HomeMy WebLinkAbout2001-P03553 - plumbing 1 � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P03553
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(952) 249-4600 Date Issued: 2i22i2ooi
SITE ADDRESS: 182o Fox st
WAYZATA,MN 55391
P I D: 03-117-23-42-0009
DESCRIPTION:
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Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Fixtures>3
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
1 miscellaneous fixture
FEE SUMMARY: Permit Fee: $ 50.00 Vatuation: $ 4,000.00
State Surcharge Fee: $ 2.00
TOTAL FEE: $ 52.00
APPLICANT: OWNER: WILLIAM D MACMILLAN
,� / ' , 1 s2o Fox sT
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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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APPLICANT PERMITEE SI NATURE ISSUED BY SIGNATURE
Copies: City,Applicant, Assessor, Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing pemuts by mail or in person at the City offices.
2. Pemut 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 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 sepazate building pemut 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
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JOB SITE• f r�� �o �' Zip: .��.`�== J
Owner's Name: M r�c Y''� � � Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: �,' . J ,�„� un^ �n��..� .Ch� ;n.=� Telephone umber: � �3 ��'�°
MailingAddress: , -� ry x .� ity: Zip: ,s�3 S
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PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
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Water Closet � Sewer Ejector
Lavatory � Laundry Tray
Bathtub Washer
Shower ' Water Heater
Kitchen Sink � Water Softener
Disposal � Wet Bar �
Dishwasher ( Floor Drains
Sillcocks Misc (list)
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PERMIT �'EE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
c�� O�; , c�� x 1.25 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
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 chazged to the
customer for the work done. If any material, equipment, labor, or installation 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 pernut 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.
Applicant's Signature: Date:
DATE TIME �
CITY OF ORONO CALLED IN �'�'�' °
INSPECTION NOTICE SCHEDULED �' �3 IG:�L
PERMIT NO. ._�S5 3 COMPLETED �` "�
ADDRESS 8`��' � -�
OWNER m�� ����`'''`�' CONTR. C� ��C11�t1
TELEPHONE NO. `�7 3 - ��� -�
� DESCRIPTION
� Ot 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
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-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP
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� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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�y�VORKSATiSFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance. (g52) 249-4600
OwnerlContractor i
Inspector. �
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