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HomeMy WebLinkAbout2008-P11902 - plumbing r ` PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: p11902 Crystal Bay, Minnesota 55323 Permit Type: FiXtures (952) 249-4600 Date Issued: 3/4/2008 SITE ADDRESS: 3359 Gystal Bay Rd Unit# Wayzata, MN 55391 PID: 17-117-23-41-0025 DESCRIPTION: Proposed Usc: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures D ETAI LS: Approved per resolution#: Scparate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 2,106.00 State Surcharge Fee: $ 1.05 TOTAL FEE: $ 36.05 APPLICANT: OWNER: Rick Luzaich 3359 Crystal Bay Rd Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPL[ANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA E3UILDING CODE REQUIREMENTS. R ! APPLICANT PER I"1' �SIGNA URE ISSUED BY SIGNATURIi Copies: l-File(Sig�iatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � � _ � , " FOR CITY tiSE OVLY p���� City of Orono c /Q�I—`�`� P.O.Box 66 Date Received: Permit# l�/� 2750 kelle Parkwa '�,� � Y Y ,,/J q � �s``. !�i Crystal Bay,MN 5�323 Approved By: O��y��—Amount���u5 ���'�+"w���y>yo� (952)249-4600 ��o�� CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing permits by mail ar in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VAL1D 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 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 I �Residentia] ❑ Commercial(Approval Required) ��ew ❑ Additional ,�Repairs ,�Replace ❑ in Accessory Structure? *You will need nrior aaproval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: ' Site Address: ���75� ���''fSI6��- l��K ►�r1;> �� Owner: � K LV lC. ��` ��'`,� �I ailing Address: �j)�j C(�-rSZA` �Y �;� Y,� 1 City: C�1�U u Zip: S��f'1 � Home Phone: Alternate Phone: �D( Z�`aZb -�-3Z Contractor Information: Contracto ct Person: Address• State Bond #: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance-Current: 1 � � ! PLITMBING FIXTURES BE1NG INSTALLED �.���`����,:����`� u��� FIXTURE BSMT 1 T 2�D OTHER FIkTURE BSMT 1 2N OTHER TYPE FL FL TYPE FL FL Water Closet i I i Floor Drains Lavatory � � I Sewer Ejector Bathroom Laundry Tray Shower � I � Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PFRMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance 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; excludine the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 '� � ' PERMIT FEE ."��:;CULATION S '-JOBS OVER$50'-���. .,.:: If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1?5%of contract price with a(Minimum Fee of$35.00) �Z�IGi�: X .o�2s $ ?�S ,��� (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) D�� 3Z� 'l.`(c x.0005 $ �L�;�j � � (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 ��•�� 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ ��,L� ■ * CONTRACT PWCE 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 installations 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 �reater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. � PLUI�iBING PEic:ivlITA�rLi�c�TIv^N .i:REEA.�ENT � �� : -� 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 tements made on this application are complete, true and correct. '�� � , � � Applicant's Signature: / Date: l� � � v j y����, ��, Reset Form 3 � � ` � c..,L D E Q� TIME CITY OF ORONO CALLED IN ` / �(� INSPECTION N TICE SCHEDULED � � PERMIT NO. COMPLETED ADDRESS OWNER� C CONTR. TELEPHONE NO. ��� !���^� l�-� � DESCRIPTION � � ,� � 01 FOOTING 11 MECHANI L 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 � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a l.� ��� � � . � � '�" o � f C P 5 S �'�,Cl .c.f� ( ��'� S -t t-1,,/� � �-rv� 0 � Q U �'S� � i � �! � �� � z W � j ��(J � l � � / / /r�� W� ❑�IORK SATISFACTORY:PROCEED � CI PROJECT COMPLETE W �ORRECT WORK&PROCEED� C ISSUE CERTIFICATE OF OCCUPANCY � ❑Cl7RRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �, PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice