HomeMy WebLinkAbout2004-P0774 - plumbing PERMIT
CITY O� ORONO Permit ►vumber:
2750 K�ifiey Parkway- PO Box 66 P07747
Crystal Bay, Minnesota 55323 Permit Type: Fix�ures
(952) 249-4600 Date Issued: ��26�2ooa
SITE ADDRESS: 30 Myrtlewood Rd
Wayzata,MN 55391
PID: 36-118-23-33-0011
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS: •
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 70.00 Valuation• $ 5,600.00
State Surcharge Fee: $ 2.80
TOTAL FEE: $ '72,gp
APPLICANT: P�EWORKS OWNER: Bruce&Lori Paulson
680 VALHALLA DRIVE 30 Myrtlewood Rd
CEDAR,MN 55011 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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APPLICANT PERMITE IGNA SSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Apvlicant 1-Monthlv Revorts. 1-Assessins. 1-Finar►ce Page 1
,
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATTON
1. 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. PERMTTS ARE NOT VALID UNTIL
YaU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON
THE 70B 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 State Code requirements:
6. All 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 apglication: Compute the permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: New Addition Repair Replace
�
Residential Commercial
JOB SITE: C� ` Zip; �5��.�q�
Owner's Name: Telephone Number: 9,3��� S�73—b.L2 J
Mailing Address: � City:� Zip:_
Contractor'sName: � : Telep oneNumber: �6.�-�//?-�$g� ,
Mailing Address: ' . City: Zi _
p: -SSO //:
, PLUMBING FIXTURE SCHEDULE ,
FIXTURE BSIVIT 1ST '2ND OTHER FIXTURE BSMT 1ST` -2ND OTHER
TYPE FL FL `TYPE FL , .FL
. , ,
. Water Closet . Floor Drains
I,avato : Sewer .E'ector
Bath#ub < Laun . Tra
Shower Washer:
Kitchen Sink Water�=Ieater'
Dis osal Water Softener
Dishwasher / Wet Baz
Sillcocks Misc (list)
PERMIT FEE CAIICULA�ION(Sl
2002 State Statute ❑ Yes, This Section Applies
The replacement of a Residential fixture or appliance that meets all three of the following
requirements:
l) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excludin�the cost of the fixture or appliance:
and
' 3) Is improved, installed or replaced by the homeowner or licenced contractor:
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.001
_ ��6�� x .0125 $
(contract price) (minimum$35:00)
2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
(contract price) (minimum$ .50)
, 3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add liines 1-3 above) $ �
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged far 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 installation aze fiunished 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 permitfee purposes. In the event that there is a dispute on the amount of the job cost,the Ciry may
request the subinission 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 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.
Applicant's Signature: Date: 7�� �v �
<V ' D T TIME �
CITY OF ORONO CALLED IN �
INSPECTION TICE L� SCHEDULED - 0�:00
PERMIT NO. / 7 COMPLETED << �'`
ADDRESS r'�I P�10'O /�
OWNER CONTR.
TELEPHONE NO. ��3 � �� 3 �a 0 3
�
--_
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL R 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FIN 19 LAKESHORE/WETLANDS
y 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 WARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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��ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
p ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (952) 249-46��
OwnedContra o site•
Inspector.
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