HomeMy WebLinkAbout2004-P07925 - plumbing � �« F PERMIT
C�T O ORONO permit Number:
2750 �Celley Parkway- PO Box 66 P07925
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 9�s�2ooa
SITE ADDRESS: 315 Hollander Rd
Wayzata,MI�T 55391
P I D: 25-118-23-43-0014
DESCRIPTION:
Proposed Use: Kesidentiai
Perxnit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixhues
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Also Gas stove&Ice Maker
FEE SUMMARY: Pernut Fee: $ 63.13 Valuation• $ 5,050.00
State Surcharge Fee: $ 2.53
Misc.Fee: $ 1.50
TOTAL F'EE: $ 67.16
APPLICANT: Penn Plumbing OWNER: Nathan&Constance Fagre
8651 Penn Avenue S. 315 Hollander Rd
Bloomington,MN 55431-2018 Wayzata MN 55391
TI�UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICf COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SfATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
/Vl 11�. .�, ��
APPLICANT PERMITEE SIGNATURE S[JED BY SIGNATURE
Conies: 1-File(SiQniiures Required),1-Auulicant 1-Monthlv Revorts, 1-Assessine, 1-Finance Page 1
�
�
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 offices.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID LJNTIL YOU
RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTEU ON THE IOB
SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the
dwe(ling.
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,
ca(I (952) 249-4600.
Please check one: New Addition Repair Replace
✓ Residential Commercial
JOB SITE: 315 Hollander Rd Zjp; 55391
Owner's Name: Telephone Number:
Mailing Address: 315 Hoilander Rd C'ity: Wayzata Zlp: 55391
Contractor's Name: Penn Plumbing Inc Telephone Number: 952 881 9222
Mailing Address: 8651 Penn Ave So Clty Bloomington Zip•55431
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1 ST 2ND OTHER FIXTURE BSM 1 S 2ND OTHER
TYPE FL FL TYPE T T FL
FL
Water Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laund Tra
Shower Washer �
Kitchen Sink � Water Heater
Dis osal � Water Softener
Dishwasher � Wet Bar �
Sillcocks Misc list �
r �f a�.e�
�
�-e y��-� .
PERMIT FEE CALCULATION(S)
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) [s improved, insta(led or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 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)
��
SC)'�U, `+v x .012 5 $ � �. i �-
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of $ .50)
.!�l�5�� . `� x .0005 $ ��. ��
(contract price) (minimum$.50)
3. Postage and Handlin� (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. lf 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 reyuest 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.
Applicant's Signature: ��ir�,�XG� �`��?2.� Date: 09/01/04
Reset Form
__ __ _ __ _
� � 4 —� D TE TIME �
� � /s�/�
CITY OF ORONO CALLED IN
INSPECTION NOT CE SCHEDULED ��.�
PERMIT NO. ' COMPLETED << �
ADDRESS ��i S -�-fo I Ic�►'Y��(�
OWNER CONTR. ��h l�l(����
TELEPHONE NO. ��Z �D � ' c1 ZZZ
� DESCRIPTION �'-�'em{� ��
� 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
Z04 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
v 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
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
�
a --- �0�5 L�wf �i 6 (C
o - Pv� � � �. `<
�
�
0
�
W
�
Q
�
Z
W
�
W
�
�
a
W SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor si
Inspector.
White Copylinspector's File Canary CopylSite Notice