HomeMy WebLinkAbout2002-P05862 - plumbing � � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P05862
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: iii2i�2oo2
SITE ADDRESS: 1725 Concordia St
Wayzata,MN 55391
P I D: 17-117-2 3-22-0044
DESCRIPTION:
Proposed Use: Kesidential
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: $ 937.50 Valuation: $ 75,000.00
State Surcharge Fee: $ 37.50
TOTAL FEE: $ 975.00
APPLICANT: Thompson Plumbing OWNER: James Nystrom
15001 Minnetonka Ind. Rd. 1701 Madison St NE
Minnetonka,MN 55345 Minneapolis,MN 55413
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPL[CANT PERMITEE SIGNATURE I SUED BY SIGNATURE
Copies: 1-File(Sipnitures Required), 1-Anolicant. 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
Nev-16-ZOC2 08:18z� Fre�-CITY OF ORONO +p5224D4616 T-456 P.002/003 F-'56
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CIT'Y OF URONU APPLICATTON FOR PI.Y7MBING PERMIT
Box 66 (2750 Kelley Parkway)
C��ga,y, 1��T 55323
�oR
1 you may apply gor plumbing permits by mail or in person ac the Ciry offices.
2. Permit c8rds will be sen�bY retum ma�3�a��ew is compieted. PFR'vITTS Al�NOT VALID UNTIL
YOU RECEIVE A pPRMTT, wO�tK�NS'I'N�7 BfiGFi�i TJti"I'IL,TNE PLRIViIT CARD LS PC3STED ON
3. pl�'m�g�rsnits may be issutd ONLY t�llcCnsed p:umbirig eontr�etors and co properry owners residir.�
in the dwelliag.
4, When�ay new consrructi�n or remodelin�u:nvolved, a separace buildiaE permic musc ba obtaic�d•
5. All work must be doRe ia accorda��e wit�the Stat�Codc z�qui"ements.
6. All work muyc be tnspEcred and eir trsctd before it i8 coverad. Call (952) 249�600. 24huur notice
required.
Instructio�.s Completc all items ou this applicarion. Corspute the pernait fee. Sign and date the
certificacion. IlVC-OMF'LETE APPLICATIONS vVYLL N'OT BB PRaCESSED. Tf you have
questioas, call (952) 249-4600. .
Please check one: _�,N��' Addition Repaix Replacc
Residen�al Commercial
JQB STI'E:_��� �`�������,�r\�c `� -0 2'"P'
awner's Namei�c� �v.:`_��r-',r� Telephone l�"umber:
'Vt2i1' Address: I�o\�(�,0,�1:��^`'-�--� t�`c _ City:i�`����`�, _ �P�;,���
� wg �.
Co�r�c�or's Nanl . ��, Tdephone�Vumber:� �'���„1 /I�
l�iaili.ng AddresS:l. - " C�S': �� -�� �p:_�-v��-k�
� Y�1�IBYN F1'X'�'itRE SCHEDC7LE
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FIXTi,AtE BSMT 1ST 2ND OTHER FL�C'T'�JRB BSMT 1ST 2Nn 07HER
TYPE FL FL TYPE FL FL
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lav�uo `� 1
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si�woc
�c�n S� � V4'ater Heaier
�is sr1 � Wuer Sottener
D:shwasher � VJet Ha:
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Sillcocics f
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/ hrv-16-2002 CB:18�m From-CITY OF ORONO �06224C4616 T-<"E P.003/003 F-155
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AT O �i, �(�
�p���g��g ❑ Yes, Thfs Secdon AppUes
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The replacement of a i n ' 1 f' tbat meets all three of the following
rcquiremeuts:
1) �.�X�t roquixe modificati elecuical or gas service.
2) Has a cost of$500.00 1 ; Clu i tLe cost of the fixture or appliancc:
and �`�
3} IS improved, installed o replaccd b�thc homeawner or licenc�i coatractor.
Skip next section; �� Cast of Permi� $ 15.00
j State Surcharge $ .50 _
� MaiI I�Fee $ '.S�J
�f above does not apply. follow guidelines below:
1. CantraCk��* is ,0125 °k of}ob with a 'nimum Fee of(S►3S.00)
� � � �
'��,C7�� x .o12s $ ����'�
(conmict prise) C�535.00)
2, �* Add the State Building Coda Divisi4n a (M�nimtun Fee of$ .54)
�� �� 5�
� c�:� x .OG05 � , �
,
(cantract price> (minincum S .so)
3, p� (On1y mail-in applications) $ _
4. T'pTqY,PER'YII'T FEE (Add lines 1-3 above) $ `�r ��C�;
� CpIVTRACT PRYCE or J�B COST uieans the Actua]or estia�zsed dollar amounc charwed Par thc gcrmined
work includir�mt�rials,labor,proflt,snQ o�er flxed costs. It is th�amount to bo c'_iarged to the cus:omer
for tbt wUrk done, If z�ty�tt::z.�,eY ip�n:, 'a ..r,�r inssa�ladcn�se furaished�y the owner, tenanc or
�ay othex pa►ry cht reasonablc markot vAluc of such items must ba added to the estimaced cost or contrae[
prta tor peRnit fa purposes, In the event that there ta a dispu�e on th�e nmouni of the jab cost,the Ciry may
requesc shc sabminsion of A ei�ned copy of�e actual eomtracc.
** 'Y'he STA7'E SURCHARGE is .00DS of the coAtraet price uader$1,000,000 ar $.50-whic�ever is greater.
For va]uador►s over SI,ODo,000 call tl�e De.parcneati of lncpeccion 3ervices for die price.
The undersi�ed hertby applies to thc City for issuance of a Ptumbing Pernut, agrees to do all
work in strict Acr.ordance with the ordinanccs of the City a�d the regulations of the Stace of
Iviumcsota, and c�rtifies that all steternents madc on this applicadon are complete, true and
correct.
� ��tict_, ��.-�.c� Date: ��' � �a
Applicant'sSignan� .�� —
✓
DATE TIME
CITY OF ORONO p CALLED IN �- 'U
INSPECTION N TfC�SB�� SCHEDULED - D ���GUs�i�/I
PERMIT NO. D COMPLETEp
ADDRESS �- � � rd'����--
OWNER CONTR. l �y`"f""S �h
TELEPHONE N0. �S^�����' �7/ �
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� DESCRIPTION `%`��'��`
� 01 FOOTING ;.� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING Cr 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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
9 P G RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
PLUM�lt�l6-ff 36 FOUNDATION/REMOVAL
� NTFiAC�TOR MEEf YOU:✓YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cal1 for the next ins ction 24 hours in advance. (g52) 249-4600
OwnedContractor on si •
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME ✓
CITY OF ORONO CALLED IN p� '�-L���
INSPECTION NOTICE . . scHEou�E� ��- % - �t� f� �'C.> 2'�
PERMIT NO. `' !�� � connP��Eo
ADDRESS �-�S �G�l� r� T�(.'� E3
OWNER CONTR. �;;�l�,i:-�;r '7 �'/(,�vh�.
TELEPHONE N0. ���'� r� �� `� � 7/ �7
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� DESCRIPTION ` :�--
� 01 FOOTING t t ECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 3 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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL ,��� 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q �._
�$,_PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBTMQ'Ff�IAL 36 FOUNDATION/REMOVAL
� OWNEFiICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe n xt inspection 24 hours in advance. (952� 249-46��
OwnerlCont ite:
Inspector. �
White Copyllnspector's F e Canary CopylSite Notice