HomeMy WebLinkAbout2001-P03503 - plumbing PERMIT
CITY �� ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po3so3
Crystal Bay, Minnesota 55323 Permit Type: FiXtUres
(952) 249-4600 Date Issued: 2isi2oo�
SITE ADDRESS: 519 Ferndale Rd N
WAYZATA,MN 55391
P ID: 36-118-23-14-0008
DESCRIPTION:
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PCOpOSeCl USe: nG�iuc�i�iai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Fixtures>3
DETAILS:
Approved per resolution#:
Separate permits requiredt'lumbing
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 153.69 Valuation: $ 12,295.00
State Surcharge Fee: $ 6.15
TOTAL FEE: $ 159.84
APPLICANT: STANDARD PLUMBING&APPLIANC OWNER: TOM MICHELETTI
8015 M[NNETONKA BLVD 519 FERNDALE RD N
ST. LOUIS PARK,MN 55426 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TIIE 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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APPLICA T PERM[TEE SIGNATURE ISSUE BY SIGNATURE
�opies: City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR PLLJi�iBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing pemuts by mail or in person at the City o�ces.
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 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 249-4600. 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: S 1 ci ��'h�a.��' �'� v � Zip: S� 3�(
Owner's Name: � V ;.• Telephone Number: (�ti�- �7� 3a�7 ce.11
Mailing Address: S l Y�� � �. NG. City: Zip:
Contractor's Name: .���Q,�c�u;-ccP �/un��,�u���a���lephone Number: �>�-�,3�- 3��
Mailing Address: �UI S I�?�a 1��, City: S �,Lc,�aK 9� Zip: s��Z�,,
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet / Floor Drains �
Lavatory � Sewer Ejector
Bathtub / Laundry Tray ,/
Shower l Washer
Kitchen Sink / Water Heater
Disposal �� Water Softener
Dishwasher � Wet Bar
i Sillcocks Misc (list)
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PERMIT TEE CALCULATION
1. � 1.25% of Contract Price* or Minimum Fee ($35.00)
�� , �`iS- x .0125 $ Ir7�. ��
(contract price)
2. State Surchar�e. ** Add the State Building Code Division �` ��
Surcharge to each permit. � � , � �=t � 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) $ / 5�,��
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted
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 installation are furnished by[he owner,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
or contract price for pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciiy 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 valua[ions 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 on this application are complete, true and
correct.
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Applicant's Signature: � � ���- Date: � �
✓
DATE TIME
CITY OF ORONO CALLED IN Z���U� �'�� �
INSPECTION NOTICE SCHEDULED �2�8'U / ��:yU-�4�M
PERMIT NO. rf�35�3 COMPLETED �� O �/ �"s�
ADDRESS �1 Cl �CR�''V l,�C � �� N'
OWNER CONTR. S��`.���-��ia ���~` d �
�s� � 3 � - 3S��
TELEPHONE NO.
� DESCRIPTION ��U�'''� `� ���.� � �'
ly� 01 FOOTING 11 fv1ECHANICAL RI 18 EXCAV/GRADING/FI�LING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� C MMENT
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� _ WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W �! CORRECT WORK&PROCEED ' ISSUE CERT�FICATE OF OCCUPANCY
O G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
f� CORRECT UNSAFE CONDITION WITHIN HOURS. _ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContra tor on site:
Inspector. ����
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