HomeMy WebLinkAbout2002-P05123 - plumbing � .
PERMIT '
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P05123
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: siv2oo2
SITE ADDRESS: 568 Keene Ave
Wayzata,MN 55391
P I D: 02-117-23-31-0042 �
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 225.00 Valuation: $ 18,000.00
State Surcharge Fee: $ 9.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 235.50
APPLICANT: Plaas Incoiporated OWNER: Donald&7oanne Davidson
1427 Old West Main 568 Keene Ave.
Red Wing,MN 55066 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFI�D
AND AGREES TO DO ALL WORK IN STWCT'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
Apr-30-200Z OIp:lOam From-CITY OP ORONO +9522494616 T-Ih34 P.002/00T F-474
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CIT OF ORONO A.PPLYCATION FOR PL Il�iG PERMIT
Bog�6 (2750 Kelley Parkway)
Crys�al Bay, 1VIN 55323
E IR L INFO MATI N
� 1. You may appIy for plumbing permits by mail or in person at the Ciry ofFices.
2, ! Permit cazds will be sent by renirn mail af�er a review is compleccd. PERMYTS ARE OT VALID LTNTIL
�I YOU RECBIVE A PBRMrr. woRx MUS?voT aEG rrrn_.THE C IS P s�n ON
I 1'F[ JOB STTE.
3. I Plumbing permits may be issued ONLY to licensed plumbing conaactors and to pro erty owners residing
I in che dwelling.
4. �I When any new construction or remodeliug is mvolved, a sepaza�e buildiag permit mu�t be obtained.
5. I All work must be done in accordance wich cht 5tate Code requiremencs.
6. I All work must be inspected and air tested l�efore it is covered. CaII (952) 249��00. 24-hour aotice
required.
n ' ns Complete all i[ems on this application. Compute the permit fee. Sign and date the
ceni cacion. INCOMPLETE APPLICATIONS WILL NOT BE PROCESS D. If you have
quest�ons, call (952) 249-4600.
Pleas� check one: �New _ Addition Repais Replace
Residential _� Commercial I
JOB ITE: S� S k F E u E p-V i� Zi
Own 's Name: �Do r� D A���S v+J Telephone Number: �3- SS — 6.S
Mai ' g Address: Z g zv �Lck.�c� tic ����[_City:��vwro�r� Zi : 5S 44 7
Contrfactor's Name: P�A�As t r►c o 2.a�vt�A�t'E� Telephone Nwnb : 6S/-3 cg�-��� I
Maili�gAddress:_l42� c�Lo c,u�T rk�+n� City: i2.� i,.,��G Zi _ Sso 6 6
p�,�M ,ING FiXTLTRE SCAEDYJLE
FIXT fi BSMT 1ST 2ND OTHER FIXTURL BSMT 1S 2ND OTHER
TYP FL PL TYPE FL FL
Wate� Closet � 1 Floor Drains � �
Lava Z 3 Sewer E'eccor
Barh b 'L � La Tra
Show r Washer �
Kit Sin1c Wacer Heaur {
Dis o al Wacer Sofcener
Dish asher Wet Bar
Sillco ks Z- Misc (list)
II I�
Apr-30 2002 O�:lOam From-CITY OF ORONO +g522494616 T- 34 P.003/007 F-4T4
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p T FEE CAL ULA N S
�
200216tate Statu�e_ ❑ 'Yes, 1'his Section Applies I
The �eplacement of a Resid�ntial fixnire or avnliance chat meets all tUree I of the following
requi�ements:
II 1) D e�s not require modification to electrical or gas service. I
j 2) Has a total c c of$500.00 or less; excludin�[he cost of the fix�ure or appliance:
and �
3) Is improved, installed or repla�ed by the homeowner or licenc�d contractor.
Skip next section; Cos[ of Permit $ 15 00
State Surcharge $ .50
Mail In Fee S 1.50
If abc�ve does not apply, follow guidelines below: I
1. II Cont act Pri�* is .0125 % of job with a Minimu�'► Fee of($3 .5 QO)
��,p�o,o_� x .0125 $ ZS
(contcact price) ( ' ' um$35.00)
2. I te S rchar . *'� Add the State Building Code Division a (Minim Fee of$ .50)
_�'� ��, x .0005 $
(con�ract price) ( ' ' um S .50)
I
3, II Po e d Ha (Only mail-in applica�ions) $ 1.50
4. I� TOTAL PERMI'Y'FEE (Add lines 1-3 above) $ -S
� II CONTRACT PRICE or JOB COST means che accual or esiimated dollar amount ch ged.Por[he permined
I work includit�ma�erials, labor,profit,and other fixed cosu. It is the amount to be ged to the customer
for the work done. If any material, equipm�.nt, labor, or iascallation are furnished b che owner, cenaat or
any o[her parry the reasonable marketi value af such items must be added�o the es � r.ed cost or contract
price for permic fee purposes. Tn che evan[that chere is a dispute on the amoun[af the ob cost,the City may
reques[the submission of a signed copy of the actual coutraci.
