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Home My WebLink About2004-P07732 - plumbing ITY F R NO PERMIT �' � � O Permit Number: 2?50 nelley Parkway - PO Box 66 Po��32 Cry`stal Bay, Minnesota 55323 Permit Type: FiXcures (952) 249-4600 Date Issued: ��2ii2ooa SITE ADDRESS: 745 Ferndale Rd N Wayzata,MN 55391 P I D: 3 6-118-23-12-0007 DESCRIPTION: Proposed Use: Kesidential Permit Class: Plumbing Pernut Type: Fixtures Pernut Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 56.36 Valuation: $ 4,509.14 State Surcharge Fee: $ 2.25 TOTAL FEE: $ 58.61 APPLICANT: Wayne Dauwalter Plumbing OWNER: Karen Frey 15525 Green Meadows Circle 745 Ferndale Rd N Carver,MN 55315 Wayzata,MN 55391 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 PERMITEE S[GNATURE 1 SUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Apolicant, 1-Monthlv Reports. 1-Assessine, 1-Finance Page 1 07-21 04 12:10 WAYNE DAUWRLTER PLB� T:44e4763 P:01 CITY OF ORONO APPLICA'�"IOIV FOR f'LUMBIIVG PERMIT Box 66 (27�0 Kelley Narkv►ay) CrygtAl H�y,MN 55323 ciEIVERAL INFORMA770N I. Yuu n�y n�,ply fur��lumt�inK permils by mall or in pers��n al tha c�ty nm�rs. 'l, Permil cnrds will hF �rnt by reUun mall After a review is aim�lelecf. f'I:f1M1'1"S .l\K� NU�1' V,Al,lf) LT1VT11, Y(.)U Ftr(:�IV� A !'EWWT. WC)f1K MU��I N()'l��(�[N ILNI'�'H� F�f•-kMIT t�rlf) Iti H()ti'I ' N 7'H � )� Sl'I'�. �. I'lumhing �x.rmils may be iss�K:d (')NI.Y tn Ifccnscd plurttblt� �wnira�lors ancl l�� pmrcrty �wncrs residir� in Ihe dwcllirq;. 4. WhCn atty rtew cunslrucl'am�fr r�m�rJCltn�is inVUlved, a seprlrr�le buildink rermil musl hc:ol�ta�ned. ��- ALI vrurk musl be dvne 1n accordanCc�wi(h th��Slale Ccxie reyiure.�nenls. 6. �II w��rk rnus! F.�e ins�x;leci and �Ir lcstcd bef��re it is cu�ed. C�II (952) 24�-4Fi11(.1. 'l4-huw nc�lice reyuire,d. In, ctions C:ornplete all items on this applicalion. Cornpute the pennit fee. Sign and date t1�e certification. 1NCOMPI.ETE APPLICATlONS WtLI. NOT F3E 1'RUCESSEU. lf you have questions, eau �g5a� aa�-a�cx�. t'lease check ane; New Addition Repair 1/ Replace J[_Residential _� Cort�mercial �og S��: � z�P: �= q � Ch�mer's Name: 1 Telephone Number: �iSZ��11 I�- n?�o� Mailing Address: City: Z�p; ��3 Contractor's IVame: Tele�Itone Number. 5Z• 7 G3 Mailing A�dr�ess: �- , City: � Zip: �� PLUMBINCi FIXTURE SCHE ULE Y�IX'I'UKE B.SMT I�'t' "lNU UTl IC•.fl f'1XTUkF; t3SM I S 2NL� UT11I:I2 �rYrr f7. FL 7YPI�. T 'I' FL h�L Walcr C1use1 � !-lcx�r Ih�ins t,�vaiu 2 Scwa' �c�;[r�r 1)aihwb � L,aun 'I'r tih�wcr � Wr�sh�r Kilchcn Si,ilc Waler 1 fevler L�� Waler�oftcncr �)1sUwusbei� Wci Bar Sillcucke Misc ist 07-21 a4 12:10 WAYNE DRUWALTER PLB� T:4484763 P:02 PeRMIT FEE CALCULATION�b',� 'l� State S�tute ❑ Yes, This Section Applies 7'lte �repl�tcement of a eSidential �xh,re or a liance that meets a11 three of the following requirementS; 1) D��quire mc�di6cation to electr�cal or�s service, 2) tias a io�• cost of �500.00 or Iess; excludir�� the cost oi the fixture or applia�nce: au�d 3) ls imNroved, installed or repiaced by ttie humeowner or licenced contractor_ Skip next sectinn; Cost of Permit $ �5,p Sta1c Surcharge $ .50 Mail In f'ee $ 1.50 1(abc►ve does not apply, tollow g�iidelirtes below: 1. Conlract Price• is .0 125 '�of job with a Minintum Fee pf �$35.001 �' ��bq• I� x .oias � �c� .3�'�'� (�'�:mlrix;l price) (minintum$35.0f1) 2. St�te Sur'chSrQ►e. "•Add th�e State Eiuilding Code Divisiuii a (Minimum Ree of$ .50) �__��.1� x .UUUS $ 2-2�� ' � � � (comraci pricc) (minhnutn�.50) � ,�.�� °� 3. Posta�gnd Handlin,y (()�i1y mail-in applications) $ 1,50 � �'" ' ' S�'� , 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ (op _ , * C;(.)N'f'bit1C1' P�lICf•, rx�I)t3 C:US'1' me�ns fhe saclus►I ur estimuled dollAr Ftmounl cha[Rcd for lhe pe�cxqilted work incluctin�moterialg, I�l.x.