HomeMy WebLinkAbout2002-P05454 - plumbing e �
CITY OF ORONO PERMIT
2750 �:elley Parkway - PO Box 66 Permit Number: Pos4s4
�rystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: ��26i2oo2
SITE ADDRESS: 1840 Fox Street
Wayzata,MN 55391
P I D: 03-117-23-42-0008
DESCRIPTION:
Proposed Use: Kes�dential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
8 -other misc. items
FEE SUMMARY: PermitFee: $ 137.50 Valuation: $ 11,000.00
State Surcharge Fee: $ 5.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 144.50
APPLICANT: Buchman Plumbing Company Inc. OWNER: John&Linda Massopust
1701 44th Ave N 1840 Fox Street
P.O. Box 11070 Wayzata,MN 55391
Minneapolis,MN 55412
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 SIGNATURE ISSU BYSIGNATURE
Copies: 1-File(SiQnitures Required), 1-Apolicant� 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
.
Ju1-26-1002 10:45�n Frorn-CITY OF ORONO +9522494618 T-688 P.002/006 F-090
CITY O�' ORONO APPLICATIUN FOR PLUMBING P'ERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay� A�1 55323
GENERAL INFO�MATION
1. You may npply for plumbin�permits by mall or in persoa at tha City of'fices.
2. permit cards will be sent by return mail after a�roview is comploeed. PBRMITS ARB NOT VAI,ID CINTIL
YOU RECE1Vfi A PERMIT. WOItK MUST NOT BEdCN UNTIL THB PERMIT CARD TS POSTED ON
��iE JOB STT�.
3. Plumbing permiu may be lssued ONLY to li�:ensed plumbine contrectore and to propercy owners re�idlnE
ia[h�dwalling.
4. When aqy naw coastruc[ion or remodcling is involved, a sepazato buildinr permlt mus[be obcained.
S. All work must be done in accordance with tho S�ate Code rcquirements.
6, All work must be in�pectcd and air tesud bcfore it is �overed. Call (9S2) 249-4600. 24-hour nodce
r:sr�'a_*s�.
j��� Complete all it�ms on rhis application. Compute the permit fee. Sign and dace the
certification. YNCOMPL,ETE A.PPLICATIONS WTT.T. NOT BE PROCESSED. If you havc
qucsrions, cal! (952) 249-�600.
Please chcck one: New Addition Rc�air �Rcplacc
�Residentlal Commercial
J'OB SITF: /�'-�0 ` L �7�.��T �Zip:
O�vner's Name: ��v r-�- rf ss a Pus�T Telephone Number:
MaUing Address: �_�' 0 F � r�-��7' Clty:C.�'_r:'rlu Zip: �� z�
Contractor's Name: u��i�t�IH� t�i��r3���Telephone Number: �z _ �z-f%�%�
Mailing Address:.f'_ 6 �G' //G7 6 City:/��P�_� Zip: ,�S �
PLUMBING FIXTUR� S �IED �
�IXTURB BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
T1'p� PL FL TYPE FL FL
Water Closet Floor Drains
I.Bvato � Sewer �'ector
Bachcub Laun Tra
Shower Washer /�
Kitchcn 9ink J Water Hea[er
Di cal 'Water Sofuner
Dishw$sher Wet Har
Sillcocks Misc(lisq �
.�.-' i C�- ,(��-�--`'e-5
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Ju1-25-2002 10:46�m Fron-CITY OF ORONO +9522494616 T-688 P.003/DO6 f-000
pE�tMi'�' FEE CALCULATION(:�
2002 State Statut� � Yes, This Section Applies
' Thc rcplacement of a Rcsidcntial �ixturc or�Bplia�ce that meets all tbree of thc following
requirements:
1) T?oes nut require modification to electrical or gas 8ervice.
2) Has a to�al cost of 5500.00 or less; ex�ludin� the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowncr or licenced contcactor.
Skip next section; Cost of Pernut $ 15.00
State Surchazge $ .�Q
Mail In Fee $ 1.50
If above does not apply, follow guidclines below:
1, Contract Price�` is .0125 % of job with a Minim m Fce of ($35.001
// ��. �� x .0125 $ / � 7, �
(con�ract price) (minimum 535.00)
2. State Surc� ee. *# Add thc Stace Buitding Code Division a (Minimum Fe� of� .SO)
//, �I-zYz�.G� x .0005 $ �. �G .
� (concracc prlce) (tainimum$ .SO)
3. �os �gand Ha�� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT F'EE (Add lines 1-3 above) $ ����s
'� CONTTtACT PRICE or JOB COST means die aetual or estimaced dollar arno�int charQed for the permlaed
work includL'Zg macerial�, labor,pro��,and o�hcr fixcd coats. Tt is t6e amount to be chatg�d to che cusComer
for che work donc. If any macerial, equipmc:at, lebor, or insullaclon aro furnlshod by the owner, cenant or
any ochrr parry tho roasonable market value of such i�ems must be added to the estima�e4 cost or con�ract
price for pormic fee purposes. Tn the even�thac there is a dispute oa the amouat of the job cost,tha Ciry may
request the submisston of a 9igned copy of t2�e acmal concract.
*M The STATE SURCHARGE ia .0005 of che cunanc�price under 51,000.000 or 5.50-whichever is greater.
For valuadons over�1,000,000 call the Department of Inspection S�rvicca for�he price.
The undersigned hereby applies to the City for issuance of a Plumbing Psrmit, agrees to do a11
work in strict accordance with che ordinan�:cs of thc City and the reQulacions of thc Statc of '
Minnesota, and certifie� t all statements made on thls applicatlon are complete, ave and
correct. "��
� _
Applicant's Sign.a re: ;' - � Datt: 7- 7 5 —G -�
�
/ \
� (.� DATE TIME
CITY OF ORONO CALLED IN '
INSPECTION N C � ��j SCHEDULED --�
PERMIT NO._ ✓ COMPLETED
ADDRESS
OWNER CONTR. � I
TELEPHONE NO._ I n.� �-��o l�l�67 �lC�p�G�
� DESCRIPTION _ �r�S ' ��
L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti
Q 03 INSULATIGN 24/25 WOOD BURNER/FIREPIACE 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 SEPTI FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARFiANGE ACCESS.
Ca11 forthe next inspectio �ho�n advance. (g52) 249-4600
OwnerlCon acto site:
�
Inspector.
Wh' opyllnspector's File anary CopylSHe Notice
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