HomeMy WebLinkAbout2000-P03276 - plumbing � PERMIT
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CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po32�6
Crystal Bay, Minnesota 55323 Permit Type: FiXt�res
(612) 249-4600 Date Issued: 11i16i2o
SITE ADDRESS: ;�a� LIVINGSTON CT
WAYZATA,MN 55391
PID: 17-1]7-23-34-0077
DESCRIPTION:
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PPOpOSOC�USe: i�c�iuc���iai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Fixtures>3
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 75.00 Valuation: $ 6,000.00
State Surcharge Fee: $ 3.00
TO'TAL FEE: $ 78.00
APPLICANT: COMPLETE MECHANICAL INC OWNER:
5871 QUEENS AVE NE
ELK RNER, MN 55330
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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APPLI ANT PERMITEE Sl NATURE ISSUED Y SIGNATLJRE �
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 pernuts 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 permits 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 sepazate 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:1 7�-}I ` �V!%� z�C��L���r f-� �1��-�'�`� ZiP.�r.�i__. ��
Owner's Name: � Telephone Number: ---�
Mailing Address: ---� City: — Zip: --
Contractor's Name����(��. f7�i"L"l`rt�f�}l. Telephone Number: — �-�'
Mailing Address:.-r7.a,(_�j���� {-��� N�= City: - - ZiP: ��'�'�'j
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 � Water Heater I
Disposal � Water Softener
Dishwasher J Wet Bar
Sillcocks � Misc (list)
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PERMIT I�EE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
[��YY'�;�'� x .0125 $ �T ,(�
(contract price)
2. State Surchar� ** Add the State Building Code Division
Surcharge to each permit. �.���,'�[�j x .0005 $ 3��J
(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 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.
� . � �C1!��--�.�x� Date: �����C�
Applicant's Signature: �s�--�-�•��
DATE TIME
CITY OF ORONO CALLED IN /� �/,3 a
INSPECTION N TICE SCHEDULED l �� �L 3�
PERMIT NO. n � COMPLETED `�a� '�C�
ADDRESS -3 7�/ �:'�'i`' � T
OWNER CONTR. C � �� ���-�'�`
TELEPHONE NO.�P� ,.���— SI% � �
� DESCRIPTION �� - ��'�Z'�-�-
� 01 FOOTING 11 _ CHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS
� 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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 D MD xFINAl- ___ 15 SEPTIC INSTALL. 22 FOLLOW-UP
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09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J NG FINAL 36 FOUNDATION/REMOVAL
� WNERICONTRACTOR TO MEET YOU:_YES_NO
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W ❑WORKSATISFACTORY:PROCEED '-' PROJECTCOMPLETE
� j�ORRECT WORK 8 PROCEED = ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
C CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR GTATION ISSUED
G INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspectori/��.-�� �a-��~S
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N T C SCHEDULED a G a.� 3 �'
PERMITNO. � ��7� COMPLETED ' —�? CJ� d
ADDRESS • � �'i'`�''�
OWNER����� CONTR. �
TELEPHONE NO. 7�O 3 — � ��'- g���'
� DESCRIPTION
l� 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
Z04 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 6-� 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 0 PL ING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W C'WORK SATISFACTORY:PROCEED f, PROJECT COMPLETE
� L�CORRECT WORK&PROCEED I ' ISSUE CERTIFICATE OF OCCUPANCY
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� C7 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR GTATION ISSUED
❑ INSPECTION REQUIRED.CALLTO AFiRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContra tor on site:
Inspector. `���-���
White Copylinspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NO CE r�/� SCHEDULED U y
PERMIT N0. ��Z�O� /1!/ COMPLETED �— '� �'�
ADDRESS_ .3 '7�{� L- �✓�c��S tG�
OWNER ' CONTR. C r-ral�-f�✓�t-C�ti
TELEPHONE NO. '�CO 3�' �-`�I – � �1 UC)
� DESCRIPTION �! �'ti-� . ,–, /i � �S'
� 01 FOOTING 11 MECHANICAL RI 18 EXCAY/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNEFVFIREPLACE 34 TREE REMOVAL
Z04 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
v 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/CONTRACT TO ME YOU:_YES_NO
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor on site:
Inspector.�����GC�C G2�
White Copyllnspector's File Canary CopylSite Notice