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Home My WebLink About2006-P10306 - plumbing PERMIT CITY OF ORONO Permit Number: 275�*'r�elley Parkway- PO Box 66 P10306 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (�52) 249-4600 Date Issued: 9/11/2006 SITE ADDRESS: 2255 French Creek Cir Ilnit# Wayzata,MN 55391 P�� 10-117-23-32-0006 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: $ 35.00 Valuation: $ 2,468.00 State Surcharge Fee: $ 1.23 TOTAL FEE: $ 36.23 APPLICANT: Hutton&Rowe Inc. OWNER: James&Brenda Broucek 15790 Jarvis Street 2255 French Creek Cir Elk River,MN 55330 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. _ �_�;��Q^�- _ � � � � C�}')'1�c r� !2� o _--- fC � APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 r FOR CITY USE ONLY � City of Orono � ¢O� P.O.Box 66 Date Received: Permit# j ��;;,�, � 2750 Kelley Parkway a '��i?�`f't'. Crystal Bay,MN 55323 Approved By: Amount$: � ��+ '^�'"''�o a� (952)249-4600 �'��?�� 6pg06 CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Pernut cards will be sent by rettu-n 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 pernuts may be issued ONLY to licensed plumbing conn-actors 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 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) �Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/ Owner Information: Site Address: Z- z- S5 " �re�.c.� C�ee-[� Ci r��- Owner: ��•� Q�e�a 1�Y'c�Kc� � Mailing Address: Sk�+� City: Zip: Home Phone: Alternate Phone: �� - �g� ' 3 Z b Z Contractor Information: Contractor: /�w�"�-o� a�� K�w�-��GContactPerson: D��;� �aw�--� Address: �S�9a'�ay-f�f s� State Bond#: City: L`^��v`�i✓er Zip: 5�33oExpiration Date: 1 2- -3�"a b Phone: 7 6 3 -�Z 7 - 2-3 Z/ Alternate Phone: ❑ Insurance-Current: 1 � I � � PLUMBING FIXTURES BEING INSTALLED � FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector �� Bathtub Laundry Tray I Shower Washer f Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) BASED �FF -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 Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 f � �� PERMIT FEE CALCULATION(S}-JOBS OVER$540.00 f If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) � b0 Z ��g.'— x.0125 $ (contract price) (minimum�35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) � 2-`� b g�� x .0005 $ (contract price) (minimum$ .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 actual or estimated dollar amount charged for the pemutted 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 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 cont�act 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. PLUMB]NG 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. Applicant's Signature: ^�- �41`�L Date: 9�� —U b 3 �1�5 ��,,��j � T - TIME � CITY OF ORONIY ��-�CALLED IN �� C� �•s C�� INSPECTION OTIC,�,,,, SCHEDULED /3 C -� � P,E,�MIT NO. . COMPLETED ��A DRESS � c�� /1�=-`� Cr`.c�/C ��j-C�-C..' � OWNER CONTR. I�l(1'�H� Q�LS � TELEPHONE NO. �� ,�cl � (�'G' ��' � DESCRIPTION �-G��I l�' i,L'�/��l — �.�/k,U ��L (�'��S�t<<� ) � 01 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 � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNEH/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � ��a 0 � � � -i�U� p.+�' c� � --� W � Q Z cx.c�� W � W � j d W WORK SATISFACTORY:PROCEED i; PROJECT COMPLETE � ❑CORRECT WORK&PROCEED �: ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. r,' PHOTOTAKEN INSPECTOR WILL RETURN _� CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the t s ection 24 hours in advance. (J52� 249-4600 OwnerlCon c n sit : � Inspector. White Copyllnspector's File Canary CopylSite Notice I�DA�T� TIME 0� CITY OF ORONO CALLED IN ,�' � D � INSPECTION T��D� SCHEDULED PERMIT NO. � COMPLETED ADDRESS °?a`�� 7�7�/!�I G'/�� ''��G�-� OWNER CONTR. TELEPHONE NO. ��2- ��P9 l�� Y' Z � DESCRIPTION — ��'5�� /'� ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIL NG � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 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-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL / 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � +�j�� ` �` 0 � � 0 � ti � Q � z w � W � j d W� WORKSATISFACTORY:PROCEED ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY O ❑ C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the r►gxt inspection 24 hours in advance. �952� Z49-46QQ OwnerlContra`e�`asite: Ins'ector. White Copyllnspector's Fi'e Canary CopylSite Notice