HomeMy WebLinkAbout2000-P03275 - plumbing E PERMIT
CITY F ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po32�s
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(612) 249-4600 Date Issued: 11i16i2o
SITE ADDRESS: ��39 Liv[rresTorr cT
WAYZATA,MN 55391
P I D: 17-l 17-23-34-0076
DESCRIPTION:
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PI'OpOSeCl t]Se: nc�iucii�ia�
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Fixtures>3
DETAILS:
Approved per resolution#:
Separate permits requiredNlumbing
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 75.00 Valuation: $ 6,000.00
State Surcharge Fee: $ 3.00
TOTAL FEE: $ 78.00
AF'PLICANT: COMPLETE MECHANICAL INC OWNER:
5871 QUEENS AVE NE
ELK RIVER, MN 55330
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO ll0 ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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AI'PLICANT PERMITEE SIGNATURE ISS D BY SIGNATiJRE
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, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Pemut cazds will be sent by return 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
JOB SIT'E:,��"�.��– I-�1I1 j �_Sf L� C�'",(�f=f"_" �'"7�'^L3 ZiP� .��a���
Owner's Name: – Telephone Number: ---
Mailing Address• � City: -- Zip: —
Contractor's Name. -=� �' - Telephone Number:�`Z(� ��-(�;�;�j
Mailing Address.��'` � City: � �jj(i{�1'Zip: .���
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 I
Kitchen Sink Water Heater
Disposal + Water Softener
Dishwasher Wet Bar
Sillcocks 1 Misc (list)
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PERMIT �EE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
��l��.C� x .0125 $ ��J.�
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. (���,(�'� x .0005 $ � 1�
(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) $ 7�.�� _
* 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 chazged to the
customer for the work done. If any material, equipment, labor, or instaliation are furnished by the owner,
tenant or any other party the reasonable mazket 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 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
correct.
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Applicant's Signature: " _2,�'�=�� �� ��`" Date:
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N IC SCHEDULED �- -Gp �� °
PERMIT NO. � �-7� COMPLETED �"�� �'f���
ADDRESS �J 7�
OWNER -��:%� CONTR. ..Q-��
TELEPHONE O. 3 '- � � C �
� DESCRIPTION
l� 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 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
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0 LUMBING RI , 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 B�� 36 FOUNDATION/REMOVAL
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. r. pHOTO TAKEN
INSPECTOR WILL RETURN
CJ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContractor on site:
Inspectory����2 �'
White Copyllnspector's File Canary CopylSite Notice
DAT/E TIME
CITY OF ORONO � �� CALLED IN ���'`G�C'� // � �
INSPECTION �T E � SCHEDULED ,_�� //l� ��
PERMIT N0. � COMPLETED �
ADDRESS 313y � .� '� —
OWNER CONTR. C�, °'/ �-t �
TELEPHONE NO. ��= =�' — -���- � � �'�'
� DESCRIPTION
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� 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANOS
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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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W� PLUMBING RI_�. 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J�}O'P�UMBING FINAL 36 FOUNDATION/REMOVAL
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❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
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❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARFiANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContractor on site:
inspector. ��'�(,���
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION I�E. SCHEDULED =7�.����/ --���
PERMIT NO. � COMPLETED S���`d� `
ADDRESS�/ ;�,�i����2�%�'?"( .
OWNER��:�a-C. CONTR. °%��
TELEPHONE NO._T�r � :��� ��GG
� DESCRIPTION
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINA� 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 P 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ! ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContractor on site:
Inspector��/1��� ��
White Copyllnspector's File Canary CopylSite Notice