HomeMy WebLinkAbout2002-P05929 - plumbing PERMIT
CITY OF ORONO Permit Number:
2750 KeZley Parkway - PO Box 66 Pos929
CryYstal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: 12�3oi2oo2
SITE ADDRESS: 1865 Concordia St
Wayzata,MN 55391
PID: 17-117-23-23-0032
DESCRIPTION:
Proposed Use: Kesidennai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
Other Misc items
FEE SUMMARY: Permit Fee: � 393.75
Valuation: $ 31,500.00
State Surcharge Fee: $ 15.75
TOTAL FEE: $ 409.50
APPLICANT: Thompson Plumbing OWNER: Mr. &Mrs. Twidwell
15001 Minnetonka Ind. Rd. 1865 Concordia St
Minnetonka, MN 55345 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.
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APPLICANT PERMI"I EE SIGNATURE ISSUFD!3Y SIGNATURE ��
Copies: 1-File(SiQnitures Requi�•ed), l-Applicant, 1-Monthlv Revorts, 1-Assessine, 1-Finance Page 1
CITY OF ORONQ APPLICATION FOR PLUMBING PERMIT
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 offices.
2. Permit cards will be sent by retum 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 pemuts 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) 249-4600. 24-hour notice
required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NQT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: � New Addition Repair Replace
Residential Commercial
JOB SITE• �� �ip;
Owner's 1Vame: c�� � Telephone letumber:
1Vlailing Address: City: �ip:
Contractor's Name• .� Tele hone Number: �� - �������
Mailing Address:�,��/����,p �� City: ���Zip: �'�e,�
PLUMBING FIXTU�tE SCI�EDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laund Tra
Shower Washer
Kitchen Sink Water Heater
Dis osal Water Softener �
Dishwasher Wet Bar
�o���
Sillcocks Misc rst) �
PERMIT FEE CALCULATION(Sl
2002 State Statute ❑ Yes, This Section Applies
The replacement of a Residential fixture or a�liance that meets all three of the following
requirements:
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 contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
l. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00)
��� =� x .0125 $ ,;�
(contract price) ����` (minimum $35.00)
�
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of $ .50)
x .0005 $ � ��
(contract price) (minimum$ .50)
3. Posta�e and Handlin� (Only mail-in applications) $
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 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 $1,000,000 call the Department of Inspection Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that a statements made on this application are complete, true and
conect.
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Applicant's Signature Date:
Nev-15-20C2 �B:iBzm Fro�-CITY OF ORONO +p5i2494616 T-45E P.002l003 F-'55
K .
CIT'Y 4F URQNU APPLTCATYON FOR PL�'NIBING PERMIT
Box 66 (2�5�K�lley Parkway)
C�ystal gay, NiN 55323
����.n��ott!�sTL4�
i, You may apply for pltlmb'ss�g Permiu by mail or in person�t the City effxxs.
2, Permit cards will be s�tnt by recurn maii after a r�view is completed. P�.R.'�IYTS Alt�NOT VAI.IA UNTIL
YOU REC8IVE A PERMYT. V+10 h ' 7 &GIN U'�"TIL T CAR LS P05TED O.
3. pl���nn'sts may be issutd ONLY to license�p:umbin$ c,ontractois and co propeny a��rs r�sid3r.�
i�the daelling.
a, When any ntw cansrruccicn ar remodeling is'.��olved, a separate buildiap Dermit musc be obtain�d•
5, Ali work must be don�e in accordar�e W't�tt�e Sca�e Cadc rcqa��ents.
6 p,u �oTk �u,,�be inspEcced az�d sir tat�d before it is covered. Cal] (952) 249�b00. 24huus notice
required.
jpstr�cti� Complete all i�ems on this applicadon. Campute the permit fee. Sign and date tke
certification. YNC;OMPLETE APPLICATIONS WYLL N'OT BE PROCESSED. If you have
questio:�s, ca11 (952) 249-4604. .
Please check one: N'ew Addition Repaix Replacc
Resident�al Commercial
JOB SITE: `+� CJ_���� c�-�`�'���=�� ZIP:
Owner's Name: �, � T i _Telephane l�"umber:�i�,:� -�1--�I b
Mailing A d d ress' t .�� ��� �-- '�r� City:C`.�-�� 7.�g:��ci� -
n Tdep'hone�umber:�i��`1�-`�)1�l
Co�'�c�or's Nanie: .
l�iailing Addxess:L��-,� � � � ������ -s� �2�C�'' Z'sP: ti,�=,��(-,—
�r�ZBLNr Ft'XT1;RE SCHEDC)'Y.E
FIXTL7RE BSMT 1ST 2ND OTHER 1 FL�C'T'CJRE BSMT 1ST 2:�n 0'Y'�R
TYPB FL FL T�E �" �'
R'atez Closet � Floor Drams
� >t � ' i
l.avato �
Bahtub
tra
Shewor � Washer
�c�n S� � R`atcr Hea�er i
Dis sr1 Wuer Soltener
D:shwasher r Wct Ba:
j�Siac ist) (' Gl r�'ye -�lbt�rr'
SillcocYs •
I -i,v.�.►d;-��e,r----1� �
.�j— ��r�..o�C.,,���,r5
�-• Sv�M� �U` \
�-' �'`�Id�ckver
Ncv-16-20�2 GB:1Bam From-CITY OF ORONO +p622qpa616 T-t6E P.003/003 F-155
A O
200 State Statu�� ❑,Yes, This Secdon Apglies
The replacement of a �tcsid�ntial fixnire or a�plianc� that meets all three of the fotlowing
rcquirements:
1) �Q�34S roquixe modific��a to elecuical or gas service.
