HomeMy WebLinkAbout2003-P05958 - plumbing CI'rY'�F ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Pos9ss
Crystal Bay, Minnesota 55323 Permit Type: FiXr�res
(952) 249-4600 Date Issued: i�i3i2oo3
SITE ADDRESS: 725 Ferndale Rd N
Wayzata,MN 55391
P I D: 3 6-118-23-12-0002
DESCRIPTION:
Proposed Use: Kesidenhai
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Mulriple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 156.25 Valuation: $ 12,500.00
State Surcharge Fee: $ 6.25
TOTAL FEE: $ 162.50
APPLICANT: Doug Linden Inc (See Comments) OWNER: Micheal&Margaret Sowada
5747 SE 57th St 725 Ferndale Rd N
Delano,MN 55328 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVENIENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STWCT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILD CODE REQUIREMENTS.
�
! f
_ � ���
APPLI . EE SIGNATURE SUGD BY SIGNATURE _
Copies: 1-File(Sienitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-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 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 (952) 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 (952) 249-4600.
Please check one: New � Addition Repair Replace
�Residential Commercial
JOB SITE: 7�`J �� '�'✓l�'�-�_ Zip:
Owner's Name: /V) � ��.2 -�jc��J � �� 'c� Telephone Number:
Mailing Address: 2 j v''v� CR- -� City: Zip:
Contractor's Name: " ;i� v� �L . Telephone Number: !p j z —Z�{z—?S(pD
Mailing Address: ��7�-f`7 � 517 5�� City:�c��a�Zip: g�3 `L �'�
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet A Z Floor Drains
Lavato � � Sewer E'ector
Bathtub r Laund Tra r
Shower ,� Washer
Kitchen Sink Water Heater r
Dis osal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list) -
3
• - �
PEI2MIT FEE CALCULATION(Sl
2002 State Statute ❑ Yes, This Section Applies
The replacement of a Residential fixture or a�liance that meets all three of the following
requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excludin� the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.001
x .0125 $
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of $ .50)
S ) x .0005 $
contract price) (minimum$ .50)
3. Postage 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 charged to the customer
for the work done. If any material, equipment, labor, or installation are furnished 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 permit fee purposes. 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 Department of Inspection 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 st ts made on this application are complete, true and
correct.
Applicant's Signature: Date: /�� 3 —`��
���
DATE TIME
CITY OF ORONO�f CALLED IN
INSPECTION ICE SCHEDULED �- � '— �
PERMIT N0. ��-s� COMPLETED
ADDRESS �--S �,� : f��,� �L�d
OWNER CONTR. �C>>
TELEPHONE N0. �� � � � '�-`� fIS �C} G
� 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
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
LUMBING RI � 23 SEPTIC FINAL 35 HARD COVER REMOVAL
�v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
0 \ �� � W(l�'�
�
�
O
�
W
�
Q
�
2
W
�
W
�
�
d
W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETUFN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe ne t inspection 24 hours in advance. (952� 249-46��
OwnerlContra s e:
Inspector.
White Copyllnspector's le Canary CopylSite Notice
� e
� a ,��- ✓
DATE TIME
CITY OF ORONO CALLED IN 3//[� o�
INSPECTION NOTIC ��s� SCHEDULED �,(17�a/
PERMIT N0. COMPLETED
ADDRESS � �-� � ���Z�'tc'--�Cz�F ��=r /C�
OWNER CONTR.
TELEPHONE N0. _ � -�c.��,� � S� 7 �(� - 7��3
����.�� �
� DESCRIPTION � I ✓�-�t l
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAI 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v�LUMBING FINAL 36 FOUNOATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:�YES_NO
� COMMENTS:
�
�•-- � � J�. d Ov�. S (�U
o- CLtt,t (' vV\G���l� VI ' i - r� �
a
�
0
�
W
�
Q
�
2
W
�
W
�
�
�
d
W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O ��
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-460�
OwnerlContractor on ite:
Inspector.
White Copylinspector's ile Canary Copy/Site Notice
/j V
DATE TIME
CITY OF ORONO CALLED IN _T / ��
INSPECTION NOTICE SCHEDULED
PERMIT NO. S�'i S� COMPLETED �t �
ADDRESS �o�— ��—P t//1 C�G.�:r�
OWNER CONTR. �0� Lr:%�-Q�. ��
TELEPHONE NO.�1�=�'`�� 7� ��
� DESCRIPTION �/1N'`�� �
� 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO- 15 SEPTIC INSTALL. 22 FOLLOW-UP
= PLUMBING Ri; 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL � � - 36 FOUNDATION/REMOVAL
� OWNERICONTRACTORTOMEETYOU: VYES_NO
� COMMENTS:
a ���� ���- T���
�
J
0
a
�
0
�
W
�
Q
�
2
W
�
W
�
�
�
� �NORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CAllTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContract�n site:
Inspector.
White Copy/lnspector's File Canary CopylSite Notice