HomeMy WebLinkAbout2008-P11908 - plumbing _ PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P11908
Ctrysfal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
3/7/2008
SITE ADDRESS: 1905 Heritage Dr Unit#
Wayzata,MN 55391
PID: 10-117-23-13-0013
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 0.00
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State Surcharge Fee: $ 0.50 �3 t;
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Norblom Plumbing Co. OWNER: David Scott
2905 Garfield Avenue S. 1905 Heritage Dr
Minneapolis,MN 55408 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 SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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< � FOR CITY USE ONLY
„���,, City of Orono
� P.O.Box 66 Date Received: Permit#
a ��� 2750 Kelley Parkway
� ; ;�" �'�j Crystal Bay,MN 55323 Approved By: Amount$:
�d'f� (952)249-4600
CITY OF ORONO—PLUMBING PERNIIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with State Code cequirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE�F PERMI
C�i�ck All That A 1
Residential ❑Commercial(Approval Required)
New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need nrior aonroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site!`Owner Inforz�ation:
Site A DavidlAnnette Scott
Owne� 1905 Heritage Drive �iling Address:
Orono, NIN 55391
City: 9524751787 ,:
Home Phone: Alternate Phone:
� Contractor Information: �
Contractor: Contact Person:
���
Address: State Bond#:
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
Mar. 6. 2008 2;41PM Norblom Plumbing No, 5031 P. 2
� � �����:P�.U'MBIN�C�r.;FIXTU,RES;N$.�IN�,TN'STALLED�.��" �'��`'" :;;:':��'�`,';';'�
::,�.. ,;;;; ���
PIXTURE BSMT 1 2 OTHER F.iXTUAE BSMT 1 2 OTHER
TY"PB �T, ��, T'YPB 1�T. T��.
Water Closet Floor Drains
Lavatory Scwrcr Ejector
l3atUroom Laundry'IYay
Sl�ower 'Washer
KitchenSink WAterHoattr 1(
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bisposel Water Softener
Dishwasher Wet�sr
Sillcocks Miscellaneous
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❑ 'Y'es,this section applies
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Tl�e replacement of�Tiesidential fixture or analiance that meets all three of the following requirements:
1, Does not require modification to olcctrical or gas setv'ica.
2. Y�as a total cost of$50�.40 or less;excludin�the cost of the fixtuure or appliance:end
3. Ys impro�ved,installed ar replaced by the homeowner or licensed contractor.
Skip next section,if this npplies; Cost of Pe�mit � 15.00
State Surcharge $ .SO
Msil-In F�e(If Applicable) $ 1.50
Total permlt�ec $
(permit Fees ConNnued On Next Pagc)
2
Mar, 6. 2008 2;41PM Norblom Plumbing No. 5031 P. 3
•4
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. ,.�;;;��"�'��.�;�;;':�;PE � FEE.C�►LC � ►ATION S —JOgS�.(�����$500:00;:.:�.;.,,=��.; :>:�,:�` �
If above does not apply;follow guideliunes belo�:
1. CpN'1`RACT PRICE *is 1.25%of conbract price with a(Minimun��'ee of 535.00)
x.0125$
(contreC[price) (minimum 535.00)��
2. STA'�SURCHARC� �*Add the State Bldg Codc Div_Surcharge(Minimum Fec of 5.50)
x.0005 $
(conuact price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-rn Appllcations) S 1.50
4. TOTAL PERMIT FLE(Add Linas 1-3 Above) $_ I 1��
■ s CONTRACT PRYC� or rOB COST means thc actual or estimated dollar Amount cliarged for the
pennitted work including materials, labor,profit,and other fixed wsts. Yt is the amount to be cbarged
to the customer for the work done. Yf any material, equipment,labor or installations Are furn;shed by
the owner,tenant or any other parCy,thc raasonsbie market value of such items must be added to the
estimated cost or conttsct pricc for permit fee purpose5. Tn the event thnt tl�e[e is a d'lspute on the
amount of the job cost, the City may request the submission of a signed cop�r of the actust contract.
■ ss Ti�e STATE SLIRCHARGE is .0005 of tha contract price under$1,000,000 or$.50—whiehever is
greater. Nor valuations over�1,000,000 call the�uilding Department at(952)249-4600 for the price.
- ; .. ..p�,UMBT�TC•pE''.RTv�•T•A�p�TCAT�Y� ::';::?'�, . '`,�;: .
The undersigned hereby applies to tlie City for issuance of a Plumbing permit, agrees to do all
work in strict accordenee with the ordinainees of the Cifiy and the tegulations of the State of
Minnesota, and certifies that all statements made on this application are complete, mte and
correCt.
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Applicant's Signature: � bate:
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i.,� �•y;'k;�• •:.>
,r' r y,f��• �.� Ree��:Fo�m.� £ ;:;���
4�. ��r• �F"I�• .�,�.��i �� �iVy���. ..�.
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�� DATE TIME V
CITY OF ORONO CALLED IN �
INSPECTION NOT ��90 SCHEDULED d d a•'��
PERMIT NO. � COMPLETED
ADDRESS �gOS �'� � 9�v
OWNER d_`i��/" CONTR. � ��
TELEPHONE NO. gS� ��S / 7�7
� DESCRIPTION ���"`-���.��
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ IS E CERTIFICATE OF OCCUPANCY
0 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWiTHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on si e:
Inspector. /
White Copyllnspector's File Canary CopylSite Notice