HomeMy WebLinkAbout2001-P03538 - plumbing PERMIT
CITY OF ORONO
2750 KelleyF�a��kway - PO Box 66 Permit Number: Po3s3g
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 2i2oi2ooi
SITE ADDRESS: 3472 Livingston Ave
WAYZATA,MN 55391
P I D: 17-117-23-43-0016
DESCRIPTION:
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Permit Class: Plumbing
Permit Sub-type(s): Fixtures>3
Permit Type: Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 51.50 Valuation: $ 4,120.00
State Surcharge Fee: $ 2.06
TOTAL FEE: $ 53.56
APPLICANT: AL'S MASTER PLUMBING OWNER: C T VERSAILLES ET AL
3041 ALDRICH AVENUE S 3472 LNINGSTON AVE
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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PPL AN PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, i�1�1i 55323
GENER�I. II�'FOR1�fATI ON
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cazds 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 property owners residing
in the dwelling.
4. �Vhen any new construction or remodelin� is involved, a separate building permit must be obtained.
5. �11 work must be done in accordance with the State Code requirements.
6. .�11 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 cer-utication. INCOMPLETE APPLICATTONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New „ Addition Repair Replace
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' Residential Commercial
JOB STI'E: �y �.Z L�l/1GL�C�S%��l�t i i��/c= Zip:
Owner's Name:�f�j srtit��c�d�i U�r?.5x�i���.5 Telephone Number: y�/ -U (,,j `7
Maili.ng Address: �rvtc= � �C5 City: U��v Zip:
Contractor's Name: /��_5 �'�I�S TEvL t�[.c�wr�,i Uvv� Telephone 1�umber: ��� 4�� -S��j �
Mailin' Address: ��// /����Uuef-�i4u�, �. City: ��p�5 . Zip: .�5 Y��
PLUMBIitiG FIXTURE SCHEDULE
FIXTL"fZE BSMT 1ST 2ND OTHER FIXTURE BS:�1T 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet / / Floor Drains
Lavatory / � Sewer Ejector
Bachn�b Laundry Tray
Sho��er % Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishw�asher Wet Bar
Sillcocks Misc (list)
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° PERMIT TEE CALCULATION �
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
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(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. �,j Zu "= x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage 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 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,
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 that 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
conect.
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Applicant'sSignature�/ L�=�.-� � . �'-c".�.�/ Date: � �� a /
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DATE �TIME
CITY � ��� ��CALLED IN j � � � �5��
INS TION NOTI SCHEDULED �"'� 3 r : a U.i�Uti
PER �I COMPLETED .%��S�l �• ��
ADDRESS `��� 7•� L-1 l,�� �L �r S7 0%L' f��'�
OWNER ��;'_('S�', i I I Q; CONTR. � I f S C�C��,�.I�;tic;
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TELEPHONE NO. �� S.� � �/� �- C%�t� S�I
� DESCRIPTION �"'�'?..1-,t,'l � 1�,�'G— '�- ;��V;....h� '�
l� O1�-FOOTiNG ., 11 MECHANICAL RI
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Z 04 WALL BD. 12 WATER HOOK-UP �,', � �
Q OS FINAL 14 SEWER HOOK-UP ' jv� � ,/
� 07 DEMO-SITE 27 SEPTIC MAINT. `, ��
v 07 DEMO-FINAL 15 SEPTIC INSTAL�. � (1 �
W�09 PLUMBING RI 23 SEPTIC FINAL '�1 �
= 10 PLUMBI��NG FINAL ��
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� BEFORECOVEFIPJG PERMANENT
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INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO AFRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContract�on site:
Inspector. ��' -C��' � �-�7�
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White Copyll�spector's File Cenary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN �Y z i' �I 9. �'�9►�.
INSPECTION NO ICE r SCHEDULED Z--ZZ-C�/ .�d
PERMIT N0. ��, 3��o COMPLETED �=��� 3 ' p
ADDRESS -�y�� �i v�r��; S'� GI� A ��
OWNER CONTR. � I �S /'l�ICt�-t ��2 �/urnti
TELEPHONE N0. ��/� - �7 Z - S�-�,
� DESCRIPTION �lk m h �I'�9' �� f:']/�v�rlc� Gt��-
� 01 FOOTING i t 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
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
� 11z-�9EM6--f�PlAl.-..._ 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI „11 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL~ � 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g�2) 249-46��
OwnerlContract n site:
Inspector.���c����
White Copyllnspector's File Canary CopylSfte Notice
D�AT� TIME
CITY OF ORONO CALLED ��
INSPECTION NOTIC SCHEDULED
PERMIT NO. ��� COMPLETED ��'�=��� .% S �
ADDRESS .�� �dZi �-/ G'/riCS-'fd-�1 �—�
OWNER � -D67�CONTR. ,,�,�p:7'G' � (� "
TELEPHO E N0. �� T�l '-'�� �
� DESCRIPTION � T � n2� �a
� 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
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
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATiON/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for ihe next inspection 24 hours in advance. (952) 249-4600
OwnerlContra on site:
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Inspector. C���
White Copylinspector's File Canary Copy/Site Notice