HomeMy WebLinkAbout2000-P02737 - gas line inspection �
PERMIT
C i TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P02737
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(612) 249-4600 Date Issued: �i26i2oo
SITE ADDRESS: 1465 Fox St
WAYZATA,MN 55391
PID: 02-117-23-33-0002
DESCRIPTION:
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PCOpOSeCl USe: nc�iuciiiiai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Single Family
Gas Line Inspection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: 3$'. �� valuation: � 1,747.00
State Surcharge Fee: . f d
1•Sd
Misc. Fee: �36-8�—
TOTAL FEE: $ 37.00
APPLICANT: McGuire& Sons OWNER: K A BIRKELAND/C A BIRKELAND
605 12th Ave South 1465 FOX ST
Hopkins, MN 55343 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.
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APPLI ANT PERMITEE SIGNATURE SUED BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBIl�IG'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 Ciry offices.
2. Permit cards 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 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.
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 473-7357.
Please check one: New Addition Repair Replace
� Residential Commercial
JOB SITE: /�C(�X .S t Zip: 5 5.3�1/
Owner'sName: K r3RRt 1�i�ZK L L/���i� TelephoneNumber: 95;�/y7(�- C��;�<;�(
MailingAddress: ����n �- City: Zip:
Contractor'sName• ��,�^i.11RE & SC�'S TelephoneNumber:�f5�/93(-�l�I (�
MailingAddress: f�^;� 12 "" � c'"'�+�► City: Zip:
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PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory � Sewer Ejector
3athtub I La•�r,dry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
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Sillcocks Misc (list) �
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PER1d1IT FEE CALCULATIOIlT
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
x .0125 $ ����� �
(contract price) _�L� � O
2. State Surchar�e. ** Add the State Building Code Division 1
Surcharge to each permit. x .0005 $ ' ��'
(contract price) {
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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 dollar amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
custome: for the v�ork 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 City may request the submission of a signed copy of the actual contract.
** 'fhe STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For vaivations over $1,000,000 call the Department of Inspec!i�na? 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.
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Applicant's Signature: Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED '""�' `��
PERMIT NO. ''ot-7�� COMPLETED —Z' '�� 9"�
ADDRESS I�"I a� �';�'� �
OWNER CONTR. �'��`(-J1` ��� ' `�����`�` -1
TELEPHONE N0.
� DESCRIPTION
ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIFiEPLACE 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 FCUMBING RI��' � 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W Li WORKSATISFACTORY:PROCEED =: PROJECTCOMPLETE
��ORRECT WORK 8 PROCEED ' ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARf1ANGE ACCESS.
Cali for the next inspection 24 hours in advance. 249-46��
OwnerlContr tor on site:
Inspector
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