HomeMy WebLinkAbout2001-P04343 - plumbing PERMIT
(;��Y O F O RO N O Permit Num ber:
•2750 Kelley Parkway - PO Box 66 P04343
Crystal Bay, Minnesota 55323 Permit Type: F�xtures
(952) 249-4600 Date Issued: 9ilai2ooi
SITE ADDRESS: 1209 French Creek Dr
Wayzata,MN 55391
PID: to-tt�-23-23-0002
DESCRIPTION:
Proposed Use: Kesidentiai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 125.00 Valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 130.00
APPLICANT: City View Plumbing&Heating OWNER: Robert&Nancy Lux
1880 B Wayzata Blvd W. 1209 French Creek Dr
P.O. Box 150 Wayzata MN 55391
Long Lake, MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEIv1ENTS SPECIFIED
AND AGREES TO DO ALL WORK IN S'CRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPL[CANT PF,RMITEE SIGNATURE IS UEDBYSIGNATURE
Conies: 1-File(SiQnitures Reauired). 1-Aqplicant, 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLiJ1iBTivG PERMIT
Box 66 (2750 Kelley Parkway) .
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by return 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 properry owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a separate buildina permit must be obtained.
5. All work must be done in accordance wi[h the State Code requirements. �
6: All work must be inspected and air tested before it is covered. Call 249-4600. 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 249-4600.
Please check one: New V Addition Repair Replace
Residential Commercial
Jos SITE• 1 1� r" zip: 5�3�1 �
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Owner's Name: ,Qn!�� L,u X Telephone Number:
N�ailing Address: 5��h City: Zip:
Contractor's Name: C;��J:�?� Q/�,� ,ri���f�'��t,+` Telephone I�umber: �{����73�l i �j
Mailing Address: {�.o , �c�x J S O C�y: �n✓!r�!-�l �� Zip: .�S 3��
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS;�iT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory � Sewer Ejector
Bathtub � Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher � Wet Bar �
Sillcocks Misc (list) �,�5
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� PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
i1.�1Q� ��C' x .0125 $
(contract price)
� 2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�;e and Handling (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 chazged 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 furnished by[he owner,
tenant or any other party the reasonable mazket 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 Ci�y 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. /
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Applicant's Signature: �-- Date: / / �
, / DATE TIME
CITY OF ORONO � CALLED IN
INSPECTION N CE SCHEDULED �% �_�J'2_(� 4 G.
PERMIT N0. COMPLETED ������ �
ADDRESS v�
OWNER CONTR. ���[�t��2.(.�1
TELEPHONE NO. �_� ��;� �7�'I�
� DESCRIPTION ��U�.h�.. ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= LUMBiNG 23 SEPTIC FI L 35 HARD COVER REMOVAL
J FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTORTOMEETYOU: YES_NO
� COMMENT :
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���WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContrac r on site:
Inspector
White Copyllnspector's File Canary CopylSite Notice
� �
DATE TIME
CITY aF ORONO / CALLED IN
INSPECTION NOTIC SCHEDULED
PERMIT N0.� � � COMPLETED
ADDRESS � �O Q 1`/'��'Y�J �/��-'�-'�.G�
OWNER CONTR. �P_ "
TELEPHONE NO. -- �`^7�
� DESCRIPTION ��i.1,6'Vt� � � '�'�n;�,cy ./
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLIN
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLAND�
y 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
Z04 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
� OWNERICONTRACTOH TO MEET YOU:�YES_NO
� COMMENTS:
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� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTfON REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
inspector. ` �`
hite C pyllnspector's File Canary Copy/Site Notice
/�� �.
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NQ�IC��J `, SCHEDULED � %l1•'.3�1f✓/''�
PERMIT NO. �i� 7 3 Y � COMPLETED
ADDRESS_1�09 �j ,v��._ �� ��� LZt
OWNER CONTR. C��>�C,/ �/��
TELEPHONE N0. �.Sc� ' ��3 ��/�
� DESCRIPTION /���� �� /"�(/�h �
� O1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
�'" 09 PLUMBINC-� 23 SEPTIC FINAL 35 HARD COVER REAIOVAL
J 10 PLUMBING FINAL 36 FOUNDATION;REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL AETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnedCon n ' e:
Inspector. `
' Copyllnspector's File Canary C ite o' N-tice '�
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DATE TIME
CITY OF ORONO CALLED IN i �
INSPECTION NO E SCHEDULED
PERMIT N0. �% COMPLETED
ADDRESS I � � G} Lr ��� �
l / � /�.P�--t:���!��/�i��
OWNER CONTR. '
TELEPHONE N0. �� `7 / — ����
� DESCRIPTION � ��,�'Yl h �—�--��—�1
� 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 O6 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
� OWNER/CONTRACTORTOMEETYOU YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
�STOPORDER POSTED.CALLINSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContract n
Inspector. �
White Copyllnspector's Fil Canary CopylSite Notice