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Home My WebLink About2004-P07691 - plumbing i �� PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Po�691 Crystal Bay, Minnesota 55323 Permit Type: FiX�ures (952) 249-4600 Date Issued: �igi2ooa SITE ADDRESS: 865 Ferndale Rd N Wayzata,MN 55391 PID: 25-118-23-44-0002 DESCRIPTION: Proposed Use: lndustrial Pernut Class: Plumbing Perniit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 924.38 Valuation: $ 73,950.00 State Surcharge Fee: $ 36.98 Misc. Fee: $ 1.50 TOTAL FEE: $ 962.86 APPLICANT: Gilbert Mechanical Contractors Inc. QWNER: ST Edwards Episcl Church 4451 West 76th Street 865 Ferndale Rd N Edina,MN 55435 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STWCT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � i � ' G '�l�� C�� U/�J ��`' �/�% ��%,�i �� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required). 1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1 .,�,,, ., ; L:�. "�� +.;i'3ct�� F`.Q. �OY� bEa Crastal 6�y fi4N 553?3 � f�t.�i�)�'4i-455�t1 J7/t�8lU4 1�:,`w':55 C�.ist�,�?r: ?+)'1'b91 GERMITS - �ITHER 1 i� �.UG t�.t�:1 Ba�e Fee 1 � �24.:s8 �4Q Fdi Plan Review ' 1@ r).E?�+ U.Gf� ' Mail. in Fees t p 1.5� 1.5L� StatE SUtcharge 1 @ 3f,.98 3�.`�8 SAC �.har ge ' 1@ U.OD U.Ut� Inv�tiaatian F�e �1 �a G.(t4 4.i�C� 511ET�T�. 9E�.86 TAX 0.(�� ' TOTaL SALr 9fi�.8E Check R�eived 5Ec.8c� CE�AIVGE n.��t� CYF�IH� G3 TRflri�.;# �34�J1 , - �� , CITY OF URONO _ APPLICATION FOR PLUMBING PERMIT �Sox 66 (27�0 Kelley Parkway) Crystal Sav, MN 55323 GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City affices. 2. Pemut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE 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 473-7357. 24-hour notice required. Instructioii,� Co:nplete all items on this application. Compute the permit fee. Sign and date the certificatiaii. INCOI��PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. Please check one: New Addition Repair �\' Replace Residential Commercial JOB SI'I'E: jj�� /]/o,�f�1 �� ✓h �'�a �r' ��:� Zip; � � .� "I � Owner's Name: S� �'�(,,�,,��,.�S ��,,.�,;�o��I �ti��.��,TelephoneNumber: ;��z,- � 7 3- � � � � Mailing Address: S��c N�.-�� Fr.-,� ��-/-r �'o��ry( City: O �;,;� � Zip: s�j � / Contractar'sName: C, il��-� r ./'✓1�r��n << ��/ C�,;t.-�-<r�"�. TelephoneNumber: q�� - �; 3- 3 S�J MailingA.ddress: �{y � I L-✓�-,t %E J t City. �-�{1,��'�� Zip: �3y �S PLUMBING F�TURE SCHEDULE FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains (� Lavatory _�= L-� Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink f V4�ater Heater � Disposal Water Softener Dishw.�sher � Wet Bar Sillcocks 3 Misc (list) . f ),h�. •� ' i 3 Drlrtk.•�.�f�e.��:_�. � I � i1�� S i�� /L / I { .l�. - , �, � PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) 3= � �� 3 `� �O x .0125 $ ��,� L/ (contract price) 2. State Surchar�e. ** Add the State Building Code Division ,� � Surcharge to each permit. x .0005 $ f C (contract price j or $.50, whichever is greater 3. Postage and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��6�Z,g ' * 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 instailation 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 pemut 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 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. �� , ) � � � , �P �� 0 ,, l Applicant's Signature: �- - � Date: `� , i �__...: / D TE TI E / CITY OF ORONO CALIED IN , - 'C', � D INSPECTION NOTICE / SCHEDULE�.?j PERMIT NO. �C, �( 1 COMPLETED ADDRESS i'e-r� � .r�J OWNER CONTR. � TELEPHONE NO. �:Q ( al ��O �I � � DESCRIPTION i)t'� �� -q�j'�j�'t� W 01 FOOTING 11 MECHANICAL�911 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 - AL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING�RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 1 'F�NA� 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a GO � J O � � O � W � Q � 2 w � w � � a W WORK SATISFACTORY:PROCEED CI PROJECT COMPLETE � ❑CORRECT WORK&PROCEED r� ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. i� PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '-7 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContract on 'te: Inspector. White Copyllnspector's Fiie Canary CopylSite Notice D E TIME v CITY OF ORONO CALLED IN �� INSPECTION N TI SCHEOULED � �� PERMIT NO.� �� / COMPLETED ADDRESS L CJL c��'� /� � ` ' OWNER CONTR. �� /��Gli TELEPHONE NO. [Ji� Z Z�� Z�8 / � DESCRIPTION G��'�� l� 01 FOOTING 11 MECH N AL RI 18 EXCAV/GRAD /FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WA�L 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 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j J O �. � O � W � Q � Z W � W � j d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTIQ�L TEMPORARY � BEFORECOVERING � PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. i_� pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION�SSUED C INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Call for the next spection 24 hours in advance. (952� 249-46�� Owner/Contract on 't � Inspector. � White Copyllnspector's File Canary CopylSite Notice �1�� / DAT TIME � CITY OF ORONO CALLED IN `��/ INSPECTION N ICE SCHEDULED lO-�-O� O�� PERMIT NO. COMPLETED ADDRESS O� G�/f�� d� �v OWNER CONTR.��6�1� �Z �C�i! TELEPHONE NO. l0 la q� "�!O c�� DESCRIPTION l��.-/- ��f/L° �f �� 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q MBING 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � W � j � O a � O � W � Q ti Z W � W � � d � WORK SATISFACTORY:PROCEED �7 PROJECT COMPLETE W ❑CORRECT WORK&PROCEED �: ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ;� pHOTO TAKEN INSPECTOR WILL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe n in pection 24 hours in advance. (952� 249-4600 Owner/Contr or� sit :' Inspector. White Copyllnspector's File Canary CopylSite Notice � �� / �/`�1 DATE TIME� CITY OF ORONO CALLED IN � l �l�S INSPECTION NOTIC�}, �-. . scHEou�Eo �-� %/). �� PERMIT NO. +'�� l� COMPLETED 3 -I�-tr� `��@� ADDRESS �G3`.-� ��✓/_? Lv 7'Y.#' J�1• �Sf �c±�c� �z'.J �Z'��.. . OWNER CONTR. � � 1��,� ,�(n�-�_� TELEPHONENO. �1%Io� - 3,�� -'D/`� � � DESCRIPTION J / I�a='� ��(..( lyl�j - �%f�'.�� ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADWG/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 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � a A��t.-r�3�- c�.�� 0 � � 0 � w � Q � Z W � W \ � j a W� .�WORKSATISFACTORY:PROCEED CI PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� 249-46QQ Owner/Contra r on ite: Inspector. White Copyllnspector's Fife Canary CopylSite Notice