HomeMy WebLinkAbout2005-P09069 - plumbing . PERMIT
�ITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09069
Crystal Bay, Minnesota 55323 Permit Type: Fixcures
(952)249-4600 Date Issued:
8/15/2005
SITE ADDRESS: 3535 Ivy Place Unit#
Wayzata,MN 55391
P��� 20-117-23-42-0035
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: Plumbing
Pernut Type: Fixtures Permit Sub-type(s): Mulriple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 106.25 valuation: $ 8,500.00
State Surcharge Fee: $ 4.25
TOTAL FEE: $ 110.50
APPLICANT: Thompson Plumbing OWNER: Pete&Susie Bazil
15001 Minnetonka Ind.Rd. 3535 Ivy Place
Minnetonka,MN 55345 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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CANT PERMITEE SIGNATURE I UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
,
, FOR CITl�USE ONLY
f�Q�� City of Orono
/ P.O.Box 66 Date Keceived: Permit#
' 2750 Kelley Parkway
��r�,'" �+. Crysta(Bay,MN 55323 Approved By: Amount$
��„��Fi��u�� (952)249-4600
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CITY OF ORONO-PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAIa INF(�R�IATION �f
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
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 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 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 All Z,hat A 1 �
f�Residential ❑Commercial(Approval Required)
❑New ",� Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need prior anproval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
�U�,1'�,��� �'V�T�+E��`�p�i��i��l � ���� �_
o� �,:
Site Address: �`��� �� ���C s�
Owner��(a�,� ��a�c�- Mailing Address: ���:�Sv"��[�.�`
City: r__,r :�c, Zip:
Home Phone: Alternate Phone:
�.'(�1'I�L��`�@ �:;��1����� & � '" r *n
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Contractor:��� '1�,-,��m����Contact Person: �� G����.
Address: �� �����. �- State Bond #: � ��� ���4�"� �
City: �i✓1n��a����t Zip:���Expiration Date: /.=� '=�! -�J
Phone: ��-���������� Alternate Phone:
❑ Insurance-Current:
1
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory � Sewer Ejector
.�� Laundry Tray
t3.,��.�
Shower � Washer
Kitchen Sink Water Heater
Disposal VVzter Softerer
Dishwasher Wet Bar �
Sillcocks Miscellaneous
� __.._�_., _._ ___ _ _________ __ . _ ,_
1'T��RMIT'�FGF, C�,LCl.1L,A'1'TON f5) '����` ���
�3ASED UT�'!� =200? STATE S"I,AT[1L
: ,_ �: _ _� _-_ _ ___-_--_. __ _._ __:_ . _._ ._�
❑ Yes,this section applies
��
The replacement of a Residential fixture or liance that meets a three of the following requirements:
l. Does not require modification to elec 'cal or ga�'service.
2. Has a total cost of$500.00 or less;exclu in the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the h eowner or licensed contractor.
Skip next section, if this applies; Cost o Permit $ 15.00
State Su harge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
c.:,
��L ` x A125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
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�`���' x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $_ 1�.�
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 installations 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 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 Building Department at(952)249-4600 for the price.
E��. '�. ��M
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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.
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Applicant's Signature: � ���� ,� l,'C1=��.U� Date: ��- i/ -� �;.,
' Reset Form
3
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i � � DATE TIME
�� CITY OF ORONO CAL�ED W �f'' �l"�-S
INSPECTION NOTI E�i,v� SCHEDULED �'��p-f�S� U•'� .til
PERMIT NO. �U7 c.[X� COMPLETED
ADDRESS �� ����
OWNER CONTR. /� SS�J
TELEPHONE NO. l..S�� �3 � �7r 7
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 - 15 SEPTIC INSTALL. 22 FOLLOW-UP
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09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 ING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W ,-O WORKSATISFACTORY:PROCEED Li PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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Q ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
�� CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
' STOP ORDER POSTED.CALL INSPECTOR
' I INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Ca11 for t xt i.spection 24 hours in advance. (952� 249-460�
OwnerlContr ctor site: � '�
Inspector. _
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White Copy/lnspector's File Canary CopylSite Notice
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/ D� TIME
CITY OF ORONO CALLED IN
II�SPEETION Nf�TICE SCHEDULED //�� � '��
PERMITNO. �"� 5�� y COMPLETED
ADDRESS 3'-�-3�
OWNER ��� CONTR.
TELEPHONENO. �'l��a-- 'l��� � 77� �
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� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
4Qi 09 PLU ING I 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBI G 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
y COMMENTS:
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W� �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (g52) 249-46��
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OwnedContr o ite:
Inspector. �
White Copyllnspector's le Canary CopylSite Notice