HomeMy WebLinkAbout2000-P03315 - washer �
� PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po3�ts
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(612) 249-4600 Date Issued: l 1i2v2o
SITE ADDRESS: 635 Ferndale Rd N
WAYZATA,MN 55391
P ID: 36-118-23-11-0009
DESCRIPTION:
��- �
PI'OpO5eC1 USe: i�c�iuciiiiai
Permit Class: Plumbing
Permit Sub-type(s): Washer
Permit Type: Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 900.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: City view Plumbing OWNER: L]ACOBSON&v A O'NEILL
1880 B Wayzata Blvd W 635 FERNDALE RD N
Long Lake, MN 55356 WAYZATA MN 55�91
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.
_ • ��
APPLICANT PL 1 :� GNATURE IS UED BY SIGNATURE
Copies: City, Applicant, Assessor, Finance Page 1
�
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 RECENE 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 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
t, ���
JOB SITE• ,� '� � � � Zip:
Owner's Name: Telephone Number:
Mailing Address: C' %/' - �°' City: Zip:
Contractor's Name: �- �' �,,� Telephone l� er: � 37 � 7 ,
Mailing Address: � ' h I" City: ,� Zip: ��.3 S-�
PLiT�IBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS:�iT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Cioset Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
�
PERMIT FEE CALCULATION
l. 1.25% of Contract Price* or inimum Fee 35.00
�On-n� x .0125 $
(contract price)
f 2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e and Handling (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 charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be chazged to the
customer for the work done. If any material, equipment, labor,or installation are furnished by the owner,
tenan[ 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 even[that there is a dispute on the amount of the job cost,
the Cicy 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 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.
/' ,
Applicant's Signature: Date: /� v� Q�
DATE TIME
CITY OF ORONO CALLED W —�� `� �
INSPECTION NOTICE SCHEDULED � �� ���
PERMIT NO. �'-�l � COMPLETED • ��
ADDRESS �'�`— �r-��'���-�l' -
OWNER CONTR. Cc �-/(�1��✓
TELEPHONE N0. �� -�'"-���t��
� DESCRIPTION o cr.�=� - L`'`-"'``��`j�����
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 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
v 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
�U � 23 SEPTIC FINAL 35 HARD COVER REMOVAL
_ -PtT1NI611VG'Ffid�t�� 36 FOUNDATION/REMOVAL
�� __._o`-�-acfa�rr�i
MEET YOU:_YES_NO
� COMMENTS:
�
�
W
a
�
J
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d �WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W
� ❑ CORRECT WORK&PROCEED i ' ISSUE CERTIFICATE OF OCCUPANCY
W
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
Cl CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL REfURN
❑ STOP ORDER POSTED.CALL INSPECTOR ` CITATION ISSUED
(1 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContrac r on site:
� .-
Inspector. //�-y C L.- �-G� :�
White Copyllnspector's File Canary CopylSite Notice