2) Has a eo t of$500.¢�'�less; clu 'n the cost of che f"ixnzre or applia.ncc:
.
and � �
3} Is improved, inst�ed or replacc�b� thc homeowner or licenc�i contractor.
i� •�
Skip next ction; `� Cost of Pertnii $ 15.00 _—
State Surcharge $ .50 _
�! ia�Fec $ 1.s4
Yf above does not apply, follow guidelines bclow:
1, ntra �g* is .0125 $b 4f job with a Minimum Fee of(S3S.00)
� �
�1 �;,�L`__� x .012s $ �e��7; � _
(conu�aa price) C��53s.00)
2, �tate S�har� *# Add the State Building Code Divisioa a (lbiinimum Fee of$ .SO)
� �
� ��](_�? X .0005 $ L� �
{coatract ptice) {minimum S .5�)
g, p����d���,� (Only mail-in applicat�ons) $ _ '�'�
4. TpTAY,PER,'YII'T FEE (Add lincs 1-3 above) $ �(`)`� � �'L
« �a�p�p�C�or JOB COST mesa�the aetual or estim�ted dollar awoun�char;ed foz thc permitted
work irxludir�materials,l�bor,proflt,�nd o�er flxed costs. It is th�amaunt to be c�arged to the cusmme�
fCz�yyQT��r ap: Tf�y�t��i�,J, �qRqgmeent, labor,or iasiallatian ase fi�raished by the owner; tensat or
�y�eX pa�ry chc reasonablc market vtllu�of such itea�s must ba added to tkie escimared cost or conuact
price for pennit fa purposes. In the event that�here la a dispuu oa the amoum of tht job eost,thc Ciry may
zequw�the sabsuiasion oi�ai�ned copy of�e ac�ual contract.
** 'I'he STA7E SURCHARGE is .00aS of the contraet price under$1,000,000 or �.50-whic�ever is�eater.
For valuatioiu over 31,000,000 csll me DeParament of Inspectian 3ervicea for nc�pri�e.
The uadezsi�d her�by applits to the City for issuance of a Plumbing Perm�, agre�s to do all
work in strict acr.ordance with tha ordinancrs of the City and the regulations of the St�ce of
Minaesota, and certifies thnt A11 stacements madc on this applicadon are camplete, true aad
correct.
__ � Date:/��� ��1
Applu�ut's Sig�sauu�_/ )i l�h�����7]£�../�
DATE `� TIME
CITY OF ORONO CAILED IN
INSPECTION NOTICE, scHE�u�E� - ��-�� /-3 C� �tif
PERMIT N0. r�`1�� COMPLETED
ADDRESS�� `Y7 ��e'�1l��/�C:�����.
OWNER CONTR. J /I/_�/Y�.SCIl�1 ��!/wt-�,
TELEPHONE NO. �TS_�� ��.3 7 7/ 7
� DESCRIPTION �/ �
� 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
Z04 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
v 07 QEMO�F L 15 SEPTIC INSTALL. 22 FOLLOW-UP
��09 PLUMB�ING��I 23 SEPTIC FINAL 35 HARD COVER REMOVAL
JiQ�h�81NG FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� O CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTOARRANGEACCESS.
Ca11 for the ex nspection 24 hours in advance. (J52� 249-4600
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OwnerlCon r o s� er
Inspector.
White Copyllnspector's File Canary CopylSite NoUce
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a1 DATE TIME
CITY OF ORONO (�(;C�� CALLED IN �-�'��
INSPECTION NO ICE scHeou�Eo 7- 2-��� ��
PERMIT NO. COMPLETED
ADDRESS C � ' C C������ -S� -
OWNER ��15 ILC� CONTR. � �'�S_c �'f
TELEPHONE NO. ��� �3� ��/7
� DESCRIPTION ! /� ��� '
� 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 OS 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 23 SEPTIC FINAL 35 HARD COVER REMOVAL
LUMBING 36 FOUNDATION/REMOVAL
Q O RTOMEETYOU:�YES_NO ��S (l i�
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W WORKSATISFACTORY:PROCEED O PROJECTCOMPLEfE
W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in pection 24 hours in advance. (95Z� Z49-46��
OwnerlContract sit :
Inspector.
White Copy/lnspector's File Canary CopylSite Notice