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HomeMy WebLinkAbout2001-P04040 - plumbing � � . PERMIT C I T�( O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P04040 Crystal Bay, Minnesota 55323 Permit Type: FiXtures (952) 249-4600 Date Issued: �isi2oot SITE ADDRESS: 3712 [.ivingston Ave Wayzata, MN 55391 P I D: 17-117-23-34-0059 DESCRIPTION: � ,- .�_, }�CO]�OSeCl USe: �c�iuciivai Permit Class: Plumbing Permit Sub-type(s): Multiple Fixtures Permit Type: Fixtures DETAILS: Approved per resolution #: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 75.00 Valuation: $ 6,000.00 State Surcharge Fee: $ 3.00 TOTAL FEE: $ 78.00 APPLICANT: Complete Mechanical Inc. OWNER: Eagle Crest 5871 Queens Ave NE 3712 Livingston Avenue Elk River,MN 55330 Wayzata, MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPL[ANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ,� '� G��� �� APf' 1 AN7'VERMITEE SIGNATURE ' ISSUED BY S]GNATURE � L' Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 � �� o� ��� CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 � GENERAL INFORMATION 1. You may apply for plumbing pemuts by mail or in person at the City offices. 2. Pernut 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 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 , , .ros srrE: ��"ll�-L�tiP �Sf �R� - � ��� �(c�� �' z�p:�,�,�� Owner's Name: � -- Telephone mber: — Mailing Address: — City: — Zip: — Contractor's Name: ' Telephone Number: Z��a��-��] Mailing Address:�'�"7� I�1' � �l/� (. City:��{� g�ti��Zip: �=�L� PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains Lavatory �, Sewer Ejector Bathtub � Laundry Tray Shower � Washer � Kitchen Sink p Water Heater � Disposal Water Softener Dishwasher � Wet Bar Sillcocks 1 Misc (list) ,� PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) (��;,[� x .0125 $ ��S,[� (contract price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. ���'���; x .0005 $ ��� (contract 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) $ r�,�) * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 permit 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 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 statements made on this application are complete, true and conect. Applicant's Signature: �''��� �`''�� � > Date: 7 `�_ �� � . Complete Mechanical, Inc: 5871 Queens Ave. N. E. �ik Ri9er; MN 55330 HOUSE HEATING TEST RECORD ADDRES537rZ G�ir�.�6�.c�� ��_ APT. FLOOR CITY SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY I?1STALLED BY � �loctricaJ Work By Gas Lino 8 y �;�YPE OF HEAT GA FA� HW STEAM SPACE HTR. UNIT HTR. OTHER , GAS DESIGN CO1�lYERSiON MAKE MAKE OF BURNER Model � o Modol Soriol���Of�f ►,+�vx. BTU Ratinfl • 1NPUT�'��� �.�� MAKE OF FURNACE � . Model CONTROLS �� THERMOS-l"AT � y Hoat Plvg Yont Sizo /2 � YO�YO K1ND OF LINER SIZE NONE Llmlt proff Hood RogvlaTor Limit Sotiin9 Flltors Sizo ��l Numbor Fon Sotting Chlmney Location lnsido Outsido Pllot Type G��=' ��"'—� Chimnoy Construction ��—' ' � Pilor_Mako � _ Piloi Modol Smoko Bomb W����9 Pilot Ttmin9 DraFt Tost Tog L.W. Cvt Off � Door Prossvro Lightin9 Ins�_ Prossuro ����'�� Porcont CO2� Dato ToStod ���`'��^�'r lnput CFH ' Porcent 02 � Compa»y Testing � � Stock Tomo_ !�� Porcont CO � � Nama of Tostor Form z3s Complete Mechanical, inc. 5871 Glueens Ave. N. E. Elk River, MN 55330 DATE TIME CITY OF ORONO CALLED IN INSPECTION N TIC SCHEDULED y D o D PERMIT NO. � 6 O COMPLETED s�— •�� ADDRESS� � OWNER CONTR.��%�:e•� /�Y�� TELEPHONE NO. � DESCRIPTION ly� 01 FOOTING 11 ME NICAL RI 18 EXCAV/GRA /FILLING � 02 FRAMING 13 ME HANICAL FINAL 19 LAKESHORE/WETLANDS � 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J � OWNERICONTRACTOR TO MEET YOU:_YES_NO � C MENTS: a L � � G��'�' � � r t 0 Vt >. � n � O � W � Q � Z W � W � � d ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W � �CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOPORDER POSTED.CALL INSPECTOR �1 CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. 249-4600 OwnerlContr or on site: Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALIED IN INSPECTION N TICFr SCHEDULED � i'�/�'� PERMIT NO. f/ COMPLETED '�� : 3� ADDRESS �a� L ;��%� rl�in OWNER CONTR. ���'�`� �� • TELEPHONENO(�� �� �Q� ?� �� � DESCRIPTION �-- %/c��,h� �-- �G��'u �'��if � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATIGN 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 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: � W a j � ) O � � � O � W � Q � Z W � W � � � � �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContra r on site: Inspector. . L�/��62 �..L1� White Copyllnspector's File Canary CopylSite Notfce �O � DATE TIME ,� CITY OF ORONO CALLED INSPECTION TICE SCHEDULED ��- � •�U PERMIT N0. � COMPLET D ADDRESS � .w'�� % OWNER -.�« � .�'�1�,•'� ' CONTR. .l�P 2�C� TELEPHONE N0. ��� :��� �} � � � DESCRIPTION � 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 05 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 PLU 23 SEPTIC FINAL 35 HARD COVER REMOVAL , PLUMBING FINAL ) 36 FOUNDATION/REMOVAL � IC ORTOMEETYOU:_YES_NO � COMMENT : � � � �� a � J O � � O � W � Q � Z W � W � j d W ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEM PORARY � BEFORE COVERING PERMANENT O CORRECTUNSAFECONOITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2 ur 'n advance. (952� 249-46�0 OwnerlC ctor on site: Inspector. ! Wh' Copyllnspector's File Canary Copy/Site Notice