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HomeMy WebLinkAbout2004-P07431 - plumbing �,ITY OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: p07431 Crystal Bay, Minnesota 55323 Permit Type: FiX�ures (952) 249-4600 Date Issued: 4i2si2ooa SITE ADDRESS: 1290 Lyman Ave Wayzata,MN 55391 PID: o2-ii�-23-2i-000i DESCRI PTION: Proposed Use: Kesidenriai Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Plumbing Undefined DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Run new waterline for irrigation system FEE SUMMARY: Pernut Fee: $ 35.00 Valuation• $ 1,645.00 State Surcharge Fee: $ 0.82 ' Misc.Fee: $ 1.50 TOTAL FEE: $ 37.32 APPLICANT: Al's Master Plumbing OWNER: Steve&Caroline Melberg 3041 Aldrich Ave S 1290 Lyman Ave Minneapolis,MN 55408 Wayzata,MN 55391 THE UIVDERSIGNED 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. . � ��� �� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE � Couies: 1-File(SiQnitures Reouiredl, 1-Avnlicant, 1-Monthlv Renorts, 1-Assessin�. 1-Finance Page 1 � CITY OF ORONO APPLICATION EOR PLUMB[NG PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for piumbing permits by mail or in person at the City offices. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGW UM'IL THE PERM[T CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to (icensed 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. Ali work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice required. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. [NCOMPLETE APPL[CATIONS WILL NOT BE PROCESSED. If you have questions, ca(I (952) 249-4600. ���� �SZ� Please check one: �ew Addition Repair Replace �GResidential Commercial JOB SITE: E Z�( f� V� � Zip: �S��i I Owner's Name: � ►�.a.� Telephone 1Vumber. � 5�-¢�� -4{-��- Mailing Address: S�.v�� City: Zip: Contractor's Name: `5 � v►�,�, Telephone Number: �,(Z- 8Z.2_-S"�9 Z Mailing Address: 3b¢� b�►�;� W fL S City: (S Zip: �'S�Q� PLUMBING F[XTURE SCHEDULE F[XTURE BSMT 1 ST 2ND OTHER FIXTURE BSM I S 2ND OTHER TYPE FL FL TYPE T T FL FL Water Closet Floor Drains Lavato Sewer E'ector Bathtub Laund Tra Shower Washer Kitchen Sink Water Heater Dis sal Water Softener Dishwasher Wet Bar Sillcocks Misc list � (_lJ�l I/�-Q.�-,� t-��-t/� , � :�-�_ �� \ f �1��1 r�1 S�S�-�,,,�-� . PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes, This Section Applies The replacement of a Residential 6xture or appliance that meets all three of the following requirements: 1) Does not require modification to etectrical or gas service. 2) Has a total cost of $500.00 or less; excludin� the cost of the fixture or app(iance: and 3) ts improved, installed or rep(aced by the homeowner or licenced contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail (n Fee $ i.50 If above does not apply, follow guidelines below: 1. Contract Price* is .Ol 25 9fo of job with a Minimum Fee of ($35.00� (��. x .0125 $ ?j�,� (contract price) (minimum$35.00) 2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of $ .50) � �p� x .0005 $ � � Z— (contract price) (minimum$.50) 3. Postage and Handiing (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ?j�",?j � * 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 permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City 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 Inspection Services for the price. The undersignecl 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 appl' ion are complete, true and correct. Applicant's Signature: v' 1 Date: ��" .DAT TIME � CITY OF ORONO CALLED IN y Z�'d y INSPECTION NO ICE SCHEDULED �� � ��'� tiI PERMIT NO. ����3� COMPLETED ADDRESS__ �Z�O L��'ICl�l7 ��'(f� OWNER CONTR. � TELEPHONE NO. � /2 �'2 2 . fi"`~I y Z ����i' � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS Q03 INSULATION 24/25 WOOD BURNEWFIREPLACE 34 TREE REMOVAL Z 04 WAI-L BD• 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 F�MAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLU 23 SEPTIC FINAL 35 HARD COVER REMOVAL PLUMBING FINAL 36 FOUNDATIOWREMOVAL 2 RACTOR TO MEET YOU:_YES_NO � COMMENTS: W C j O � � O � W � Q � W � W � � � �RKSATISFACTORY:PROCEED ROJECT COMPLETE W �❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONOITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnedContracto Inspector. � White Copyllnspector's File Canary Copy/Site Notice