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.
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APPI.ICANT PERMI E GN , � ISSUED BY SIGNATURE �
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Copies: 1-File(Signatures Required), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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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
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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 '
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Owner:(�//�,_ /�C��C-�-� Mailing Address: �--
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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:
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PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
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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
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� 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� �'� ��
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'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
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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:
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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:
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Inspector. �,. � :''� �) �J �
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