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HomeMy WebLinkAbout2005-P09016 - plumbing � � PERMIT CITY OF ORONO Permit Number: 2750 Keliey Parkway- PO Box 66 P09o16 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 7/28/2005 SITE ADDRESS: 650 Gander Rd Unit# Wayzata,MN 55391 P I D: 04-117-23-43-0020 DESCRIPTION: Proposed Use: Residenrial 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: $ 35.00 va�uation: $ 800.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Owner/Self OWNER: James&Whitney Tucker MN 650 Gander Rd 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. � z� � �, .-� :� ���.- APPI.ICANT PERMI E GN , � ISSUED BY SIGNATURE � t..' Copies: 1-File(Signatures Required), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 * . r FOR CITY USE ONLY ,►` City of Orono � 4O`Y P.O.Box 66 Date Received: Permit# ��,. � 2750 Kelley Parkway a �����: � Crystal Bay,MN 55323 Approved By: Amount$: � �{���-��..$o (952)249-4600 � �seao CITY OF ORONO —PLUMBING PERMIT (All Commercial pennits must be approved by the Building Ofticial 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 pernut will be issued within two working days. - 2. Permit cards will be sent by retuin 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 pemuts may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new consnuction 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 apAroval and may ueed CUP. (Per Orono City Code, Chapter 78,Article IV) �b Site/ Owner Information: Site Address: C(/�� ����'�r ���l ' � ���-� Owner:(�//�,_ /�C��C-�-� Mailing Address: �-- � �� �( City: ��(�n--� Zip: Home Phone: ""f�� '—`�7� "��J`�Alternate Phone: Contractor Information: Contractor: �W/w� Contact Person: Address: State Bond #: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance— Current: 1 � r � PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains i Lavatory •y Sewer Ejector Bathtub Laundry Tray Shower , Washer Kitchen Sink Water Heater Disposal Water Softener 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 tlu•ee 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 contract price with a(Minimum Fee of$35.00) ' ��. / x .0125 $ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum� .50) 3. POSTAGE&HAI�TDLNG(Only on Mail-In Appiications) $ 1.50 4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the achial or estimated dollar amount charged for 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 parry, the reasonable market value of such items must be added to the estimated cost or connact 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 are complete, true and correct. Applicant's Signature: te: / p� �'� �� 3 �� � ✓ 'D�� TIME CITY OF ORONO CALLED IN INSPECTION NOT CE SCHEDULED �'-_�.�-h� � ��C7Cy'VI PERMIT NO. � � COMPLETED ADDRESS �� �D ��n��� OWNER J �t��S�T UCKe►'" CONTR. GGJ�`-e�'1 TELEPHONE NO. !�/� ��� ' 4 �� � � � DESCRIPTION ���� �s�� lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q02 FRAMING 13 MECHANICAL FINAL � 19 LAKESHORE/WETLANDS � 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = PLUMBI RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J UMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W 0. � („! � �i,1 � � / � " O � � O � W � Q � Z W � W � � d W� �AQ`RKSATISFACTORY:PROCEED C PROJECTCOMPLETE W Cl CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY 0 [l CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C7 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: � Inspector. �,. � :''� �) �J � White Copyllnspector's File Canary CopylSite Notice