HomeMy WebLinkAbout2001-P03880 - plumbing PERMIT
CITY OF ORONO
27�0 Kelley Parkway - PO Box 66 Permit Number: Po3sso
Crystal Bay, Minn�sota 55323 Permit Type: F�Xcures
(952) 249-4600 Date Issued: 6iii2oo�
SITE ADDRESS: 785 Ferndale Rd N
WAYZATA,MN 55391
P(D: 3 6-118-23-11-0012
DESCRIPTION:
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PI'OpOSeC�USe: i�c�iuciivai
Permit Class: Plumbing
� Permit Sub-type(s): Multiple Fixtures
Permit Type: Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,500.00
State Surcharge Fee: $ 0.75
TOTAL FEE: $ 35.75
APPLICANT: Nowthen Plumbing OWNER: M A&T C CULLUM JR
22311 Northwest Morris Lake Rd 785 FERNDALE RD N
Anoka,MN 55303 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF'
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCE�
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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�'PERMITEE 1 NATURE TS ED BY SI�
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CITY OF ORONO APPLICATION FOR PLLIMBING 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 o�ces.
2. Permit cazds will be sent by retum 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 pemuts 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� pemut must be obtained.
5. All work must be done in accordance with the State Code requirements. y
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: V7c�S� F�f-� �{�, /-� 2 -�1_ , Zip:
Owner's Name: C;.� l l c�►n-, Telephone Number:
Nlailing Address: ?`�vS �'`�"�^��l� !�� City: �c,�yl-�f� Zip:
Contractor's Name: /V m,,.�+�., p���,�� Telephone I�umber: 76�� �s-3- S z c 6
l�iailing Address: z231� �a��•�; �,c� �ez ; City: /���k�-, Zip: Ss�3.�3
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS�ST 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink � Water Heater
Disposal � Water Sofrener
Dishwasher � Wet Bar I
Sillcocks Misc (list)
PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�' /, 5�C� x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contrac[ 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 dollaz 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 Ciry 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
conect. .
Applicant'sSignature: . Date: � �� �� �
D_ ATE_ , / TIME
CITY OF ORONO CALLED IN 1� (��'
INSPECTION NOTIC SCHEDULED ��� C�/�
PERMIT N0. COMPLETED
ADDRESS 4�J �--�-''`�'�`�'-'t�.e ���fs'
OWNER CONTR. � C? 1 <<'`�{7(� (.� .
TELEPHONE N0. �� � ��3 ��`��A
� DESCRIPTION � � �`�+'�'�b � ��--�-/�=c�.
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W RKSATIS . OCEED ❑ PROJECTCOMPLETE
� ❑ ECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� RRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-4600
OwnerlCon r on site:
Inspecto
White Copyllnspector's File Canary Copy/Site Notice