HomeMy WebLinkAbout2005-P09070 - plumbing PERMIT
CI�Y ��'� ORONO
2750 Kelley Parkway- PO f3ox 66 Permit Number: P09070
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 8/15/2005
SITE ADDRESS: 2235 French Creek� �,r; Unit#
Wayzata,MN 55391
P��� 10-117-23-32-0005
DESCRIPTION:
Proposed Use: 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: $ 125.00 Valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 130.00
APPLICANT: Exclusive Plumbing, Inc. OWNER: Anthony L Patterson
71 Riverwood Ln. 2235 FRENCH CREEK CIR
Burnsville,MN 55337 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 REQUTREMENTS.
APPLICANT PE MITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, I-Assessing,(IfSeptic, 1-Septic) Page 1
1 ' • ` � ,
' � FOR CITY USE ONLY
,�` City of Orono
' 4O`v P.O.Box 66 Date Received: Pennit#
��, � 2750 Kelley Parkway
� j�?�''' � Crystal Bay,MN 55323 Approved By: Amount$:
�i �'�,�y���.$o (952)249-4600
�sexoa
CITY OF ORONO-PLUMBING PERMIT
(All Commercial pe�7nits must be approved by the Building Official 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 pern�.it will be issued within two working days.
2. Pernut cards will be sent by retuin mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST 1�'OT 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 consh�uction 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)
[t}.'�esidential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs '[�Replace � � 5�� �f
❑ In Accessory Shucture?
*You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
� Job Site/ Owner Information:
�, �
Site Address: ���� 5 �'�1,,C l�. �� ��' �'C �'.^°'��'
Owner: ������ l� � I�ri-S c't^ Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
� �
Contractor: ��C��Sf ,,��� �n�jr�.� ContactPerson: < "�� ���-,� E
� '�Address: �! l� ��'�'w����S �a�-c�' State Bond#: �> ! �! % � � �
� =_ -, � � �—
City: ��� +����5�� ��� Zip:=''�' �' �Expiration Date: ������'—��
� .--,� �� �-
Phone: ���-���'-- f f�_�� Alternate Phone:
0 "'��-
Insurance-Cui-rent: i �
1 �
� ' ' . ,
f
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet i � � Floor Drains
�
Lavatory Sewer Ejector
Bathtub � Laundry Tray
c�C �
Shower Washer
Kitchen Sink } Water Heater I
�
Disposal � Water Softener
Dishwasher / Wet Bar �
!
Sillcocks � ? Miscellaneous
PERMIT FEE CALCLTLATION(S)
BASED OFF -2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. 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, installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Permit � 15.00
State Surcharge $ .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:
1. CONTRACT PRICE *is 1.25%of connact price with a(Minimum Fee of�35.00)
/� ���7J x.0125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(conh'act price) (minimum S .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 ;
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the achial or estimated dollar amount charged far the
pernutted work including 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 conri�act 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 conh-act.
■ ** 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 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.
5 4 �_ D�
� Applicant's Signature: Date: �`—��
�
�
I `
3
�� D TE TIME N
CITY OF ORONO CALLED IN �"�3 ��
INSPECTION N TICE SCHEDULED �- � -0� / =d a•�1
PERMIT NO. �C� COMPLETED
ADDRESS �"%r (� � -Ce
OWNER CONTR. " � (/ !f
TELEPHONE NO. ����P�1' ��rl-3 ' ��✓1�1
� DESCRIPTION �'-F'���
� 01 FOOTING 11 fv1ECHANICAL 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
� 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
J 0 - INAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
2 09 PLU BING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W WORK SATISFACTORY:PROCEED [i PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, PHOTO TAKEN
INSPECTOR WILL RETURN
'=� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (952� 249-46��
OwnerlContractor�� .
Inspector.
�
White Copyllnspector's File Canary CopylSite Notice