HomeMy WebLinkAbout2000-P03422 - plumbing � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po�422
Crystal Bay, Minnesota 55323 Permit Type: F�Xtures
(612) 249-4600 Date Issued: �2i2ti2o
SITE ADDRESS: 2865 Little Orchard Way
WAYZATA,MN 55391
PID: 09-11�-23-2i-oo�o
DESCRIPTION:
�� -.�_,
Pl'OpOSeCl USe: i�c��uciiiiai
Permit Class: Plumbing
Permit T e: Fixtures Permit Sub-type(s): water Softner
YP Plumbing Undefined
DETAILS:
Approved per resolution#:
Separate permits required: Uther- (5 H.1^7L'1�;K5 ANll 1 K.O. N7Ll�;lt)
NOTICES/REMARKS:
FEE SU1111MARY: Permit Fee: $ 13625 Valuation: $ ]0,900.00
State Surcharge Fee: $ 5.45
TOTAL FEE: $ 141.70
APPLICANT: CLEARWATER SYSTEMS INC OWNER: sTEVEN B&MICHELLE L HOYT
1519 148TH AVE NW 2865 LITTLE ORCHARD WAY
ANDOVER,MN 55304 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 M[NNESOTA BUILD[NG CODE REQUIIZEMENTS.
7
.`
/ �� J
�"�� � � ��
�
L MITEE I NATURE LTED BY SIGNATURE
� ,
Copies: City,Applicant,Assessor, Finance Page 1
.
� ,, , -��� � "�-
�� `
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIr1 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
� 2. Permit 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 permiu 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 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:����r7� s d�'���� � Zip:
Owner's �Tame: r-�2+-7 G.� `�, id�, Telephone Number:
Nlailing Address: City: Zip:
Contractor's Name: .���2i�� ��. � ���, �-� Telephone l�umber: 763--�f3�����5
Nlailing Address: 1Sl�i I�-���` +V�� City: ,!�„dCJ1��:�z Zip:55�u�
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST ZIVD OTHER FIXTURE BS�1T 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Wa[er Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener �
Dishwasher Wet Bar
Sillcocks Misc (list)�, �j
��o. �� �� )
;
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
/O Gc�� a`� x .0125 $ ! ?,� z'
(contract price)
2. State Surchar�e. ** Add the State Building Code Division � t��
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ '�
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �'-� j �'t'
* 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 installation are furnished by the owner,
s 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 Ciry 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 Inspectional 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 sta �ments made on this application are complete, true and
correct.
ApplicanC's Signatur . !��'`�<--_ Date:l o z�
{
� . �
�
;
; .
/ D E TIME
CITY OF ORONO CALLED IN `� ��'
INSPECTION N I SCHEDULED �
PERMIT NO. � �Z COMPLETED � �'�> �
ADDRESS ���J`r L'�� �G�'i�� �'�'�--
OWNER CONTR. G'�✓�-�
TELEPHONE N0. �-e�� Z2.� 1�O`�
� DESCRIPTION �6��� �� I�T�v . �-�
�
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
Q 07 DEMQ_EINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP
4✓�}9 PLUMBING RI \ 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
�
J
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
GW �ORKSATISFACTORY:PROCEED �P OJECTCOMPLETE
v
� � ❑ CORRECT WORK 8 PROCEED ! ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
C!CORRECT UNSAFE CONDITION WITHIN HOURS. ,- PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlCon tor on si :
Inspecto�/�'lG�`Z�Ce�9 r
White Copyllnspecior's File Canary CopylSite Notice