HomeMy WebLinkAbout2002-P05737 - plumbing PERMIT
C!i�Y OF ORONO Permit Number:
�1750 Kelley Parkway - PO Box 66 Pos�3�
Crystal Bay, Minnesota 55323 Permit Type: Fix�ures
(952) 249-4600 Date Issued: io�i�i2oo2
SITE ADDRESS: 3513 Lyric Ave
Wayzata,MN 55391
P I D: 17-117-23-43-0101
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Permit T e: Fixtures Permit Sub-type(s): Water Closet
YP Lavatory
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUIIIIMARY: Permit Fee: $ 35.00 valuation: $ 2,800.00
State Surcharge Fee: $ 1.40
TOTAL FEE: $ 36.40
APPLICANT: OWNER: �'illiam&.Tulia Dolder
3513 Lyric Ave
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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APPLI ANT PERMITEE SIGNATURE ISSUED BY S[GNATURE
Covies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Revorts. 1-Assessin�, 1-Finance Page 1
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CITY OF URONO APPLICATION FOR PLUMBING PERMIT '
�Sox h6 (2730 �elley Parkway) � �
Crystal Bay, MN 55323 _
� GENERAL INFORMATION ' -
L You may apply for plumbing 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 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 separate building permit must be obtained.
5. All work must be done in accordance with the Staze Code requirements.
6. All work must be inspected and air tested before it is covered. Ca11473-7357. 24-hour notice required.
Instruction� Co:npletP all items on this application. Compute the permit fee. Sign and date
the certification. INCOl�'J�LET� APPLICATIONS WILL NOT BE PROCFSS�D. If you have
questions, call 473-7357.
: Please'check one: New � Addition Repair Replace
� Residential Commercial
JOB SITE: �� � . /� e�i U� Zip:��
Owner'sName: 3U��,,E � �',� _ TelephoneNumber: ,.S'�-� /7 D�p� .
Mailing Address: ,,,�,�''- '/ �` City:4.�1 Zip:
Contractar'sName: � `'!-� TelephoneNumber.�,�-���--����.
Mailin A.ddress: '' �
g � 'ar City�'!�'E�'i9id�Zip:J��.3'��}
PLUMBII�TG �'�TURE SCHEDULE
- FIXTUR.E BSMT 1ST 2ND OTHER 'FIXTURE BSMT 1ST 2ND : OTHER
TYPE FL FL TYPE FL: FL
Water Closet f Floor Drains
Lavatory r Sewer Ejector
Bathtub . Laundry Tray �
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishw�sher Wet Baz
Sillcocks . Misc (list)
PERMIT FEE CALCULATION �
1. 1.25% of Contract Price* or Minimum Fee ($35.001
��1�r� x .0125 $ ���
(contract price) —
2. State Surcharge. ** Add the State Building Code Division
, Surcharge to.:each permit. . : x .0005 $ .� �
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ �"
4. TOTAL PERMIT FEE (Add lines. 1-3 above) $ ��-�.5�
* 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 aze fiunished 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 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,OU0,000 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 o€ the Ciry and the regulations of the State of
Minnesota, and certifies that .all statements made on this application are complete, true_and
correct.
` . Date:��"/�`v�
Applicant's Signature:
I�> DATE TIME
V
CITY OF ORONO � CALLED IN /°'�''�"z'�
INSPECTION NOTICE SCHEDULED rc�► Y-0y I: ��
PERMIT N0. ��' ��3 7 COMPLETED
ADDRESS -��'� �
OWNER ��"��'�-`'�— CONTR. � %- � �
TELEPHONE NO. 7 G' 3 �- `f ��/ , l`I 4� �
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� 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 REMOVA�
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
v 07 DEMO- 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING � 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL � 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:,�YES_NO
� COMMENTS: � �
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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARFANGE ACCESS.
Call forthe e inspection 24 hours in advance. (952) 249-46�0
OwnerlCon�o�s te:
Inspector. � ''
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