HomeMy WebLinkAbout2005-P08949 - plumbing � �
PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 Po8949
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 7/12/2005
SITE ADDRESS: 1290 French Creek Dr Unit#
WAYZATA, MN 55391
P��� 10-117-23-32-0011
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: Permit Fee: $ 125.00 valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 130.00
APPLICANT: Northridge Plumbing Co.,Inc. OWNER: K F&J S TEMPERO
6960 Madison Avenue W. 1290 FRENCH CREEK DR
Golden Valley,MN 55427 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.
(
� V � � 2
���'' �'--- /�
AP LICANT PE ITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), l-Applicant, ]-Monthly Reports, 1-Assessing,([f Septic, 1-Septic) Page 1
� i
r �
FOR CITY USE ONLY
�—=--
���i` p��` City of Orono q q
`rO� P.O.Box 66 Date Received7`�� i.i� Permit#�Gi��/�l
. 2750 Kcllcy Pazkway
`'� '�''x• !� Crystal Bay,MN 55323 Approved By: Amount$: �����
���;N�,.�`c�� (952)249�600
� �pb,.
CITY OF ORONO—PLUMBING PERMIT
(All Commercial pertnits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in petson at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE 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 separate building pemut 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 A I
0 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:
Slte.dl(�C�I'OSS: 1290 French Geek Drive
Owner: JO�11SO° Mailing AdclTess: 1290 French Creek Drive
t'�eldem�a��ey "t•� �v
City: `' Zip:
Home Phone: Alternate Phone:
Contractor Information:
Northridge Plumbing Co. Darwin Baack
Contractor: Contact Person:
6960 Madison Ave.West 69135705
Address: State Bond#:
Golden Valley 55427 12/31/OS
City: Zip: Expiration Date:
Phone: (763�s9t-isso
Alternate Phone:
,��t�� . �� �
, � � � ,
� Insurance—Current: �- � ;. � _ �j _', ;:. �,.
1
t 4
� �
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT I 2N OTHER FIXTURE BSMT ls 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet 2 Floor Drains
Lavatory 2 Sewer Ejector
Bathroom Laundry Tray
Shower Washer �
Kitchen Sink 1 Water Heater
Disposal i Water Sofrener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATION(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;excludine 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 Eee(If Applicable) $ 1.50
Total Permit Fee �
(Permit Fees Continued On Next Page)
2
• e �
PERMIT FEE CALCULATION S —JOBS OVER$504.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE '�is 1.25%of contract price with a(Minimum Fee of$35.00)
10,000.00 x.0125$ 125.00
(contcact price) (minimum$35.00)
2. STATE SURCHARGE #*Add the State Bidg Code Div.Surcharge(Minimum Fee of 5.50)
10,000.00 x.0005 $ 5.00
(conuact price) (minimum S .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 130.00
■ * 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 charged
to the customer for the work done. If any material,equipment, labor or installations 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 permit 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 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 aze complete, hue and
. cortect.
� �
Applicant's Signature: '� t',_A �1-- Date: ?'� �2 �'�]
__—�
Reset Form
3
<� D�LE /� TIME V
CITY OF ORONO CALLED IN � Y
INSPECTION N IC SCHEDULED - ;00
PERMIT NO. � COMPLETED
ADDRESS �a"�IO � �
OWNER CONTR.
TELEPHONE NO. �63 S�'/ �cS��
� DESCRIPTION lT�� �' v '��'�""'�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WAI.L 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 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
w
�
�
�
0
a
�
0
�
W
�
Q
ti
Z
W
�
W
�
�
a
W WORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REWSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. u PHOTOTAKEN
INSPECTOR W{LL RETURN
�STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CAII TO ARRANGE ACCESS.
Call for the next nspection 24 hours in advance. (952� 249-4600
OwnerlContr it :
Inspector. �-
White Copyllnspector's File Canary CopylSite Notice