}* The STATE SURCHARGE is .OQ05 of the contraet price under$1,000,000 or 5.50-whiehever is greater.
i For valuauons over $1,000.000 call the Deparanent of Inspecuon Services for the p 'ce.
The �ndersigned hereby applies to the City for issuance of a Plumbi.ng Permi , agrees to do all
workl in stricc accordance with the ordinances of the Ciry and the regulario of the State of
Minnjesota, and certifies that all statement� made on tUis applicauon are c�mplete, true and
corre�t.
, Dal . d �
Appl lcant s Signature: _,�-l�!�� -
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DATE TIME
CITY OF O ONO CALLED IN
INSPECTIO NOTI E SCHEDULED
PERMIT NO �/�3 COMPLETED ��-- �
ADDRESS �S
OWNER CONTR.
TELEPHON N0.
� DESCRIPTI N
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSUlAT10N 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
� 04 WAIL BD. I
Z 12 W OOK-UP 17 SITE INSPECTION
Q OS FINAL I ER HO - 06 PROGRESS
� 07 DEMO-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 FI L 36 FOUNDATION/REMOVAL
� OWNERICONTRA TO MEET YOU:_YES_NO
o COMMENTS:
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WORKSATISFA ORY:PROCEED OJECTCOMPLEfE
CORRECT WOR &PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WOR CALL FOR REINSPECTION TEMPORARY
V BEFORE C�/ER NG PERMANENT
❑CORRECT UN E CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTO WILL RETURN ❑CITATION ISSUED
O STOPORDER STED.CALLINSPECTOR
�INSPECTION RE UIRED.CALLTO ARRANGE ACCESS.
Call fo the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContr or on site:
Inspector.
hit Copyllnspector's File Canary CopylSite Notice
✓� DATE TIME
CITY OF ORONO CALLED IN
INSPECTIO NOTICE SCHEDULED .�3-o��� ,�,�
PERMIT N�� �1�� COMPLETED
ADDRESS �°� ���--�
OWNER � CONTR. '
TELEPHONE NO. �P �� � � S� Y ��
� DESCRIPTION �����.h-�lZ;(;�� fQ�
� 01 FOOTING i t MEC�NICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION � 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
�� 04 WALL BD.
� 12 WATER HOOK-UP 17 SITE WSPECTION
OS FINAL , 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
Q 07 DEMO-FINALI 15 SEPTIC INSTALL. 22 FOLLOW-UP
PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 36 FOUNDATION/REMOVAL
� OWNERICONTRA�TOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in a ce. 952� 249-46��
OwnedCo ctor on site: —
Inspecto .. -_._�
h'e Copyllnspecto s File Canary CopylSite Notice
��� � DATE TIME
ITY OF R N '�/�"!`
C O O O CALLEDIN
INSPECTION OTICE SCHEDULED '�� � 3 a
PERMIT N0. COMPLETED
ADDRESS ��P � ��--�--�
OWNER ��y'��� CONTR. �� :�
TELEPHONE NO. �P �� 7 � ']'�— 3 � ��I
� DESCRIPTION,
� O7 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS
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 06 PROGRESS
�,�, 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
`� 07 DEMO- 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
UMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL, 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENT :
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WIi.L RETURN
O STOP OROER POSTED.CALL INSPECTOR
�CITATION ISSUED
O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46�0
OwnedCo tor on site• -
Inspector. -
�te Copylinspector's Ffle Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E, SCHEDULED �'2 -°� •�P
PERMIT NO. � �J COMPLETED
,� _
ADDRESS �'��%� f'l/�
OWNER CONTR. C� '
TELEPHONE N0. �D..S�� ;�!1 X ���
�
� DESCRIPTION _�=�ti..�C�-F,;'Z�---L, f �G�ti--s�
� 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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
`� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W �9 F?L,�MBJN6�FiF•----- 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUM�NQG�INR � 36 FOUNDATION/REMOVAL
� ONTRACTO TO MEET YOU: YES_NO
_.__..._
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPIEfE
W ❑CORRECT WORK S PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI.FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next nspection 24 hours in advance. (952� 249-4600
OwnerlContr n i •
Inspector.
White Copy/lnspector's Fil Canary CopylSite Notice