HomeMy WebLinkAbout2004-P08156 - plumbing ( ;
CITY OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: Posis6
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: lti4i2oo4
SITE ADDRESS: 1743 Fagerness Pt Rd
Wayzata,MN 55391
PID: i�-i i�-23-22-003�
DESCRIPTION:
Proposed Use: xesidential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 57.84 Valuation: $ 4,627.00
State Surcharge Fee: $ 2.31
TOTAL FEE: $ 60.15
APPLICANT: Dinius Plumbing Company OWNER: Mr. &Mrs. Taubenberger
7816 Stillwater Blvd 1743 Fagerness Pt Rd
Oakdale,MN 55128 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.
,� - \ � � / �/ �� `�' �—�
A ,CANT PE ITEE SIGNATURE ISSUED BY S[GNATURE �
Copies: 1-File(Sienitur�es Required), i-Avvlicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1
1 �
CITY OF ORONO APPLICATIO\T FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at tbe City offices.
2. Pemut 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 UNTII., 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 buildin� permit must be obtained.
5. All work must be done in accordance with the State Code requirements. �
6: All work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATTONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New Addition Repair �/ Replace
,/Residential Commercial
JOB SIT'E: �7 G/_3 ��.�.�sf ��2d Zip:
Owner's Name: ���., �,,,.5 � Telephone Number:
Mailing Address: / 7 `l3 F.�,�.�ss �"2L City: , Z�... Zip: s s-�3 9 �
Contractor's Name: �r�,,��s e�,,,,.,.6',,,.,, � Telephone \umber. ��� ��3 ,s-7 y6
Mailing Address: -��l6 J-�4i�u.�f� ,c�/��- City: f]�,E�. Zip: .f-,S'�Z.dJ
PLUMBING FIXTURE SCHEDL�ZE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS�iT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � ( Floor Drains
Lavatory � Sewer Ejecror
Bathtub � Laundry Tray ,,�
Shower � Washer � ��
Kitchen Sink Water Heater -
Disposal Water Softener
Dishwasher / Wet Bar
Sillcocks Misc (list) `
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�G��' ''� x .0125 $
(contract price)
� 2. State Surcharge. ** Add the State Building Code Division ,
Surcharge to each permit. � x .0005 $ y�,��•
(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) $
* CONTRACT PRICE 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
cus[omer for the work done. If any material, equipment, 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 Jnspectional 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: / �✓��
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G�Q� v
� J DA TIME
CIN OF ORONO CALLED IN �� �
INSPECTION N scHE�u�E� �� �:Of�
PERMIT NO. COMPLETED
ADDRESS � Z T� ���¢ld �7� �
OWNER CONTR. ,�l/'1/US /�l�L/�.6
TELEPHONE N0. ��SI�77 3— �7�D
� DESCRIPTION f✓J-- �
� 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
Z04 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the n t inspection 24 hours in advance. (J52� 249-460�
OwnerlCo o ite:
Inspector. �
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