HomeMy WebLinkAbout2007-P10957 - plumbing PERMIT
CiTY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p10957
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
5/3/2007
SITE ADDRESS: 225 Hollander Rd Unit#
Wayzata,MN 55391
PID: 25-118-23-44-0007
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixhzres Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 81•25 vatuation: $ 6,500.00
State Surcharge Fee: $ 3.25
TOTAL FEE: $ 84.50
APPLICANT: B R Mechanical OWNER: Jill&Louis Close
6250 Bunker Lake Blvd. #207 225 Hollander Rd
Ramsey,MN 55303 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISS[ON 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 PERM�7T GNATURE [ SUED BY SIGNATURE
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Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page l
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� � � ` FOR CITY USE ONLY
�0� City of Orono
P.O.Bo�66 DateReceived: Pertnit#
�'� � 2750 Kelley Parkway
'� � Crystal Bay,MN 55323 Approved By: Amount$:
� " � o (952)249-4600
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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 pernuts by mail or in person at the City offices. Applicarions will be
�"` " • reviewed and a permit will be issued within two working days.
2. Pemut cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORKMUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing pernuts may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new conshucrion 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 A11 That A 1 ) .
(�Residential . ❑Commercial(Approval Required)
❑ New [�Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need nrior apnroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: ��S D�uk��tG� /���,
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractar Information: '
Contractor: ,�� �c�ktcu.�,C� SGiL, Contact Person: i�� �auv��a c.
Address: �j�_�Ir�.c�t�,�,��1� State Bond#:
City: � c Zip:_„��3 Expiration Date: /`2-� /�0 7
Phone: 7,�.?-3 2 3 �D 776 Alternate Phone: 7 6�-23 9^�9'�F�'
❑ Insurance-Current: Cc<r.� Ca✓
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PLLTMBING FIXTURES BEING 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 i , Laundry Tray
I
Shower � Washer
Kitchen Sink ' Water Heater
� .
Disposal � Water Softener i
Dishwasher � Wet Bar
Sillcocks Miscellaneous
PERIV�IT FEE CALCLTLATION(�) . '�
BASED OFF>- 2002 STATE STATUE `
❑ Yes, this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements: I
1. Does not require modification to electrical or gas seivice.
2. Has a total cost of$500.00 or less; excludine 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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PER�ViI'T FEE"_CAi;�CUI:AT,�ON � 'JQ�3S�O�R"$�04.OQ , ' ���
� If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
- • - ,�j,S�� x.0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or esrimated 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 installarions 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 pernut 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'SiJRCHARGE is .0005 of the contract price under$1,000,000 or$.50—wluchever is
greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
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ywc� a�� , "�"j,° �.,�"`��a������, s�������Nh� .��� a�.;� i...k.;`t. .Fe.'�:�. �
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.
Applicant's Signature: Date: J i� �7
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CITY OF ORONO CALLED IN � �
INSPECTION NOT CE �,v SCHEDULED 5 -D� =d�
PERMIT NO.D/6�� � ^'�COMPLETED
ADDRESS ' ��� r���`-��
OWNER CONTR.�/Q ��C�
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TELEPHONENO. 7�i .3` a�,3�'D77�j
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� DESCRIPTION /"�e� � y T ��� �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILtING_______
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 �NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 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 ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� �CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
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PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. jJ pHOTOTAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIOtJREQUIRED.CALLTOARRANGEACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector. � l �=��1"/ t
White Copyllnspector's File Canary CopylSite Notice
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D/� ATb TIME
CITY OF ORONO CALLED IN _�t
INSPECTION N C SCHEDULED /D;�
PERMIT NO. COMPLETED —S"O �
ADDRESS A�o�S �d��-�� O� �' I 'VJ
OWNER CONTR. �✓� f�l��
TELEPHONE NO. �h3 30Z� ��7�
� DESCRIPTION � � '"`�-C
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FI�LING
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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC IIdSTALL. 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:
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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
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. �dRJ J�7^���
White Copyllnspector's File Canary CopylSite Notice