HomeMy WebLinkAbout2001-P04121 - plumbing PERMIT
C I T�.Y C�F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po4i2t
Crystal Bay, Minnesota 55323 Permit Type: F�XtUres
(952) 249-4600
Date Issued: �i2si2ooi
SITE ADDRESS: 575 Ferndale Rd N
Wayzata, MN 55391
PID: 36-118-23-14-0001
DESCRIPTION:
PfOpOSOC�USe: �c�iCiciiiidi
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETA ILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 93.75 Valuation: $ 7,500.00
State Surcharge Fee: $ 3.75
TOTAL FEE: $ 97.50
APPLICANT: Steve Schmit Plumbing OWNER: James& Megan Dayton
1045 Medina Road 575 Ferndale Rd N.
Long Lake, MN 55356 Wayzata MN 5539]
�IE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
JD AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
�TE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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LI AN E I AT j$�JF.D BY SIGNATURE
e(Signitures Required), 1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLiT�iBI�TG PERMIT
Box 66 (2750 Kelley Parkway)
Crystal �3ay, 1��1 5�323
GENERAL LNFOR�LATION
1. 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
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII, THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permiu 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 buildin; permit must be obtained.
5. All work must be done in accordance wi[h 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 SIT'E: 7 q� �!/'v�--{�t Zip:
Owner's Name: � Telephone Number:
l�Iailing Address: City: Zip:
Contractor's l�ame: e � Telephone I�umber: � - T.� - 36�U ;
l�Sailing Address• (�' S� City: /C Zip: SS" �J
PLLTNIBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS�iT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Claset Floor Drains �
Lavatory Sewer Ejector
. Bathtub Laundry Tray
Shower � Washer
Kitchen Sink � Water Heater
Disposal Water Softener �
Dishwasher Wet Bar �
Sillcocks Misc (list)
�
PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
� S��i = x .0125 $
(contract 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 Handlin� (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 chazged for the perm.itted
work including ma[erials, labor, profit, and other fixed costs. It is the amount to be chareed to the
customer for the work done. If any material, equipment, labor, or installation aze fumished by che owner,
tenant or any other party the reasonable market value of such items must be added to the estima�ed cost
or contract price for pemut 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 Deparcmen[ 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 Ciry and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
conect.
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Applicant's Signature: /� ^ Date: ,S � `
(-�— �`�/
�.-� - � �-�
DATE TIME
CITY OF ORONO CALLED IN ���
INSPECTIO OTICE SCHEDULED ' �_�
PERMIT NO� `-1 � �. l COMPLETED _�_.�_
ADDRESS 5� .-r'� �-�rrl(�� I�-c, '�
OWNER CONTR.���-- �C=�.���� ��
TELEPHONE NO. �I Co� —�--��I �l —" .��i�"�_'J
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� DESCRIPTION �v C`c�,b ��.'r �S�—
� 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 3 SEPTIC FINA� 35 HARD COVER REMOVAL
J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �. RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46�0
OwnedContr � on site:
Inspector. ��"� ����
White Copyllnspector's File Canary CopylSite Notice
- / � � DATE TIME
CITY OF ORONO v
CALLEDIN
INSPECTION N I E. / SCHEOULED - -�L /� O c'�
PERMIT N0. � ` • COMPLETED — � ^ 3U
ADDRESS s 7..� �-i'-'t-'�-�at-C�� /V �a
OWNER GONTR. �����2.Z,Ckc`rL�� ���
TELEPHONE N0._ �Jr� CG � 7 � S/ � �7�
� DESCRIPTION
� 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 PLUMBI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� LUMBING FINA 36 FOUNDATION/REMOVAL
Z TRACTOR TO MEET YOU:_YES_NO
� G MMENTS:
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W'lCa'WORK SATISFACTORY:PROCEED '�-PROJECT COMPLEZE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContra �t�q r on site:
Inspector.,����C % � �Ct-*�1 ,
White Copyllnspector's File Canary Copy/Site Notice