HomeMy WebLinkAbout2003-P06654 - plumbing Y PERMIT
C I T , �J F O RO N O Permit Number:
2750 �:elley Parkway - PO Box 66 P06654
Crystal Bay, Minnesota 55323 Permit Type: FiXcu�es
(952) 249-4600 Date Issued: sii3i2oo3
SITE ADDRESS: 1280 Bracketts Pt Rd
Wayzata,MN 55391
PID: 11-117-23-32-0019
DESCRIPTION:
Proposed Use: Kesidentiai
Pernut Class: Plumbing
Permit Type: Fixtures Pernut Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: PernutFee: $ gl•25 Valuation: $ 6,500.00
State Surcharge Fee: $ 3.25
Misc.Fee: $ 1.50
TOTAL FEE: $ 86.00
APPLICANT: Lake Side Plumbing&Heating Inc. OWNER: John Pillsbury
12469 Zinran Avenue S. 1280 Bracketts Pt Rd
Savage,MN 55378 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.
�J�1'(„�� ..ti/l� ,
APPL[CANT PERM[TEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Apnlicant. 1-Monthlv Revorts, 1-Assessine, 1-Finance Page 1
�,.����k � � �+ � ,,.�ta� � 'q'� �.ee . ,�� �'� s . i �� � �� ��. b 3^ �1��"�x��r.t,�r�,�.� P '',�,.�..�. "r f. ' _ "ir Y d :%
�� �.,� r'�a�».d �FY:'x,a�� '�;�,, rY::f ! s� r�6�:, � tN�`�ae��i� .����'
��
PERIVIIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
� �0� x .0125 $ �/_�S
�` °.
(contract price)
2. State Surcharge. ** Add the State Building Code Division
• Surcharge to each permit. ��,�`�� x .0005 $ .�-a�
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only 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 installation ue 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 pemut 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 Inspectional Services for the price.
T'he 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 Signature: �� Date: � �OS�
A.
� j:�'
� �
'4'/'�' ,�.
�W:
J� '�
t�'y
_ �.� �._ ��� } ;�
� - a.
e +
, -._ �' NYr�' , . .� ti�
^ a
�
- ., .�.5,�,�`�''��. .
. , � ��_ �_. �._ �� ,w. , � ����.t . . .
,�'�- _ .. . .,. _ .<
y, � �� � ;� ��``t�,�����+�, ��x�� � ��`y�'?s.�� , y� � . w �''_ �
� � ;
�� e� Y�.�(�+ W .�. .. . � 1.}� 7 k
. .... -_,. .�t�, . .�. .. .�u� . €. �� ._z _ r��� t� ':� ,�3.��W� �� .� ��,..r' _ . . .o. .�� .,. _� . , .,_. K'�4�'� -f �t�vs.
�' -
Rrt
; � • ,.' ,
J ;'i'
�8� r �r,--��<.€��:rcr5.
R CITY Q�' URONO APPLICATION FOR PLUMBING PERMIT
�ox hb (27�0 Kelley Parkway)
Crystal Say, MN 55323
GENERAI. INFORMATION
l. You may apply for plumbing permits by mail or in person at the Ciry offices. �
2. Permit cazds 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 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 473-7357. 24-hour notice required.
� Instructiou� Co:nplete all items on this application. Compute the permit fee. Sign and date
` the certificatiaii. INCOMPLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
' Please check one: New Addition Repair � Replace
,x Residential Commercial
JOB SITE: /��O �i1��Cy�'.� � ��. Zip:
Owner's 1�1ame: f/`� �./�C�� Telephone Number:
Mailing Address: /p7�o /,��?•��s,� �T � - City: o.e.'e�.cfo Zip:
Contractur'sName: L�v.�v°iO.6 �°��� �f�P6 TelephoneNumber: q�,�-��/-760�
MailingA.ddress: J�5/�y' Zr,c3/�� City: ��t�ir�6� Zip: �3 7�
PLUMBING F�TURE SCHEDULE
FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory ,3 Sewer Ejector
Bathtub - Laundry Tray
;
Shower o�P.. Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishw.�sher Wet Bar
Sillcocks Misc (list)
�� ,���"�'������'�P9 � �� � ��` �._
�k � �� #n.
�. ,�- ��
.
, ,.
�� � �� �
��� ' i� �� ��
�' ,f��r,. ...�+�'�, '}�w�-�� � � �w..�'
_. $ ... . �.F`4`?-.�r 4Y}�iE�..��'e ..L�..�:'��� �.._. �.'7,.�e�Ilk..».. �nm, . . e v3d'4�,'. ._. 4r« .. . _ ,
D TIM E �
CITY OF ORONO CALLED IN � ��`�
INSPECTION TICE SCHEDULED -a� " 3 i3 i'`�(
PERMIT N0. � COMPL�r,��
ADDRESS �-�
OWNER CONTR. �.
TELEPHONE NO. ���� ��l� /�G'C�G
� DESCRIPTION ��u��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
Q 02 FRAMING 13 MF.CHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 NJATER HOOK-UP 17 SITE INSPECTION
Q OS 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
4Qi PLUMBING R 23 SEPTIC FINAL 35 HARD COVER REMOVAL
_ �,�_.
J �TO�P�aMcsiry�riryAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
�
�
O
W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ,O CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WOFiK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-46��
OwnedContractor ori site:
,
Inspector.
White Copylinspector's File Canary CopylSite Notice