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HomeMy WebLinkAbout2008-P12203 - plumbing PERMIT `t;l-�Y OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p12203 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 6/25/2008 SITE ADDRESS: 1035 Heritage La Unit# Wayzata,MN 55391 PID: 10-117-23-13-0009 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: Pernut Fee: $ 35.00 Valuation: $ 1,700.00 State Surcharge Fee: $ 0.85 Misc. Fee: $ 1.15 TOTAL FEE: $ 37.00 APPLICANT: Genz-Ryan Plumbing&Heat OWNER: Jeff&Ellen Fritz 2200 W Highway 13 1035 Heritage La Burnsville,MN 55337 Wayzata,MN 55391 THE UNDERS[GNED 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 BUILD[NG CODE REQUIREMENTS. , ^ ( _ � l �i�� APPLICANT PERMIT �S[GNATIiRE ISS BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, l-Septic) Page 1 � � ' FOR CITY USE ONLY ` City of Orono 1������'�� P.O.Box 66 Date Received: Permit# '� 4` 2750 Kelley Parkway .a i �`. �.�; Crystal Bay,MN 55323 Approved By: Amount$: ��e '� 'a:� �' (952)249-4600 �,x,csno•'�':, CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or[nspector) GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person 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 return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECE[VE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON TNE 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 A 1 � Residential ❑Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs � Replace ❑ In Accessory Structure? *You will need prior apqroval and may need C'liP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: lo3s xExiT.aGE LarrE Owner:JEFF&ELLEN FRITz Mailing Address: sAME Clt ; BURNSVILLE Zl Y P� Home Phone: Alternate Phone: Contractor Information: GENZ-RYAN KIM Contractor: Contact Person: 2200 W H WY 13 42128287 Address: State Bond#: BURNSVILLE 55337 12/31/09 City: Zip: Expiration Date: (952)767-1000 (952)767-1863 Phone: Alternate Phone: ❑✓ Insurance—Current: 1 PLUMBING FIXTURES BEING��iNSTALLED� � � FIXTURE BSMT 1 2�D OTHER FIXTURE BSMT 1 2� OTHER TYPE FL FL TYPE FL FL Water Closet 2 Floor Drains Lavatory 2 Sewer Ejector Bathroom Laundry Tray Shower 2 Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous �1`��-t�t.�'2S Su,p��l i eGt l�L� ht��l�,n�r PERMIT fi�;F CALCULAI'ION(S) HASF,D OFF - 2002 STAZ,F: SZ'ATUE ❑ 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;excluding 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) $ L50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � PERMifi FEE CALCVLATI�N(S)-JOB�C?VER$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) 1,700.00 x.0125 $ 35.00 (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) x.0005 $ 0.50 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-[n Applications) $ I.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 37.00 ■ * 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 installations 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$],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 ardinances 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 Signat e: , Date:�� Reset Form 3 ✓ D TIM E CITY OF ORONO CALLED IN � INSPECTION NO���ao3 SCHEDULED - �" � PERMIT NO. COMPLETED � 1 � ADDRESS `�`S z��' `"`�-- � OWNER CONTR. ��'`z �-^� � TELEPHONE NO. � DESCRIPTION S�-�k�C L7�4�' � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d W��RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor n i Inspector. White Copyllnspector's File Canary CopylSite Notice �— D T \ IME �CITY OF ORONO CALLED IN � �/� INSPECTION N ICE SCHEDULED '�p"d � PERMIT NO. �ia.a� COMPLETED ADDRESS �D3S ���P/LGt"QQQ- U�/ OWNER CONTR.�9��z- TELEPHONE NO. �� � a 7"(� l�53 � DESCRIPTION � �� v�� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � �f X •-�rv ('c � L,.�.., �� �� . ,�.- 0 �. � 0 � W � Q � Z W � W � � d W ORKSATISFACTORY:PROCEED Li PROJECTCOMPLETE W ❑ ORRECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALITOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractor on site: Inspector. ( � �f r--��� � White Copyllnspector's File Canary Copy/Site Notice