HomeMy WebLinkAbout2008-P12126 - plumbing PERMIT
� �iTY OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P12126
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
6/4/2008
SITE ADDRESS: 1935 Concordia St Unit#
Wayzata,MN 55391
PID: 18-117-23-14-0013
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixhtres Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 vaivation: $ 1,900.00
State Surcharge Fee: $ 0.95
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.45
APPLICANT: Mid-City Mechanical Corp. OWNER: Mr&Mrs Kalow
9103 Davenport Street NE 1935 Concordia St
Blaine,MN 55449 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 PERMITEE SIGNATURE [ UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
�
� , FOR CITY L�S�ONLY --�
Q,���O\ City of Orono — —
P.O.Box 66 Dah;Received: Pennit#
��. } 2750 Kelle��Parkwa}' —
��l y��`'Y;'�• �,''1 Crystal Bay,i��i 5��23 Approv�d By: tlmount$:-----
�r�:���b�,v/ t9s2�2a9-a600
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CITY OF ORONO—PLUMBING P�I21dIIT
(All Commercial pennits must be approved by the Building O�cial or Inspactor)
GENERAL INFORI�IATION
1. You may apply for plumbing permits by mail ar in person at the City offices. Applications will be
reviewed and a perniit will be issued within t�vo working days.
2. Pennit cards will be sent by�return mail after a review is completed. P�RMITS ARE NOT
VALID UNTIL YOU RECFIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED 01�i THE JOB STTE.
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.
�. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required) �
TYPE OF PERMIT
� (Check All That�A lv) � �
��esidential ❑Commercial(Approval Required)
❑New ❑Ad�litional ❑Repairs �Replace
❑ In Accessorv Structtue?
*You wili need prior approval and mav need CUP.(Per Orono City Code,ChapYer 78,Article IV)
Job�Site/Owner Information:��� � � �
Site Address: �`1 '� �_> �'_c ��d ��;� � � �-����.��� �_,��--
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contraetor Information:
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Contractor: � `'<<�>�� �_�'a^� 1�� ��`'ti��',,A1��o act Person: f�,� � d � ��
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A �,> ._,,� �r S- ��--' L� 1 ' ^C _ � , _-,
ddress: �r(, �,1��.1 C.- � � State Eond�: �u ��' �.' � �� '�
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City: � ,� �'�' Zip: �-� � E�piration Date: ��-' , �� � �
Phone: ��'' � �����,� ;���� ( � Alternate Phone:
❑ Insurance— Current:
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- — _---- — --�
� P[:Li�,���3�NG �=tXTL'1sES �-�3r[ivCrINS�'f?I�LEL3 I
FIXTURE BSMT� 1''� ` ?�� � OTHF:R FIXTURE � BSMT 1� 2`�' OT LH R
TYPE FL FL TYPE FL FL
Water Closet ' Floor Drains
Lavatory � Sewer Ejector
Bathroom Laundry Tray
Shower Washer
Kitchen Sink � Water Heater �
Disposal ' Water Softener
Dishwasher ' Wet Bar
Sillcocks Miscellaneous
�1���,F . PECLI�TIT FEE C;ALCCII,ATI�NiS j ;
� �u��,�� � �' B�.SED tJFr -?Ot)Z 5T�"CE S`i'4TUE _��
❑ Yes,this section applies
The replacement of a Residential fiYture or appliance that meets all three oT the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$�00.00 ar less;excludine the cost of the fiYture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if Uus applies; Cost of Permit $ 1�.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
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f
If above does not apply;follow guidelines below:
l. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
� C,��^ �
� �'�%��_%�� x.0125$ � ,���-���.
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(contract price) (minimum 535.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Stucharge(�tinimurn Fee of S.�O)
�j "; > ( ' � y_
�/l��C.,�, �='�-' x.0005 $ � <<-�L�
(coniract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
,��/ ^ /
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � `7�r, ��(��
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar asnount char�ed for t11e
permitted work including materials,labor,profit, and other tixed costs. It is the amount to be charged
to the customer for the work done. If any material, equipment, labor or installations are funushed 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 Building Departrnent at(9�2)249-4600 for the price.
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The undersigned hereby applies to flie City far issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regularions of the State of
Minnesota, and certifies that all statements made on this applicarion are complete, tnle and
correct.
Applicant's Signature: ���� '� Date: 'a �����
�� �2�set Forrn
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CITY OF ORONO �D IN L�t�
INSPECTION TICE SCHEDULED d��
PERMIT NO. COMPLETED
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ADDRESS �
OWNER CONTR. ` � �2��
TELEPHONE NO. — ' �j
� DESCRIPTION �� � I
� ❑ FOOTING ❑ MECHANICAL I ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING �rtqECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING Rt ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J I�rLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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� �RRECT WORK,CALL FOR REINSPECTION TEMPORARY
� FORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIONREOUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on si :
Inspector. � �
White Copyllnspector's File Canary CopylSite Notice
C " �p� DATE TIME �
o../�— /
CITY OF ORONO CALLED IN �O-�����
INSPECTION ICE SCHEDULED -�2�L� �
PERMIT N0. �oZ o2 COMPLETED
ADDRESS 1Y.3�S C��a S7'L
OWNER CONTR. Q�LL C h/11� �J
TELEPHONE NO. �O�Z 7�� 30��
� DESCRIPTION �'LQ.Q /^C�-(/�'1
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCA GRADING/FILL�NG
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAK ORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL � SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED C i P OJECT COMPLE
� ❑CORRECT WORK&PROCEED r' ISSUE CERTIFICATE OF OCCUPANCY
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Q �QCORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� �EFORE COVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WIIL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '7 CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 2a hours in advance. (J52� 249-46��
OwnerlContractor on site:
Inspector. � � .� �
White Copyllnspector's File Canary CopylSite Notice
C�— J ATE ' TIME V
CITY OF ORONO CALLED IN �
INSPECTION N ICE SCHEDULED �
PERMIT NO. �� COMPLETED ,
ADDRESS I g3S c.0 r ��
OWNER CONTR.��
TELEPHONE NO. ?��3 0� �a C�70.3
� DESCRIPTION �n� p�
� � FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADI /FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ IAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V �FORE COVERING PERMANENT
❑ CQRRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on sj�te: '
Inspector. �� ''—�� '�
White Copylinspector's File Canary CopylSite Notice
c � �
DATE TIME
CITY OF ORONO CALLED IN D D�
INSPECTION TICE SCHEDULED a�� d
PERMIT N0. �� a�� � COMPLETED
ADDRESS�'�J.� S ���2�-� _
OWNER `��CONTR. '�•v�
TELEPHONE NO��K/�.� 3 �- 3 �1
� DESCRIPTION ����� - � _�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING �-NIECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W
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W
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Z
W
�
W
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W ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ' ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALITOARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� 249-460�
OwnerlContractor on si e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice