work must be done in accordance wilh the State Code requirements.
G. 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. [NCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions,
call (952) 249-4600.
Please checl< one: _�New Addition Repair Replace
_� Residential Commercial
JOB S[TE:�:�t�� ���r���``�' ��� ���`�� ����;.,�\� Zip:
Owner's Name:C��-�,c� c,' _ � �•:�,: Telephone Number:
Mailing Address: City: Zip:
Contractor's Nam��-�a�;,.�,��.,R.,.,,������ � . . ` Telephone Number: ��� �,���}�)�
Mailing Address: �-' � ����_ ��.�;�,:�� .�� City: �;���� Zi �
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PLUl��P1VG F[XTURE SCHEDULE
FIXTURE BSMT 1 ST 2ND OTHER FIXTURE BSM 1 S 2ND OTHER
TYPE FL FL TYPE T T FL
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TELEPHONE NO. �S�����— ����
� DESCRIPTION ` �
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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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
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Call for th+�next inspection 24 hours in advance. (J52� 249-46��
Owner/Con n site:
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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
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❑STOP ORDER POSTED.CALL INSPECTOR -, CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the ext inspection 24 hours in advance. �952� 24Q-46QQ
Owner/Co o site:
Inspector. .
White Copyllnspector's 'le Canary CopylSite Notice
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Z04 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
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
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INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
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Call for the next inspection 24 hours in advance. �QSZ� Z49-4600
OwnerlContractor on site:
Inspector. �,..�.� ���'J-S
White Copyllnspector's File Canary Copy/Site Notice
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� DESCRIPTION �-�- �" C���� � — �(�1L���" �
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,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
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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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CAlLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector__�f c,1 �s
White Copyllnspector's File Canary CopylSite Notice