HomeMy WebLinkAbout2006-P10109 - plumbing - � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P1olo9
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
7/17/2006
SITE ADDRES�: � 2175 Kenwood Way Unit#
Wayzata,MN 55391
P��� 17-117-23-41-0035
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 125.00 valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 130.00
APPLICANT: Precision Plumbing Inc. OWNER: Diane Eiden-Anthony Thomas Homes
4311 Mason Lane NE 4100 Berkshire Lane
St. Micheal,MN 55376 Plymouth,MN 55446
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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I PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Appiicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOK CITY USE ONLY
,�` City of Orono
+ ¢O`r P.O.Box,66 Date Received: Permit#
�},,,,,, � 2750 Kelley Parkway
`�a '��'�?�P � Crystal Bay,MN 55323 Approved By: Amount$:
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CITY OF ORONO—PLUMBING PERMIT
� (All Commercial permits must Ue 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 pernut will be issued within two working days.
2. Pernut cards will be sent by retuin 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 pernuts 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 pemut must be
obtained.
5. All work must be done in accordance with State Code requirements.
5. 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 That Apply)
�Residential ❑ Commercial(Approval Required)
�f �
�New ❑Additional ❑Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
�Job Site/ Owner Information:
Site Address: � � 75 �.i��'l i`.�icrt►�' ��' a� , �V« �L���r�
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ��- 'QCS�Td�„ �_�1�� Contact Person: 1(ui �.F �o���P S�����
Address: �1's'I) !�c_Ctm LA:�t,� � State Bond #:
City: � t � Zip: �j51t��Expiration Date:
Phone: �7L+ ��� y`17-7y�� Alternate Phone: (1�2,'.��'I�7����
❑ Insurance—Current:
1
PLUMBING FIXTURES BEING INSTALLED
�
FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
�.. � ��J� �L`'y�
Lavatory � � Sewer Ejector �
Bathtub ` I Laundry Tray
1
Shower / Washer '
/
Kitchen Sink / Water Heater /
I
Disposal / Water Softener
�l
Dishwasher ] Wet Bar �
Sillcocks Miscellaneous
` PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATLTE
❑ 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;excludins the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
-PERMIT FEE CALCULATION S —JOBS OVER$500.00
If above does not apply; follow guidelines below:
1: CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
� " �� 0�� x.0125$
(contract price) (minimum�35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
�'`i" �p C�O� x .0005 $
contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on 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
peimitted 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 pernut 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 cont�act price under$1,000,000 or$.50—whichever is
greater. For valuations over$1,000,000 call the Building Deparhnent af(952)249-4600 for the price.
PLUMB]NG PERMIT APPLICATION AGREEMENT
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: � �",/ "� �
3
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D TE TIME �1.�
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� ITY OF ORONO CALLED IN �
INSPECTION NO / A SCHEDULED �
PERMIT NO. ��f D��l COMPLETED �v ��
ADDRESS W�Cx-�
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OWNER CONTR.
TELEPHONE NO. (�� � � � l_"�b
� DESCRIPTION �JC-�-�-�'vl .P
Iy� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
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� COMMENTS:
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GW WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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p ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-4600
OwnerlContractor on 'te:
Inspector.
( � V
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION TICE SCHEDULED �����
PERMIT N0. connP�ETE
ADDRESS � ��
OWN ER CONTR.
TELEPHONE NO. CO��— ,3t0� "�i �C��
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINA� 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J �0 UMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C, ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for t xt inspection 24 hours in advance. (Q52� 249-46��
OwnerlC r c 'te:
Inspector.
White Copylinspector's ile Canary CopylSite Notice