HomeMy WebLinkAbout2003-P06572 - plumbing PERMIT
�;��Y' OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po6s�2
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: �i2zizoo3
SITE ADDRESS: 503 Ferndale Rd N
Wayzata,MN 55391
P I D: 3 6-118-23-13-0005
DESCRI PTION:
Proposed Use: Kesidential
Perniit Class: Plumbing
Pernut Type: Fixtures Pernut Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolurion#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 212.50 Valuation: $ 17,000.00
State Surcharge Fee: $ 8.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 222.50
APPLICANT: Vogt Heating&Air Conditioning(See Cor OWNER: Mr. &Mrs.Dale Spencer
3260 Gorham Ave 503 Ferndale Rd N
St. Louis Park,MN 55426 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVENIENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SfATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Sienitures Required), 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 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
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 sepazate building pemut must be obtained.
5. All work must be done in acco:dance 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 APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600. �
Please check one: New �� Addition Repair _� Replace
Residential Commercial
JOB SITE: .SS�.� /"��r�i'� �'�^,✓��%�l/F: ,,�c:/ Zip:
Owner's Name: �,�'�'.�✓G' � r-` Telephone Number:
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Mailing Address: ,5�. s �r/�i7% F�,.v�`�/�,� City: /�� - � ,�- Zip:
Tele one Number: Q C•��% ,., �'
Contractor's Name: `/o��=/S'e�rf%:v4 �/-��./-�"' .s� ��. t3 ��F
Mailing Address: ,�'��c� C�.�/����,^ ���� �City:�i:�.s-�-,�e.���� ZiP� .t��'����
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PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS:�1T 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Wa:er Closet � Floor Drains
Lavatory � Sewer Ejector
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)
j �,�.� x .0125 $ �/� ��cJ
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(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. r ��y`�-. : �, x .0005 $ ��� ��>
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��; �: . ,� G�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted
work including ii�aterials, labor, p:ofit, �.*�d other fi�ed coS4s. It is t�ie amour.t to be charged to the
customer for the work done. If any material, equipment, labor,or installation are fumished 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 pernut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ci�y 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 tnspectional 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.
Applicant'sSignature: �.f� Date: �--/�'=���
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DATE TIME
CITY OF ORONO CAILED IN � ��
INSPECTION N TIC _ a SCHEDULED f������� �
�ERMIT NO. '�% 5 � COM�LET�
ADDRESS , � �-�- `z o����' �,
OWNER CONTR. f f��ljZ/j
TELEPHONE NO. ll'`.� — ��� ���O /
� DESCRIPTION ��������� " _
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESNORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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 RI 23 TIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET Y U. YES_NO
� COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (952� 249-4600
OwnerlContrac n
Inspector.
White Copy/lnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN 3 -I
INSPECTION N T��5.7Z SCHEDULED 3-3-D�- �,?.'O?>
PERMIT N0. COMPLEfED
ADDRESS J�03 �/' ca�
OWN ER CONTR. ��=�-rti-L>
TELEPHONE N0. ��Z 3�3 d 7�5�
� DESCRIPTION_�C�'��Q � I��
� 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
Z 04 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 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNEFiICONTRACTOR TO MEET YOU:_YES_NO
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W ❑CORRECT 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
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 24J-46��
Owner/Co�o ite:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice