HomeMy WebLinkAbout2008-P11935 - plumbing PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11935
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(952) 249-4600 Date Issued: 3/26/2008
SITE ADDRESS: 1540 Fox St unit#
Wayzata,MN 55391
P��� 02-117-23-32-0003
DESCRIPTION:
Proposed Usc: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 187.50 valuation: $ 15,000.00
State Surcharge Fee: $ 7.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 196.50
APPLICANT: Vogt Heating&Air Cond OWNER: David&Elizabeth Weyerhaeuser
3260 Gorham Ave 1540 Fox St
St. Louis Park,MN 55426 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.
�_� �� _
APPI,ICANT PGRMITEE SIGNATliRE SSUED BY SIGNATURIi
Copies: 1-File(Sig�iatures Xeguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY USE ONLY
City of Orono
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O O, P.O.Box 66 Date Received: Permit#
.:. . 2750 Kelley Parlcway
� jt'�'�. 1���� Crystal E3ay,MN 55323 Approved By: Amount$:
\\?���o�/ (952)249-4600
CITY OF ORONO-PLUMBING PERMIT
(All Commercial permiLs must be approved by the Building Ofticial or Inspector)
GENERAL INFORMATION
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 working days.
2. Permit cards will he sent by return mail after a review is completed. PERMITS ARE NOT
VAL[D UNTIL YOU RECF,IVE A PERM[T. WORK MUST NOT BEGIN UNTIL THE
PERMI7'CARD IS POS7'ED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to properiy owners
residing in the dweliing.
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 aotice required)
TYPE OF PERMIT
Check All 'That A 1
�esidential ❑Commercial(Approval Required)
�iew ❑Additional ❑Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior approval and may need CIJP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: J�`�� �ar S�`t-ru�
Owner: w,,�, ��_�tr-Aue�S�r� Mailing Address: j�J"�c`� F'vi� S'`�
az y�
City: � (,L!w,r,a•� Zip: S�s�`�/
Home Phone: ����3�c �S3 3� Alternate Phone:
Contractor Information:
Contractor: � • �' Contact Person: C�-c��
Address: 3��` �:�/�—� State Bond#: Iy�sYyz� �s�-�1��)
City: �� ���, .r� Zip:sS�ZCG ExpirationDate: /Z�3j/�t3
Phone: ���- qZ� -�7� � Aiternate Phone: �s/�"��Z �'/��'�
❑ lnsurance-Current: Ser�r�^�. (�s�e. �erT�c���
1
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 ZND OTHER FIXTURE BSMT 1 T ZND OTHER
TYPE FL FL TYPE FL FL
Water Closet / Floor Drains
Lavatory / Sewer Ejector
Bathroom Laundry Tray
Shower % 4 S+ Washer
J� f kc'
Kitchen Sink � Water Heater
Disposal 1 Water Softener
Dishwasher ✓ Wet Bar
�
Sillcocks Z Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Ycs,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
l. Does aot require modification to electrical or gas service.
2 Has a total cost of$500.00 or less;excludin�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 $ I5.00
State Surchargc $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
� PERMIT FEE CALCULATION(S)—JOBS OVER$500.00
If above does not apply;follow guidelines below:
t. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
�'S�-�u� X.o,Zs$ ISl. Sv
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bidg Code Div. Surcharge(Minimum Fee of$.50)
/S lh�r� x.0005 $_ 7. S�
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERM[T FEE(Add Lines 1-3 Above) $ f J�; s�
• * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work induding 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 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.
■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 ar$.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
Thc 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.
Applicant's Signahue: Date: ���5`��
Reset Form ._...,, .
3
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�DATF� TIME
CITY OF ORONO CALLED IN --�� ��
INSPECTION N IC 7 SCHEDULED � �"'�--
PERMIT NO. � v� COMPLETED ���_�� �C�:��
ADDRESS �T
OWNER CONTR. �G�� /'I
TELEPHONE N0. � l 71
� DESCRIPTION P` �m d ��9 /�-'�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOILOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBfNG FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED [i PROJECT COMPLETE
W ❑ RRECT WORK 8 PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION W�TNIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR J'CITATION ISSUED
O INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46��
owner/ContracA ;ororysi l, .
Inspector. �/�-�«� `J
White Copyllnspector's File Canary Copy/Site Notice