HomeMy WebLinkAbout2001-P03494 - plumbing w . _ PERMIT
CITY �F ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po3a9a
Crystal Bay, Minnesota 55323 Permit Type: Fix�es
(612) 249-4600 Date Issued: ii26�2ooi
SITE ADDRESS: 1245 Lakeview Ave
WAYZATA,MN 55391
P I D: 10-117-23-24-0024
DESCRIPTION:
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PTOpOS0C1 USO: nc�iucu�iai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): a at Closet
rY
Bathtub
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,400.00
State Surcharge Fee: $ 1.20
TOTAL FEE: $ 36.20
APPLICANT: Weld&Sons Plumbing OWNER: �ITH NORD&VIRGINIA GRIFFITHS
315 Juneau Lane 1245 LAKEVIEW AVE
Plymouth,MN 55447 WAYZATA,MN 55391
THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMI'LIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS.
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AP I N IS D BY SIGNATURE
Copies:City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR PLLJI�iBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Pemut cards will be sent by retum 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 pemuts may be issued ONLY to licensed plumbing contractors and to properry 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 the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice required.
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
JOB SITE: �ei f'� /V�►'d �PS�d�nce �-'�o?9S`��«,�w ��-F Zip: �'S'3 !�/
Owner's Name: ��r'f���D Telephone Number: 6��S7E'-ialo
Mailing Address: 1d9S' !-�r•w:�•,9�e City: �r?5T� Zip: SS37/
Contractor's Name: wc�O P/�.�y.�,� �o, Telephone I�umber: �J63-47S-oo�9.6
Mailing Address: .31.f' J'��av LN City: P/y�+a.tl� Zip: SS997
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS�iT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
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 Minimum Fee 3�.00
C� x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. .� ��{Of> x .0005 $
Econtract 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) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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 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 thaz there is a dispute on the amount of the job cost,
the Ciiy 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 lnspectional 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: K.• Date: ��"d�
✓
DATE TIME
CITY OF ORONO CALLED IN � '��` p�
INSPECTION NO CE SCHEDULED � '� 3� � �•'
PERMIT N0. COMPLETED 2'G/'—d� % O
ADDRESS I � W�� LG ��•v�-�;�_�� :;'�Y' �_.
OWNER �� �C�� C� CONTR. 1.�.��.i :' �`� ,�'�.�
TELEPHONE N0. C,.�' {�- �-' � ,:�- I a� '! i i -�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL 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
Z04 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
= 09 PLUMBINC`� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 0 P MBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
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PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46�0
OwnerlContra t on site:
Inspector.
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White Copyllnspector's File Canary Copy/Site Notice
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DATE � T��/1 ��
CITY OF ORONO CALLED IN —.�� �n�
INSPECTION N ICE SCHEDULED ����'C ��
PERMIT NO. ��` �� connP�ErE� � ��
ADDRESS YI�7`"> � � /l�G'��ec� '�`�
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� DESCRIPTION �������'Y�
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� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 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
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN ,- CITATION ISSUED
[7 STOP ORDER POSTED.CALL INSPECTOR
CJ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next in ection 24 hours in advance. 249-46�0
OwnerlContra e:
Inspecto
White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORONO CALLED IN � D I � ✓
INSPECTION NOTICE SCHEDULED '�
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PERMIT NO. /n[% � ��� COMPLETED � I
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TELEPHONE NO. L��� - ��/ - �f 7/��
� DESCRIPTION Pl��'►�� tY�c,�' F�-�--
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTA�L. 22 FOLLOW-UP
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? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. � PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR 'r- CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContract on site:
Inspector.
White Copylinspector's File Canary CopylSite Notice