HomeMy WebLinkAbout2004-P07162 - plumbing PERMIT
C,ITI�`� OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�i62
Crystal Bay, Minnesota 55323 Permit Type: FiXcuTes
(952) 249-4600 Date Issued: l�i3izoo4
SITE ADDRESS: 225 Hollander Rd
Wayzata,MN 55391
P I D: 2 5-118-2 3-44-0007
DESCRIPTION:
Proposed Use:
Permit Class: Plumbing
Permit Type: Fixhzres Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 44.43 Valuation: $ 3,554.00
State Surcharge Fee: $ 1.78
Misc.Fee: $ 1.50
TOTAL FEE: $ 47.71
APPLICANT: Vogt Heating&Air Conditioning(See Cor QWNER: Jill&Louis Close
3260 Gorham Ave 225 Hollander Rd
St.Louis Park,MN 55426 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.
C�Y� �
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Covies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessine. 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUM�3�iG PERII�II"C
Box 66 (27�0 Kelley Parkway) � �, ��
Crystal Bay, i�IN ��323
GENERAL Pi IFORi'�1ATION
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 afcer a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PER:�IIT. WORK MUST NOT BEGIN UNTIL TI-IE PER�IIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing pernuts may be issued ONLY to licensed p(umbing contractors and to property owners residin�
in the dwelling.
4. When any new constructioci or remodeling is involved, a separate building permit must be ob[ained.
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 no[ice required.
Instructions Complete ail 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
� Resiclential Commercial
JOB SITE: ' ( �C 'Lip: ,-'yj,��3
O«-ner's Name: '� , • Telephone Number:
�Iailin Address: � > >
g r-� � Y1.� (�,< 1p� City: Zip:
�ontractor's Name: 1 � � � � � �� Telephone Number: �s� �;�y_�,"7C�,'
i�Iailing Address: (;,� , � � City: j- Z : (% Zip: �)s�� ��,
PLUMBING FIXTURE SCHEDULE
FIYTURE BSNiT 1ST 2ND OTHER FIXTURE BS�1T IS'C ?�D OTHER
I'YPE FL FL TYPE FL FL
Wa�er Closet � F(oor Drains
La��atory "� Scwcr Ejector
Bathtub Laundrv Trati'
Sho���er � � Washer
Kitchen Sink Water Hca[er
Disposal �Vater Softener
f�ishwasher Wet Bar
s�li����s ti���� �i�s�> � 3
—-- -- I s,.�\1- 1�,�m 11
I ��,::�u��n�� bc.�l�
�� ,1.�2, vr�s�.l tif`'?i��"'�'�
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PERl�IIT �EE CALCULATION
l. 1.25% of Contract Price* or Minimum Fee ($35.00)
�� ��, c�� , x .0125 $ ��_� �-� , �-��
(contract price)
2. State Surchar�e. ** Add the State Bui`ding Code Division I ' � �
Surcharge to each permit. �_J_�� � , x .0005 $
(concract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ y�]; �
�` CUN"TRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including raaterials, labor, profit, and other fixed costs. It is th:, 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 parry the reasonable marlet 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 Ciiy may request the submission of a si�ned copy of the actual contract.
** The STATE SURCHARGE is .000� of [he con[ract price under �1,000,000 or $.�0 - 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, aarees 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 statemenu made on this application are complete, true and
correct.
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Applicant'sSignature: ,�- �� (,t�(� � ���� ���� Date: �— ���' � �
�ra,�„n9-Bld� P�
7�.s� ✓ �
CITY OF ORONO p�1.�M�`�CALLED IN �DATE.A `J,� TIME
INSPECTION NO ICE i /SCHEDULED •>"� ' "`� �t �'�
PERMIT NO. f�C' 7 I C�' � `� COMPLETED
ADDRESS ��.},`� / �,:I lC:< ,��_ �� �,
OWNER CONTR. � .��r:������'��� ����
TELEPHONE N0. C/ 5��=� �'��I c� `� �Ic.�(/` �"�
� DESCRIPTION � - �� `- f
� 01 FOOTING �� 1 MECHANICALRI Q 18 EXCAV/GRADING/FILLING
Q RAICAING 13 AL FINAL 19 LAKESHORE/WETLANDS
y TION 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
Q 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUA�B�NG RI _,�Q� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
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W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
�INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-4600
OwnerlCo r ite:
-� <
Inspector.
White Copyllnspector's Fil Canary Copy/Site Notice