HomeMy WebLinkAbout2004-P08335 - plumbing , �
CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Pos33s
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: i2i3oi2oo4
SITE ADDRESS: 2485 Dunwoody Ave
Wayzata,MN 55391
PID: 20-117-23-22-0016
DESCRIPTION:
Proposed Use: Kes�dential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
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DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 75.00 Valuation: $ 6,000.00
State Surcharge Fee: $ 3.00
TOTAL FEE: $ 78.00
APPLICANT: Scherer Plumbing and Heating OWNER: Mr. &Mrs. Hickey
200 N. 3rd. Street 2477 Dunwoody Ave
Delano, MN 55328 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STWCT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANTPI;RMITEESIGNA"I'URE IS EDBYS[GNATURE
Copies: 1-File(SiQnitur�es Required), 1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
D�,-14-2004 D2:31pm From-CITY OF ORONO +A522A84616 T-310 P 001/002 F-56B
CTTY OF 4RON0 APPLICATION FOR PLUMBINGr PERMIT ,
Box 66 (2750 Y{eltey Parkvc�ay)
Crystal Bay, N1N 55323
GF1�I�RAL YNFORMAT'YOIY
1. You may apply for plumbing permits by mail or in person at the Ciry offices.
2. Peruut cazds will be sent by return mail afrer a review is completed. PERMITS ARE NOT VAL1D UNTIL
YOU RECEIV E A PERMIT. W RK MCJ T N4T BEG1N JNTIL fi PER T CARD POS'I'� ON
TH'E JOB S1TE.
3, Plumbing pet�rnits may be issued ONLY to licensed plumbing contractors and to proQerry owners residing �
in the dwelliag. '
4, When any new construction or remodeling is involved, e separate building permit must be obtained.
9, A]1 work mus[be done in aceordance with�he Srate Code requirements.
6. All work must be inspecced and Air [ested before it is tovered. Call (952) 249-4600. 24-hour noiice
required.
Inst__ ru�s Complete all items on this application. Compuce the pernut fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WTLL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: New �Addition Repair Replace
Residential Commercial I
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ros s��• a �/S 5 '�u„ w�,�� �Q, i���< z,p: � 3
Owner's Name• Telephone Nwnber:
Mailing Address: City: ��i Z��� Zip:
Contractor's Name: jc, �rc r � � Telephone Nwnber: (xi z ��-SS�j
Mailing Address:�.00 -N 3'�` •S�`�-��City: `�.ela•� Zip:�3,�
PLUMBINC FIX CHED E
pi}{T�]� BSMT 3ST 2ND OTH�R �IXTURE BSMT 1ST 2ND 07T-IER
TYPE FL �L TYpE FL Fi.
Wacer Closet / Floor Drains
Lava�o c7� Sewtr E'ector
Ba�� � Laund Tra
Shower wnsher ,
Kiichen Sink Water Heacer �
Dis sal Wa�er S�fttner
Dishwasher We[Bar
Sillcocks Misc pisi)
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D M.-14-2004 02:31we From-CITV OF ORONO +g522dA4616 T-310 P 002/002 F-568
, I
PERMT FE� CALCULATIONL51 �
2002 tate S atut ❑ Yes, This SeMion Applies �
The replacemenc of a Residential fixture or a liance that meets all three of the followi.ng j
�
requirements;
I
1) Does �oc require modification to electrical or gas service. �
2) Has a total c ct of$500.00 or less; excludin�the cost of the fixture or appliance: j
and
3) Is improved, installed or replaced by the homeowner or licenced contraccor.
Skip next section; Cosc of Pemut $ 15.00
Scate Surcharge $ • �
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
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1, ontr ct Price* is .0125 % of job with a Minimum Fee of($35.001 �� ---
i
�'�°�x .0125 $
(contract price) (minimum$35.00)
2. State urch rge. ** Add the State Buildiag Code Division a (Minimum Fee of$ .50)
�2r��C� x .00OS $ � �
(contract price) (m��$ ���
3, Pos�t ge n� d��ndlin� (Only mail-in applications) $ 1.50
� .
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ _ �� .—�
* CON?RACT'PRICE or 10B COST means me acNel or�s�'vmated dollar amounc charged for the permitted '
work including aaa�erials,labor,p�ofit,and other fexed costs. Yt is the amounc[o be charged�o the customer
for the work done. If any material,equipment, labor,or ins�eilatios►are furnished by the owner,tenant or i
any other parry the reasonablt mazket vtilue of such items musc be add�d to the estimated cos�or contract
price for permit fee purposes. In�e even<<hat there is a dispute on[he amouat of tho job cosc,the Ciry may
request the submission of a signed copy of the actual contract.
** 7he S7ATE SURCHARGL is.0005 of the contract price under 51,000,000 or 5.50-whichever is greater.
Eor valuations over�1,000,000 eall the Deparcmenc of Inspeetion 5ervices for ihe priee.
The undersigned hereby applies co the City for issuance of a Plumbing Permic, agrees to do all
work in stricc accordance with the ordinances of the City and the regulatiotu of che State of
Minnesota, and ceni�es chat all statemencs made on this application are complete, crue and
correCt. �
Applicant's Signature: _ Date:
�a-- 3 b �� � '
CI� � � � D TE TIME �
CITY OF ORONO CALLED IN � 'b
INSPECTION NOTI � 3� SCHEDULED � -U .�' c�[�PM
PERMIT NO. (1� COMPLETED
ADDRESS ��LI d 5 1�J(� r,v C=o c�u �� •
OWNER CONTR. ,��I 5"�`r���� Dtn f�t�c�
TELEPHONE NO. C,c� (� � 3� �l S 1 �1
� DESCRIPTION K--��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINA� 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 05 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 R 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING 36 FOUNDATION/REMOVAL
� ONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETl1RN ❑ CITATION ISSUED
❑ STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the ne inspection 24 hours in advance. (952� 249-4600
Owner/Contra si e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
9ATE TIME V
CITY OF ORONO CALLED IN � �( C� � ��
INSPECTION ND I E SCHEDULED `-���-�r �� �"w1•
PERMIT N0. � ��� COMPLETED
ADDRESS �� � � L�-�n�,����� �
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OWNER CONTR.���.Y�' PltRsv��a:,,`, �
TELEPHONE NO. �� 2� � _3 J-- �'15 C�1'
� DESCRIPTION ! _��� c..�__ �-' '�r``�"�
� 01 FOOTING �1 MECHANICAL RI`'1 18 E /GRADING/FILLING
Q 02 FRAMING 'f3 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q _ __.._
W Q9 PLUMBING Rf � 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED [1 PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING 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� 249-4600
Owner/Contrac�'0 on site:
Inspector. - ' ��
White Copyllnspector s File Canary CopylSite Notice