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Home My WebLink About2003-P06095 - plumbing PERMIT C�T� OF ORONO Permit ►vumber: 2'�50 Kelley Parkway - PO Box 66 P06095 Crystal Bay, Minnesota 55323 Permit Type: FiXr�res (952) 249-4600 Date Issued: 3i12i2oo3 SITE ADDRESS: 1955 Heritage Dr Wayzata,MN 55391 PID: 10-117-23-13-0014 DESCRI PTION: Proposed Use: Kesidential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 62.50 Valuation• $ 5,000.00 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 65.00 APPLICANT: Bergman Plumbing Inc. OWNER: Eugene&Sharon Clark 21181 Xeon 1955 Heritage Dr Jordan, MN 55352 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. -= 2 � �l �e APPL[CANT PERMITE NATURE IS UED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 6b (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 pemuts 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 the State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (952) 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 (952) 249-4600. Please check one: � New Addition Repair � Replace Residential Commercial JOB SITE: ��S� ��rr�fi��, p�. C.��or1� Zip: Owner's Name: Telephone Number: Mailing Address: City: Zip• Contractor's Name: "r ��, Q j�,,�, ;,,� Telephone Number:•y�'�-�3,�_�6 3� Mailing Address: �11�1 xe�� A.,;� City• ,�'U��9��, Zip: sS3s2 PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet � � Floor Drains � Lavato � Sewer E'ector Bathtub � Laund Tra ( Shower 1 ( Washer Kitchen Sink 1 Water Heater ( Dis osal � Water Softener Dishwasher � Wet Baz Sillcocks � Misc (list) PERMIT FEE CALCULATION(Sl 2002 State Statute ❑ 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; excludin� the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licenced contractor. Skip next section; Cost of Pernut $ 15.00 State Surcharge $ .50 Mail In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00) .�',S �� x .0125 $ (ntract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50) x .0005 $ (contract price) (minimum $ .50) 3. Postage 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 charged 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 installation are furnished 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 Department of Inspection 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. A licant's Si nature: "�j� Date: .� `1 a�� PP g � � � DA E TIME � CITY OF ORONO CAIIED IN �-� C�� INSPECTION NO�ICE�+,�y� SCHEDULED - ' � �' �'�% ti7 PERMITNO. �``�LOI/7�J COMPLETED ADDRESS /Q`Y �-/�/�� 9.C. / � OWNER CONTR.�'��9f'l�IGt,�v f,�v�' TELEPHONE NO. � DESCRIPTION � �� 'i � .-ti � 01 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT `� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUM I 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 1 LU t FINA / 36 FOUNDATION/REMOVAL Z O EET YOU:VYES_NO � COMIIQENTS ' a �1.- � � S j 0 �� O � 4.i k Q � Z W � W � � O W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORFECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN �❑S P ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED PECTION REQUIRED.CALLTO ARRANGE ACCESS. �� . Call for the next'nspection 24 hours in advance. (952� 249-46�� OwnerlContra it�: Inspector. � White Copy/lnspector's File Canary CopylSite Notice � V / D TE� TIME CITY OF ORONO CALLED IN � �.j INSPECTION NOTICE SCHEDULEO __�' � PERMIT N0. �L l��C��IS COMPLETED ADDRESS � C�`-�S �f--�.Q�L,� �C�Q? �� . OWNER CONTR. �`�� FrC' �l � TELEPHONE N0. C�'��6-�� 3:� —�%'�n ��-� � DESCRIPTION _ �� -�%'�'�l� 1 Vl�i � 01 FOOTING 11 MECHANICAL RI 8 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q O5 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 a � J O � � O � W � Q � 2 W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CEATIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next insp�tion 24 hours in advance. (g52) 249-46�� t OwnerlContract ite: � Inspector. , White Copyllnspector's File Canary Copy/Site Notice