HomeMy WebLinkAbout2001-P03612 - plumbing -� � PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P03612
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 3�16�2ooi
SITE ADDRESS: 215 Hollander Rd
WAYZATA,MN 55391
P I D: 2 5-118-23-44-0013
DESCRIPTION:
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PI'OpOSed USe: �wiucu�iai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Fixhues>3
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 2,495.00
State Surcharge Fee: $ 1.25
TOTAL FEE: $36.25
APPLICANT: Bue Plumbing OWNER: W B MCKEEVER&M H MCKEEVER
10561 Palm Street NW 215 HOLLANDER RD
Coon Rapids,MN 55433 WAYZATA MN 55391
TI�UNDERSIGNID HEREBY REQUFSTS PERMISSION TO MAKE T'HE REAL IMI'ROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII..DING CODE REQUIREMENTS. �
L�L�. �
URE ISS D B SIGNATURE
Copies:City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway) .
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City o�ces.
2. Permit cards will be sent by retum 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 the State Code requirements.
6: All work must be inspected and air tested before it is covered. Call 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 249-4600.
Please check one: New Addition Repair Replace
� Residential Commercial
.
JOB SITE: �j � `�t: � �``�` �'�Q:� Zip:
Owner's Name: � Telephone Number:
NTailing Address: `Z�`S- � � " � City: C��fn�%h � Zip:
Contractor's Name: U-� w+�, ;v�' Tele,�hon I�umber: �(j, " 7S7 /� `y%
Mailing Address: �U S(,z / � v►� S 1'� City: LaLn ' '.;c�S' Zip: S-y�3 5
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS�iT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavarory Sewer Ejector
Bathtub Laundry Tray �
Shower Washer f
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
. - , .
PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
� x .0125 $ �
(contract price)
2. State Surcharge. ** Add the State Buildin��oc�� Division
Surcharge to each permit. � `� l x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e 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 fumished by the owner,
tenant or any other party the reasonable mazket 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 Ci�y 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 Inspectional 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 Signature: Date: ��l�/ �)
PP �
CITYOFORONO LEDIN 3���� �'USE��
INSPECTION NOT EDUIED 3-���� ��
PERMIT NO. -� � ' COMPLETED '�ZZ� Z_d
ADDRESS �I S /�ULL,�,�'J�72 /�� f�ja _ �/ ,.`,-6-
OWNER ��I��( MCI�¢evzd' CONTR. i1_t,t 1 �'__, „ r�t�-. -i;vr�
TELEPHONE NO. 7�0� 7S_� I �"j�1 I
� DESCRIPTION ��U�"yt b ���--�1 ��L._
l� 01 FOOTING 11 MECHANIC RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PFOGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q -
9 P MBING RI � 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 1 LUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W�CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContract r on site:
Inspector. L`���-�'� �" `� �
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