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HomeMy WebLinkAbout2005-P08670 - plumbing ITY F R N PERMIT �' � � � � Permit Number: 2750 Kelley Parkway - PO Box 66 Pos6�o Crystal Bay, Minnesota 55323 Permit Type: FiXcures (952? 249-4600 Date Issued: si3i2oos SITE ADDRESS: 511 Ferndale Rd N Wayzata,MN 55391 PID: 36-118-23-13-0012 DESCRIPTION: Proposed Use: xes�dentiai Pernut Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 81•25 Valuation: $ 6,500.00 State Surcharge Fee: $ 3.25 TOTAL FEE: $ 84.50 APPLICANT: Freedom Mechanical(See Comments) OWNER: Barbara&Mark Capece 1 ll35 Hwy. 7 511 Ferndale Rd N Watertown, MN 55388 Wayzata, NTN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. _� -`�`_.��CJ i i0���/��� 'U��, �!1"i" Z�G� �f��/ APPL[CANT PF,RMITEE SIGNATUR[? ISSUED SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Revorts. 1-Assessin�, 1-Finance Page 1 � FOR C[TY USE ONLY ,�` City of Orono 4 4O`v P.O.Box 66 Date Received: Pennit# �- ��i, � 2750 Kelley Parkway � '�'����'� Crystal Bay,MN 55323 Approved By: Amount S: �t��i�o�o� (952)249-4600 ���08 •� � CITY OF ORONO —PLUMBING PERMIT . (All Commercial permits must be approved by the Building Officia]or Inspector) GENERAL INFORMATION 1. You may apply for plumbing pernzits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return 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 pernuts may be issued ONLY to licensed plurnbing contractors and to properiy owners residing in the dwelling. 4. When any new conshuction or remodeling is involved, a separate building permit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952) 249-4600. (24-48 hour notice required) TYPE OF PERMIT � (Check All That Apply) ,�Residential ❑ Commercial(Approval Required) ❑New ❑Additional �Repairs ❑Replace ❑ In Accessory Structure? *You will need urior approval and may need CUP.(Per Orono City Code, Chapter 78,Article IV) Job Site/ Owner Information: Site Address: `�� /Le%rv��(� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: ��cs'-�--� i��e�=Gc_ Contact Person: ��� ,/�-¢'� Address: /�3.� 7 State Bond#: City: 6�/ ��-��-�^'� Zip:���Expiration Date: Phone: %�oZ `��� �S �`� Alternate Phone: � � � �". ❑ Insurance—Current: ;� 1 1 ,: � � ; , � ,�U � �' � �� d : z S . 8 I 11G � . ��I, F � � � 1 h _. I�`'. _ �' �.'� � �k` � � � �','�I � � �. � _� z Y�' ��` �91� � ! PLLTMBINGFIXTURES BEING INSTALLED , ' FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER '� TYPE FL FL TYPE FL FL Water Closet / Floor Drains Lavatory / Sewer Ejector . f Bathtub Laundry Tray / Shower Washer Kitchen Sink � Water Heater Disposal % Water Softener Dishwasher / Wet Bar Sillcocks Miscellaneous / � � PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance that meets all tlu•ee of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. ' Skip next section, if this applies; Cost of Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) � 5 s , I � . . . .. . L �r: A` � � i � I I .�' � 4: g y � t' � . . ��4A �, � .,, �A . Xii� I� li i � 1 �t �a � � i1 �^ �' � � : � �'. � f`'�� 7 I� a� �, ., ' i� �: �. � ; �� �'` .� 'a: �.�; . . � ��� . ���� � . . �i n� . , m.� � � +�� ili� 3 � %e� F' ���� �� . ti i; _ PERMIT FEE CALCULATION S -JOBS OVER$500:00 �� ` � If above does not apply; follow guidelines below: • � 1. CONTRACT PRICE *is 1.25%of conn�act price with a(Minimum Fee of$35.00) . � ��� x .0125 $ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50) x .0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on 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 customer for the work done. If any material, equipment, labor or installations are furnished by the owner, tenant or any other party, the reasonable inarket value of such items must be added to the estimated cost or contract price far perrrut fee puiposes. 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$1,000,000 or $.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. ,: :r; : PLUMBING PERMIT APPLICATION AGREEMENT ' ,.:,,. ,. ' ; 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's Signature: l' ���i�l�G� Date: ���,�/CZS � � s + , , - � ' + N y }+- � �' � M , � ; ', d . . x.. y b � � � �� rq73F � � � '� �_% N: 3 �` � , � � `� h �I � n �� �� i y� i �& w. � �: � r �,i � • "n '.�:i . � I !.0 '� 3 �, � � t-. i �' p��-;, Y ?�kl, � �i��i ��. :�''',, �i t'. . � I I,, s6 . , . Y ,I �'-r . � , i; i � �.��:t�; , ':�� , . u,. �i� $'� „ L� `� .� .. . � / DATE TIME ✓ VCITY OF ORONO A�� �i� r� � ����-.� INSPECTION NO��E�-�..��.} SCHEDULED --+�t�- -�-�-' �V PERMIT NO. COMPLETED ADDRESS t' �-�- - r�/ /V OWNER � CONTR. ���c�-c.:YY� TELEPHONE N0. c7� �'�{�(����L � DESCRIPTION `�'u- � 01 FOOTING 11 MECH NICAL 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 INAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOfl TO MEET YOU: ' YES_NO � COMMENTS: � W a � J O � � �� O � � W � Q � Z W � W � � d � � ORKSATISFACTORY:PROCEED I,� PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call tor the next i s ection 24 hours in advance. (952� 249-4600 OwnerlContractor it Inspector. -��1 White Copyllnspector's File Canary CopylSite Notice