HomeMy WebLinkAbout2003-07052 - plumbing PERMIT
ClTY OF ORONO Permit ►vumber:
1750 Kelley Parkway - PO Box 66 Po�os2
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: i2�i�2oo3
SITE ADDRESS: 95 Ferndale Green
Wayzata,MN 55391
PID: 36-118-23-44-0010
DESCRIPTION:
Proposed Use: Kesidenhal
Pernut Class: Plumbing
Pernut Type: Fixtures Pemut Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 35.00 valuation: $ 2,700.00
State Surcharge Fee: $ 1.35
TOTAL FEE: $ 36.35
APPLICANT: Owner/Self OWNER: 7ohn&Irene Harnett
M�`� 95 Ferndale Green
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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APP A T PERMITEE SIGNATURE ED BY SIGNATURE
Conies: l-File(Sie�;it.�r•es Reauired). 1-Applicant, 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1
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CITY OF ORONO APPLICATION 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 the City offices.
2. Permit cards will be sent by return mail after a review is completed. PER�IITS ARE NOT VALID 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 the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952) 2-�9-4600. 24-hour notice
req�_ired.
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
questions, call (952) 249-4600.
Please check one: New Addition Repair % Replace
�_ Residential Commercial
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JOB SITE: i�`�� �������!1 L� ��- �L�� Zip: > > �.�`i (
Owner's Name: _.���;� �_ ���.�_��,_ i -, Telephone Number.�"i,5� -��1�. -� I �.�j 1
Mailing Address: ��5 �--C����,,� �=�rL City: ����� Zip: �; � ">�� 1
Contractor's Name: � Telephone Number:��S Z -�
Mailing Address: a,��_____ City: Zip:
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSVIT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet ��y� Floor Drains ��
Lavato ��/ Sewer E'ector -
1 -
Bathtub � Laund Tra
7 i1,
Shower �� Washer ��,
Kitchen Sink � t Water Heater
i
Dis osal � Water Softener
1 `
Dishwasher -t Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION(Sl
2002 State Statute ❑ Yes, This Section Applies
The replacement of a Residential fixture or ap�liance that meets all three of the following
requirements:
1) Does not require modification to electrical or Qas service.
2) Has a total cost of$500.00 or less; excludin� the cost of the fixture or applianc�:
and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00)
�'1 � OC� x .0125 $ ��
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of$ .50)
� ,..]� C x .0005 $ , `� U
(cdntract price) (minimum $ .50)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ J � . � �-'
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charQed for the permitied
work including materials, labor,profit, and other fixed costs. It is the amount to be charoed to the customer
for the work done. If any material, equipment, labor, or installation are fumished by rhe 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 51,000,000 or $.50 - w�hichever is greater.
For valuations over$1,000,000 call the Department of Inspection 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: �..���,/'/�1�� ���� Date: /� �� �� .�
�
Cs�-� p /
ATE TIME
CITY OF ORONO CALLED IN ��-�
INSPECTION ' ICE SCHEDULED /� //%�D
PERMIT N0. 52-- COMPLETED
ADDRESS 9S F��d��
OWNER CONTR. S��
TELEPHONE NO. gs� "- �7�0 ' 7�-3/
� DESCRIPTION I L� N�
� 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COM TS:
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W �ORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-46��
OwnedContr � te:
Inspector.
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