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HomeMy WebLinkAbout2006-P10367 - plumbing PERMIT CITY OF ORONO Permit ►vumber: 2750 Kelley Parkway - PO Box 66 P10367 Crystal B�v, Minnesota 55323 Permit Type: Fixtures (952) 249-�600 Date Issued: 9/25/2006 � SITE ADDRESS: 865 Ferndale Rd W Unit# Wayzata,MN 55391 PID: 02-117-23-44-0006 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Contractor: 612-866-3057 FEE SUMMARY: Permit Fee: $ 437.50 Valuation: $ 35,000.00 State Surcharge Fee: $ 17.50 Misc.Fee: $ 1.50 TOTAL FEE: $ 456.50 APPLICANT: Southtown Plumbing Inc. OWNER: Tracy Constable 6636 Penn Ave S 19455 Cedar Hurst Richfield,MN 55423 Deephaven, NIN 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. �r�� � �,�, I.-.�.�.�._�)�r-ncQ-n !�� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septiq 1-Septic) Page 1 FOR CITY USE ONLY �d��� City of Orono � O Q`', P 0 Box 66 Date Received: Permit# 2750 Kelley Parkway a p�'�• �' Crystal Bay,MN 55323 Approved By Amount$: • � %� n•,y,o` (952)249-4600 T .\`���A�..... CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFOR.MATION l. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNT1L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN LINTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Pl:.�mbin;permits may be issued ONL.Y 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 State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (952)249-4600. (24-48 hour notice required) TYPE OF PERMIT Check All That A 1 IVED �C]Residential ❑Commercial(Approval Required) ��� � � 2006 ❑ New ❑ Additional ❑ Repairs �f Replace , ,.., . ,- ;,� QRC/��� ❑ In Accessory Structure? ' *You will need arior anproval and may need CL'P. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: �� �e,�ndf}-�� (-�.� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: ,�c���-�,,�„ 'P/������Contact Person: Address: �a<o 3(v �Qe�tn f�,�e � State Bond #: 7a10D10���46� City: I�«h ,e( Zip. �/, Expiration Date: /o� ` ,3(-O� Phone: (Q/,�-�//"�30�7 Alternate Phone: �0%7-�l/'.3�S�S� ❑ Insurance-Current: I � �,. '�PLUMBING�IXTURES BEING INSTALLED _ .,�. .. .. �.,.�; '� FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2' OTHER TYPE FL FL TYPE FL FL Water Closet I I Floor Drains ' Lavatory � I Sewer Ejector �athroIIm l Laundry Tray � Shower Washer I � Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks � Miscellaneous I PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance 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;excludinQ the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 PERMIT FEE CALCULATION S -'JOBS OVER$500.04 � � If above docs not apply; follow�uidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) ����od, � x .o��s $ 5'3 7•,5 O (c tract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(:vlinimum Fee oTS.50) 35:�)1��. C�� X .000s $ / Z,SO �ontract price) (minimum$ .50) 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �'�S�• 5� ■ * 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 installations are fumished 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$1,U00,000 or$.50—whichever is greater. For valuations over$I,000,000 call the Building Department at(952)249-4600 for the price. PLUMBING PERMTT APPLICATION AGREEMENT' 3,� 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 stat�ents made on this application are complete, true and correct. A licant's Si nature• � '� ��� pp g . Date: � Reset Form 3 i ' � �. �� � I� DAJE_�� TIME CITY OF ORONO CALLED IN �� INSPECTION N I SCHEDULED � •3� PERMIT NO. � COMPLETED ADDRESS � ���' �� � ��� OWNER CONTR�aC-[���f�'��'� um.� TELEPHONE NO. �D �o� ��4 � �Z C�S 7 � DESCRIPTION n l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 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 COMPIJ�INT � 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 � COMM N S: u' V _ E (?� � V� YLl � d� � a o �a� � � 0 � w � Q � Z w � w � � GW�RK SATISFACTORY:PROCEED [_l PROJECT COMPLETE W��CORRECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnertCon o' te: Inspector. � ` White Copyllnspector's ile Canary CopylSite Notice �� � � DAyE� TIME � CITY OF ORONO CALLED IN �� INSPECTION N SCHEDULED '��'� � PERMIT NO. � COMPLE� ADDRESS OWNER CONTR.� / TELEPHONE NO. � 7 � DESCRIPTION � r �'�►C���/ / �''L � 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 � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 D -FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 4�.i PLUMBING 23 SEPTIC FINAL 35 HARD COVER REMOVAL J LUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j � O -� a � O � W k Q � Z W � W � � � �RK SATISFACTORY:PROCEED [J PROJECT COMPLETE W �O CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContra site: Inspector. White Copyllnspecto File Canary Copy/Site Nofice _�v 'i C%� DATE TIME v — CITY OF ORONO CALLED IN ��-1 � INSPECTION NOTICE SCHEDULED ' _ �_ ZJ PERMITNO. ��3 � COMPL TED ADDRESS � �`��-���-'� � OWNER CONTR.� �/�/ � �Si •-f-t)�-U� TELEPHONE NO. U��O`��f��Q �i�� �G�"��� � DESCRIPTION �`�'�"m � ���'c � �� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIL �2� T h�_ Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTI FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU YES_NO � COMMENTS: � W a j Q O a � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED �= ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. J PHOTOTAKEN INSPECTOR W4LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Cail for the n t inspection 24 hours in advance. (952� 249-4600 OwnerlContra�o ite: Inspector. ` White Copyllnspector's File Canary CopylSite Notice