HomeMy WebLinkAbout2002-P05799 - plumbing � �
PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P05799
Crystal Bay, Minnesota 55323 Permit Type: FiX�es
(952) 249-4600 Date Issued: llii�2oo2
SITE ADDRESS: 3509 Ivy Pl
Wayzata,MN 55391
PID: 20-117-23-43-0054
DESCRIPTION:
Proposed Use: Kesidenriai
Pernut Class: Pluxnbing
Permit Type: Fixtures Permit Sub-type(s): Mulriple Fixtures
DEI'AILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 160.63 Valuation• $ 12,850.00
State Surcharge Fee: $ 6.43
Misc.Fee: $ 1.50
TOTAL FEE: $ 168.56
APPLICANT: Schulties Plumbing OWNER: Leisel Cox
1521 94th Lane NE 3509 Ivy Pl
Blaine,MN 55449 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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Couies: 1-File(SiQnitures Required), 1-Auulicant, 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFOR1�iATION
1. You may apply for plumbing permits by mail or in person at the City o�ces.
2. Permit cards will be sent by return 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 permiu may be issued ONLY to licensed plumbing contractors and to proper[y 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 wi[h the State Code requirements.
6: All work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice require�.
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
�►�y)
JOB SITE: 3� �� Zip:
Owner's Name: . Telephone Number:
Niailing Address: �c ;City;:����, t�
Contractor's Name: � Telephone I�umber: • ��� �
Mailing Address: City: Zip: °
PLUNIBING F`II�TURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSbiT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � � Floor Drains f
Lavatory � � ,� Sewer Ejector
Bathtub Laundry Tray �
Shower � � � Washer �
Kitchen Sink Water Heater
Disposal / Water Softener
Dishwasher � Wet Bar
Sillcocks Misc (list) %
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimu Fee 35.00 /
/of �' x .0125 $ � (��
(contrac price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ �' � ��
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ /�o ;� o ��
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and o[her fixed costs. It is the amount to be charged to the
cusromer for the work done. If 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 pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciry 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. .
Applicant's Signature. . Date: j� �f ��
SL`
/ DATE TIME
CITY OF ORONO CALLED IN �����""
INSPECTION NC3TICE SCHEDULED � � � ��
PERMIT NO. fC' .� " ; ��� COMPLETED
ADDRESS ��C; � __T v �/ ��
OWNER CONTR. 5lt ��% ti Cs'' /`�/r�
TELEPHONENO. ���" � 7Sj'(,-� � �/C'C%�
� DESCRIPTION �� ��<<<i nb,i-i�>
� 01 FOOTING 11 MECHAN CAL 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
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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
� OWNEFiICONTRACTORTOMEETYOU: YES_NO i
� COMMENTS: � � C' �� � C
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W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
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Call for the next insp�ction 24 hours in advance. (952� 249-4600
Owner/Contractor ite
Inspector. `
White Copylinspector's File Canary Copy/Sfte Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO SCHEDULED ��d 2- .�i(
PERMIT NO. �� 7�f g' COMPLETED
ADDRESS � �C
OWNER CONTR. � T/v�vJ.
TELEPHONE NO. � � 3 ���� �O�7
� DESCRIPTION—L�YI��lr clYo l�`( �
� 01 FOOTING 11 MEC ICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSUTATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J �� 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLU � 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�_NO
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� �NORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlCon n it .
Inspector. �
White Copyllnspector's File Canary CopylSite NoNce
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DATE TIME
CITY OF ORONO CALLED IN 3 D'3
INSPECTION OTICE SCHEDULED � _��
PERMIT NO�L� �T"��'l',�, COMPLETED
ADDRESS . ��G �'7' ._l i%L� f'�_
OWNER CONTR. ��.i i f-�11-f'.<:
TELEPliONE NO. ��G � - 7.��v--�[Y' 7 ���'►'�� -
� DESCRIPTION
'�`t�%l'l.b �L'�`2'��
� 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
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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTORTOMEETYOU'.�C�..�YES�10 /
� COMMENTS: �� `��v �'Y�F,I f- �.
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR
❑CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnedContr,acisro site:
Inspector.
White Copylinspector's File Canary Copy/Site Notice .