HomeMy WebLinkAbout2001-P04143 - plumbing J
r PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P04143
Crystal Bay, Minnesota 55323 Permit Type: F;Xtures
(952) 249-4600 Date Issued: siv2oot
SITE ADDRESS: 1926 Fagerness Pt Rd
Wayzata, IvII�1 55391
PID: 17-117-23-23-0016
DESCRIPTION:
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PCOpOSeCl USe: nc�iuciiiia�
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 125.00
Valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 130.00
APPLICANT: Kingsway Mechanical OWNER: Frederick Johnson
6250 Highway 12 W 1926 Fagerness Pt Rd
Maple Plain,MN 55391 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.
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AP L[ A T P ITEE.IGNATURE ISSLTED BY SIGNA"IURE "
Copies: 1-File ignitures Reguired), 1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUI�BING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal B��y, NL�1 55323
GENERAL LVFOR`LATION
i. You may apply for plumbing permits by mail or in person at the City o�ces.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
U��TIL YOU RECENE 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 building 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 249-46Q0. 24-hour notice required.
Instructions Complete all items on this application. Compute tl-:e permit fee. Sign and date
the certification. I�i 1COMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: �/ " New Addition Repair Replace
Residential Commercial
JOB SITE• �j Z(�, ����-zr-��� S ��/�� Zip:
Owner's Name: �2 �. � �,L, �so� ' Telephone Number:
1�Iailing Address: City: Zip:
Contractor's Name: � w ��� Telephone ' ber:
Mailing Address: Z w � 2 � City: t�:�,Zip:
PLUVIBPi tG FIXTURE SCHEDULE
FIXTURE BS�IT 1ST 2ND OTHER FIXTURE BS:�1T 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Wacer Closet � � � Floor Drains �
Lavacory Sewer Ejector
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_ . Bathtub � Laundry Tray �
Shower Washer
Kitchen Sink � Water Heater /
Disposal � Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee 35.00
.� x .0125 $
(c ntract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlina (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. I[ is the amount to be charged to the
customer for the work done. If any material, equipment, labor, or installation are fumished by the owner,
tenan[ 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 tha[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.
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** 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 o this application are complete, true and
correct.
Applicant's Signatur : � - Date:� ��
2
. �
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NO CE 2 SCHEDULED � �
PERMIT N0. � J COMPLETED � �^� 3. 3�
ADDRESS ���� f-C G+CP��_S � • ��
OWNER CONTR. � y�;�,�'���' .�S(�'� ,
TELEPHONE N0. � ��v � � �1117/.S La���s .f.. .
� DESCRIPTION � �1 � -�
� 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
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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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 P�UMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52� 249-460�
Owner/Contra t on site:
Inspector. C�� ���
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E �/ SCHEDULED ��� �
PERMIT NO. ��� `� COMPLETED �� r O!�
ADDRESS ��1�Co �/�C=��IV�.S S ��cf1 .
OWNER CONTR. �in 5 SG�t�W P c-l� .
TELEPHONE NO. /� ��P� `�7�! C� �I�S�
� DESCRIPTION �L ` U����'G��7.�.°�--� O'��ti
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/F LIING
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 S�TE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 GOMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 1 FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W� }�f1�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
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❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-460�
OwnerlCont ac r on site:
Inspector - � ti ` ��
White Copyflnspector's File Canary CopylSite Notice
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/�''�(,Q� DATE TIME
CITY OF ORONO � cALLED IN
INSPECTION NOTI �scHE�u�Eo �� V ? ' �"�T,
PERMIT N0. ��� COMPLETED ��'?��'�� �-C� C �
A D D R ESS I q � �' +=f�-���'��'1�-�.--� P�l�C:I
OWNER CONTR. ��' �i� =�-=�=�/�
TELEPHONE N0. �Cv � — �-7�� --(a �/� �
� DESCRIPTION 7-1 17�-� ���`�' � ���.,
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING ¢�
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS�+�
y 03 INSULATIGN 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 PLUMBfNG RI 23 SEP IC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACT OMEETY U: Y _NO /
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W� RKSATISFACTORY:P�CEED ❑ PROJECTCOMPLETE
W ORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46�0
OwnerlContrac or on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice