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HomeMy WebLinkAbout2005-P08612 (plumbing) PERMIT C I TY 'O F O RO N O Permit Number: 275� Kelley Parkway - PO Box 66 P08612 Crystal Bay, Minnesota 55323 Permit Type: FiX�ures (952) 249-4600 Date Issued: 4iisi2oos SITE ADDRESS: 1070 Ferndale Rd W Wayzata,MI�T 55391 P I D: 02-117-23-43-0002 DESCRIPTION: Proposed Use: Kesidenhal Pernut Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 450.00 Valuation: $ 36,000.00 State Surcharge Fee: $ 18.00 Misc. Fee: $ 1.50 TOTAL FEE: $ 469.50 APPLICANT: Lakeside Plumbing OWNER: Timothy&Rosie P Owens 12469 Zinran Ave. 1070 Ferndale Rd W Savage,MN 55378 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. `7'14.G►� LrL� APPLICANT PERMITEE SIGNATURE I SUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 � w ♦ � FOR CITY L;SE ONLI' ;��� City of Orono P_O.Box 66 Date Received: Permit# � � ��" 2750 Kellcy Park�va}� �+ ; p• ��� Cn�stal Qay,MN 5�323 Approved[3y: Amount$�. ��t� '-� '.� i�� (952)249-4600 't'�+t1LeN�R`�'-;��. CITY OF ORONO—PLUMBING PERMIT (All Commcrcial permits must bc approved h��the Building Official or Inspxtor) GrNERAL INFORMA7'ION 1. 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 warking days. 2. Permit 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 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 Apply) �Residential ❑Commercial(Approval Required) [�]New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior apnroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner [nformation: Site Address: �e`1Q ��rn��-l� �.c� Owner:��o�.,� �ome.S Mailing Address: yul �. ����� Si City: 1�t1 �=�c�. Zip: Home Phone: Alternate Phone: Contractor Information: �, Contractor: �o��_ 5:�� P��rnb:,� Contact Person: �ve_ Address: �cl�y1�`i 2=��c.. �v� State Bond #: City: �a��� Zip:SS3�� Expiration Date: Phone: �Sa- ��`I- 11��� Alternate Phone: ❑ Insurance—Current: 1 t � 4 .E PLUMBING FIXTURES BETNG INSTALLED FIX"I'URE BSMT I�� ?�D OTHGR FIXTURG BSM"I� I�� 2��° OTHER TYPE FL FL TYPE FL FL Water Closet ' r� `� Floor Drains � v� c �e Lavatory + � �I Sewer Ejector 1 Bathree�wksb ` Laundry Tray i I Shower 1 , � Washer � Kitchen Sink � Water Heater � Disposal i Water Softener Dishwasher , Wet Bar ' I Sillcocks � Miscellaneous 3 g��,_ ` PCRMIT FEE CALCULATION(S) BASED OF,F -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance that meets all three of the following requirements: I. 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, instalied or replaced by the homeowner or iicensed contracior. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee([f Applicable) $ 1.50 Total Permit Fee � (Permit P'ees Continued On Next Page) 2 � ' . � PEIZMIT FEE CALCULATION(S)-JOBS OVER$500.00 ; If above does not apply; follo�v guidclines belo�v: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) ��.f�= r.0125 $ �•�C� (contract price) (miniininn$»00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(��1inimum Fce ofS.�ll) ���D�� x .0005 $ �� (contract price) (minimum$ .�0) 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 1.50 4. TOTAL PF,RMIT FEF:(Add Lines 1-3 Ab�ve1 � ��p�.�p ■ * 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. [t is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations 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 pennit 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 Building Department at(952)249-4600 for the price. PLUMBING`PERMIT;APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work i❑ strict accordance with the ordinances of the City and the regulations of the State of Minnesota, ai�d certifies that all statements made on this application are complete, true and correct. Applicant's Signature: �� �W1e..e-� Date: '/-I:i- oS Reset Form 3 �� E TIME � CITY OF ORONO CALLED IN INSPECTION N T SCHEDULED I� Iv,'jC7 PERMIT N0. � COMPLETED ADDRESS � OWNER CONTR. ��p/1!�(�/�,� TELEPHONE NO. SZ—�! `f' �� C� � DESCRIPTION lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPUACE 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 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: � a � � J I O >. � O � W � Q � 2 w � W � j d W� WORKSATISFACTORY:PROCEED I�'PROJECTCOMPLETE W ❑ CORRECT WORK&PROCEED !- ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,� pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR � INSPECTION REQUIRED.C LL TO ARRANGE ACCESS. Call for inspection 24 hours in advance. (952) 249-46�0 OwnerlC tra n s te: Inspector. White Copyllnspector's File Canary CopylSite Notice � � DA TIME � �� 6 � CITY OF ORONO CALLED IN INSPECTION N TI SCHEDULEDI _�� � PERMIT NO. o�-� COMPLETEDIi ADDRESS D7D � OWNER CONTR. TELEPHONE NO. 9s2 ��� ��� � DESCRIPTION L�� ���'Q � v � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADI ILLING 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O >. � O � I W � I Q ti W � W � j d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ CORRECT WORK&PROCEED r�ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING ' pERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑'PHOTOTAKEN INSPECTOR WILL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next"nspection 24 hours in advance. �952� 249-46QQ OwnerlContr s t : Inspector. White Copyllnspector's File Canary CopylSite Notice � �� j�Q� � <%— , DATE TIME CITY OF ORONO CALLED IN ', l � INSPECTION TI E SCHEDULED �-Z -�b Q�� PERMIT NO. � � � COMPLETED ADDRESS �D 7D ���'��lda�-- ,L��L Lv � OWNER CONTR. ���'' TELEPHONE NO. 9�2 O 97� 7�OB0 � DESCRIPTION �`Q'� � � 01 FOOTING 11 MECHANICAL RI � 18 EXCAV ADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL i 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAWT � 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: � a � G � � J O �I � — ,._ � l/�� V� O � � ti � � f�y ,p ~ �a �,V�C� �� Z W � W � j a � ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W�ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL flETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952� 249-46�� OwnerlContracto s te: Inspector. White Copyllnspector's Fi e Canary CopylSite Notice