HomeMy WebLinkAbout2005-P08939 - plumbing �� PERMIT
C�ITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p08939
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued: 7/11/2005
SITE ADDRESS: 500 Hanlon Ave Unit#
Wayzata,MN 55391
PID: 02-117-23-31-0051
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required: Electrical(state)
NOTICES/REMARKS:
Need framing inspection for shower
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 36.00
APPLICANT: Owner/Self OWNER: Paul&Megan Bennett
MN 500 Hanlon Ave
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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APPLICANT PERMITEE SIGNAT[JRE �ISSUED BY SIGNATURE
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
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FOR CITY USE ONLY
� �,►` City of Orono � �3y
O4 `vO P.O.Box 66 Date Received: � -U5 Pennit# �_
� 2750 Kelley Parkway ���
j � ����;�' Crystal Bay,MN 55323 Approved By: ' Amount$:�
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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 permits by mail or in person at the City offices. Applications will be
reviewed and a pertnit will be issued within two working days.
2. Pernzit 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 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 �VRepairs �Replace
\
❑ In Accessory Sh-ucture?
*You will need nrior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/ Owner Information:
Site Address: ��J Z l�n l� ?¢�/� �-�
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Owner: ��� g -ci�- �h I'�F l/ Mailing Address:
City: �� � l' Zip: ��� 1 �
Home Phone: ( �l- �o `�' Z 3 �..3 Alternate Phone:
Contractor Information:
Contractor: � �Y� Contact Person:
�
Address: State Bond#:
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance- Current:
1
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PLUMBING FIXTURES BElNG 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
Shower W asher
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 conh-act price with a(Minimum Fee of$35.00)
��U `� v x.0125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee af$.50)
x.0005 $
(contract price) (mininwm 5 .50)
3. POSTAGE&HAI�TDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ � CONTRACT PRICE or JOB COST means the actuai 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 party, the reasonable market vah►e of such items must be added to the
estimated cost or conn�act 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 cornplete, true and
conect.
' G%^��--�� Date: � ^ ` / � ��
Applicant s Signature:
3
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� DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTIC SCHEDULED �' (��f ��
PERMIT NO. � � C COMPLETED
ADDRESS �� �G(�t �a�h
OWNER � CONTR. �j.�c�i�)��'"
TELEPHONE NO.__��.� ��� �S/3
� DESCRIPTION �� ��-'�-�� �✓' -S`�'U'Y-�
lL 01 FOOTING 1 MECHANICAL RI 18 EXCAV/GRADING/FILLING
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y FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O�I SULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� pn�e�i�n �p WqTER 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
J,, 49 PLUM NG Rf �� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
���6-�iv� G FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED f-� PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED '7 ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex "nspection 24 hours in advance. �95Z) Z49-4600
OwnerlCont c o sit :
Inspector.
White Copyllnspector's File Canary CopylSite Notice