HomeMy WebLinkAbout2004-P07302 - plumbing CITY OF ORONO PERMIT
2750 Kelley�Parkway - PO Box 66 Permit Number: Po�3o2
Crysta! Bay, Minnesota 55323 Permit Type: F�Xcures
(952) 249-4600 Date Issued: 3iisi2ooa
SITE ADDRESS: 3329 Crystal Bay Rd
Wayzata,MN 55391
PID: 17-117-23-41-0019
DESCRIPTION:
Proposed Use: Kesiciential
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Also installing ice line
FEE SUMMARY: Pernut Fee: $ 149.75 Valuation: $ 11,980.00
State Surcharge Fee: $ 5.99
Misc.Fee: $ 1.50
TOTAL FEE: $ 157.24
APPLICANT: Lakeside Plumbing(See Comments) OWNER: Sevie Lanning
12469 Zinran Ave. 3329 Crystal Bay Rd
Savage,MN 55378 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEIVIENTS 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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APPLIC N PGRMITGG SIGNATURE ISSUED BY S[GNATURIi
Copies: 1-File(SiQnitures Required), 1-Avolicant. 1-Monthlv Reports. 1-AssessinQ, 1-Finance Page 1
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" CITY OF UI�.ONO APPLICATION FOR PLUMBING P�RMIT
Bux b6 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
� 1. You may apply for plumbing pernuts by mail or in person at the City offices.
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 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 v��ork must be inspected and air tested before it is covered. Call 473-7357. 24-hour notice required.
Instructioi�,� Co:nplete all items on this application. Compute the permit fee. Sign and date
the certificatioii. INCOMPLET� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: � New Addition Repair Replace
Residential Commercial
JOB SITE: �3a � �L a�Y .��. Zip:
Owner's 1�1ame: p���3,E� Q��GD.�S' Telephone Number: ��,���y3� 7S�d
Mailing Address: �ity: �ip:
Contractor'sName: G�.E'r� �iU.� ��86 ��116 TelephoneNumber: 9.�-�� �6v a
MailingA.ddress: ia?�69 L�•��,r/ ���E S. City: �.�lv,��,E Zip: .r'S3>d'
PLUMBING FIXTURE SCHEDULE
FIXTUR.F BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � � l Floor �`rains
Lavatory ! l � Sewer Ejector �
Bathtub 1 Laundry Tray
Shower f Washer f
Kitchen Sink � Water Heater �s
\ Disposal ` Water Softener
Dishw:,sher Wet Bar
Sillcocks a. Misc (list) / `���
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PERMIT FEE CALCULATION v
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
//, g�o . "' x .0125 $ /YS'_ �S
,
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. //, ��'o . `�' x .0005 $ S. �g
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ /�57. -�Y
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 materi�.l, ;,quipmeni, labor,c:i:s:�:lation are fnrnished 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 Inspectional 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 all statements made on this application are complete, true and
correct.
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Applicant's Signature: �,�.� Date: CS
a � � o T T�ME ,/
CITY OF ORONO CALLED IN � ��
INSPECTION TIC SCHEDULED �a "D /:oo
PERMIT NO. � D�— COMPLETED
ADDRESS 3-3�- �
OWNER CONTR.
TELEPHONE NO. !S 2 C�'�I � ��O DO
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 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 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� '� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN � CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (952� 249-4600
OwnerlCo r site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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[ZATE , TIME
CITY OF ORONO CALIED IN �f' �
INSPECTION NOTICE SCHEDULED ���l � ".3 .4,�(
PERMIT N0. P177�iC�� COMPLETED
ADDRESS_ _13��I ��"�-S Ti✓f �Cti�-/ �r-�.
OWNER CONTR. ���I�z.S;�Kc / /i/ry�_
TELEPHONE N0. I�,� ��� �� ��UC7
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� 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 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO- 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBIN RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLU AL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOF
❑ INSPECTION REQUtRED.CALLTO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-4600
OwnerlCo r ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice