The URL can be used to link to this page

Home My WebLink About2002-P05897 - plumbing I PERMIT ; CITY,OF ORONO Permit Number: � 2750 Kelley Parkway - PO Box 66 Poss9� Crystal Bay, Minnesota 55323 Permit Type: FiXcuTes (952) 249-4600 Date Issued: i2iiii2oo2 SITE ADDRESS: 3375 Crystal Bay Rd Wayzata,MN 55391 �� PID: i�-ii�-23-4a-oois DESCRIPTION: Proposed Use: Kesidentiat Permit Class: Plumbing '�� Permit Type: Fixtures Permit Sub-type(s): Plumbing Undefined DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 125.00 Valuation: $ 10,000.00 State Surcharge Fee: $ 5.00 Misc.Fee: $ 1.50 TOTAL FEE: $ 131.50 APPLICANT: South Mechanical Contraors (See Commei OWNER: Paul Vogstrom 21005 Langford Ave. SW 3375 Crystal Bay Rd Jorden,MN 55372 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. �� _C�-d�1 �� APPLICANT PERMITEE SIGNATURF ISS ED BY S[GNATURE Covies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 CITY OF ORONO APPLICATION FOR PLLTI�iBING PER.IVIIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 , . � GENERAI, 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 POSTEU ON THE JOB SITE. 3. Plumbiag 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 buildinQ permit must be obtained. 5. All work must be done in accordance wi[h the State Code requirements. 6. All work must be inspected and air tested before it is covered. Call 249-4F_�0. 24-hour no.ice requ:red. .a Instructions Complete all items on this application. Compute the permit fee. Sibn and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. Please check one: �- New Addition Repair Replace k Residential Commercial JOB STTE: 3� 7� C� �.��5�r C '--�'�,_; ,�: �-:_� Zip: Owner's �1ame: �/�,C7� �,,.,� .� � Telephone Number: G/�- a-�fJ - l/a� l�Iailing Address: City: Zip: Contractor's Name: ��-�� Zc:�:f�.,�-y�-.-_�' Telephone \umber: %'��,�- 7:'�- -3yy� Mailing Address: z_��,.�_.,�- 1�.�y�-�,/ �-�- City: `:T-">--c��=___ Zip: -`-"�.:�� PLUI�IBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS�1T 1ST 2ND OTHER TYPE FL FL TYPE FL FL I' Water Closet � � .,�' Floor Drains f � Lavatory 1 � � Sewer Ejector � Bathtub � Laundry Tray � Shower Washer � Kitchen Sink � Water Heater Disposal � Water Softener Dishwasher Wet Bar Silicocks ,�'� Misc (list) � - ;3::.!; � S ��'�`� �� 17Y GF UFi0�0 � ' l'E PERMIT �EE CALCULATION ` ' j�1� ` 1. 1.25% of Contract Price* or Minimum Fee ($35.00) / ��` � `✓ fb /�� UU ' �'"-� X .�12.5 $ (contract price) �'``r 2. State Surcharge. ** Add the State Building Code Division � \V� Surchar ge to each permit. x .0005 $ � ��' �j (contract price) or $.50, whichever is greater 3. Posta�e and Handling (Only mail-in applications) $ 1.50 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 inciuding materials, labor, profit, and other fized costs. I[ is che amount to be charged to the � � cus.aner for[h�wor?:done. If any mzterial, equinment, 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 Ciry 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 Ciry and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. -� � �-�r��i�� % _�. � �:-L //� Applicant's Signature: / % / � Date: J�� z- , � . , r IUEYL�c�s �--Gas factory fireplace Wood burnina factory fireplace with tlue Wood Stove � Wood stove �vith flue Brand Name � Model No. VE�TILATIO\ No. Kitchen Exhaust ducted recirculatin� cfm No. � Bath Exhaust (must be ducted outside) � cfm � �u. u�her Fans: Locati�ns cfm FUEL STOR�GE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside " LP Gas: �allons � Other � G�s openina � PER�IIT FEE CALCULATIO\T �O l. 1.25% of Contract Price" or ��Iinimum Fee ($3�.00) � !'c�� Oz�� . c� X .0125 � �� contract price) � 2. State Surchar�e. "�" Add the Statc Buildina Code Division � � Surchar�e to each pei�mit. � x .000� $ � � � or �.�0. ��hichever is �reater (con�rac� price) � � , 3. PostaQe and Handlin� (Only mail-in applications�) S 1.50 ��0 4. TOTAL PERMII' FEE (Add lines 1-3 above) $ �%�� " COtiTR�CT PRICE or JOB COST means the actual or es[imated dollar amount charged for �he permi[[ed �,vork includina materials, labor, profi�, and other fixed costs. It is the amount to be charoed to the custo«ler for the ��ork done. [f an}' nlaterial, equipment, labor, or installation are furnished by the o�vner, tenant or am� other parry the re�sonable market value of sueh items must be added to the estimated cost or contrac[ price ior permit tec purposes. In the event that�here is a dispute on the ainoiint of the job cos�, the Cit�,� ma�� request the submission of a signed copy of the actual contracl. *" The STATE SURCHARGE is .000� oi the contract price under SI,OOO,G00 or 5.�0 - whiche��er is �reater. For valua[ions over S 1,000,000 call the Departmen[ of Inspectional Services for the price. The undersi`�ned hereby applies ro the City for issuance of a Mechanical Permit, agrees to do all work in strict accorciance with the ordinances of the Ciry and [he regulations of the Minnesota State Building Code, and certifies that all statements made on this application are complete, true and correct. Applicant's Si�nature� ��L� �i�� Date: �� Z. Approved By: Date: . - CITY OF ORONO APPLICATION FOR MECHAI�'ICAL PER�IIT Bo� 66 (2750 Kelley Parkway) Cr��stal Bay, MN ��323 G�NF:RAL INFORnIAT[ON l. You may appl�- for mectlanical permits by mail or in person at the Ciry offices. Applications will be reviewed and a permit will be issued within 2 working days. 2. Permit cards will be sent by re�urn 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 O� THE JOB SITE. 3. �Iechanical Desiens - Complete calculations, details and specitications are required for each heatin�, ventilation, humidification-dehumidification, and air conditioning installation including heat loss!heat �ain. calculation, design temperatures, equipmen[ ratings and identification as to rype, manufacturer and model. Data siiaii �e pi;,sea�zd on Turu:piovideu. ;den�ii;catiuu uf�uld sp�ci��eai;v�i� fui wute.rieau;;, �yuipuicnt shall also be provided. � 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 Uniform Mechanical Code/State Building Code requiremen[s. 6. All work must be inspec[ed (rough-in and final). Call 249-4600. 24-hour no[ice required. 7. House Hea�in� Tes� Record must be submitted before final. � Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have ques[ions, call 249-4600. Please check one: � Ne�v Addition __ Repair Replace ��Residential Commercial JOB SI'TE: `'�� /�'->' G r��S��-G ,E�j�c �� i�p� Zip: Owner's Name: �/��c,,� ��,,,_,�s Telephone Number: �G/Z-Z,-�r- G - �%�� Iailing Address: Cit��: Zip: Contractor's Name: �c�u�� m��;c «� Telephone Number: �j',��-�/y�a a�� Iailing Address: Z/oc��y,�.-�/�,..� City: ... c��--�.-.�� - Zip: .SS'3�''�-- SYSTEM DESCRIPTION HEATING SYSTEMS � , �u�ir;: _ . Make: ' Model: /��?�g�-w Fuel: Flue Size: =?, '' Input BTUs: Output BTlis: CFM: COOLING SYSTEMS / QU�IIl[it}': Make: � Model: /v �1 � Tons: -y H. Power �