�r, proGl, and nlhet flxec� a>�ts. 11 iti Ihe art�ount lu be chsir�ed tu the cust�m�►er For the w�irk done. IF any malc�rial, equip►�i�ni, lafx�r, or inslallatl�n arc furnishecl by tlic �wncr, lentu►t or arty uthet parly ll�c rcl,�,ne,t,tc mtvkel valu< <�f such ifeu�s �i�u,! bc: aclelecl lu Ihe eFtirru�tod �x�s1 ur c�mt�aCt priCe for perm�t fEe purposes. lu tr�� :v�l Ihtd lhere is � dispute un lhe arm►unt qf ihe jub uisl, thc (;ily may reyucst Ihe submission uf n siKnc:d cc�py af lhc z�t►wl cunlrtx;t. "'• The STATF. SItRGI[AiCt;r is _I,1(.)U5 u[ ihe mntract price under $l,onn,(1(.1Q ur $.50-whiehever is greater. P��r v�ilutalfuns uv�r��,1x)U,OVO CWl the lk�raftmc;nf 4f Ins�ecliun tii�rvitxs for Ihe price. Tlie uuder5igned hereby applies to the City for issuance of a Plumbing f'�rmit, agrees to do all work in strict accordance with tl�e ordinances of the City and the regulations of the State of Min�nesota, and certifics that aU statemcuts rnade on tb�s application are complete, true and correct. Applicant's Signatu � Uate: �- �� Reset Fonn 07-21 04 12:11 WRYNE DAUWALTER PLB� T:4464763 P:03 ---.-- �— �_ � MINNESOTA DEPARTMENT OF HEALTH - BONDING ANp INSURANCE CERTIFICATE This is to cPrtify that Wayne A. Dauwalter. Master Plumber License No. PM00335U, re �senting Wayne Dauwalter Plumbing has filed a 525,000 bond with the Secreta; of State on November 24. 2003 and provided evidence of Public �iability �nsurance, including Products Liability Insurance of at least 550.000 per person and $100.Q00 per occurrence and Property Damage Insurance of at least $10,000 for the year 2004 in accordance with the provisions of Minnesota Statutes, Section 326.40. • BONo NU. RLi 370946 POLIr.Y No. cCXo232813 Old Republi� Surety Company Gener�al Casualty Insurance Company Des Moines, Iowa Lee L. Hennen, Minnesota Agent Shakvpee, Minnesota MR WAYNE A DAUWALTFR WAYNE DAUWALTER PLUMBING 15525 GREEN MEADOW5 CIRCLE �--;.. �. ,��. CARVER MN 55315 Patrlci� A_ Bloonx�rert, Director Division of Enviror�rnental Health Uiar�ne Manciernach, Commissioner �t�te ot �i�YYe�ota : �iinneguta �8e�artment of ��eaCt�j : Pur�nv� �vrr, BGtX 64975 � 121 FAS'r SEVIIV'I�i F1L�►CE, SI'• PAUL, P�1 55164-0975 Master Plu��xr Licer�ee LI(�ISE NO 003350PM BF TEST�2 ID NO O L381T �0. . � wayne A. Daur�ralter � � 15525 Greeri Meadow Ci��cle Carver, NN 55315- . ;y1 ,� � EFFECTIVE DATE EXPIRATION DAT� O1/O1/20Q4 12/31/200� , D T TIME J CITY OF ORONO CALLED IN �� INSPECTION NOTI E SCHEDULED �� :��'a PERMIT NO. � COMPLETED ADDRESS 7�� %I-� �//1�/ OWNER ' CONTR.�I•c��-��-�'.� P�v�t.,� • TELEPHON�� S � `f 7 d �I�C�'J? �-�-� �� / /, � 7y/ -v`/73 � DESCRIPTION (/( 5-�'� � 01 FOOTING 11 MECNANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 � 07 DEM - 15 SEPTIC INSTALL. 22 FOLLOW-UP Q 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FI 36 FOUNDATION/REMOVAL � CTO R TO M EET YOU:_YES_NO � COMMENTS: � W � � J O � � O � ti � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED , ROJECTCOMPLETE � ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. L, pHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ext inspection 24 hours in advance. (952� 249-4600 Owner/Con�o site: Inspector. White Copyllnspect r's File Canary CopylSite Notice �.� � D7 A�/ TIME CITY OF ORONO CALLED IN � INSPECTION TIC�,73 Z SCHEDULED �-� % PERMIT NO. / COMPLETED ADDRESS ��S /�� `�- OWNER CONTR. TELEPHONE NO. ��2� 7 S'��`? 7� A5z `��8 `f 7� � DESCRIPTION f��/�'�V�12� /�- �/��-�G4.� ly� FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 AMING � 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINA� 35 HARD COVER REMOVAL J 10 PLUMBING FINAL �� 36 FOUNDATION/REMOVAL � OWNER/CONTRACTORTOMEETYOU: YES�' NO � OMMENTS: � �1�v1� a � c� ►� �: 3D 0 a � �°� � l:/ �l��li(� � ti � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED = ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next'nspection 24 hours in advance. (952� 249-4600 OwnedContr o n it : Inspector. White Copyllnspector's File Canary CopylSite Notice