HomeMy WebLinkAbout2005-P08866 - plumbing � PERMIT
CITY OF ORONO Permit Number:
2750 Keiley Parkway- PO Box 66 Po8866
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952)249-4600 Date Issued: 6/21/2005
SITE ADDRESS: 2425 North Shore Dr Unit#
WAYZATA,MN 55391
PID: 09-117-23-44-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: Pluxnbing
Pernvt Type: Fixtures Permit Sub-type(s): Water Heater
DETAILS:
Approved per resolution#:
Sepazate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 15.00 Vaivation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: H.P.Pipeworks OWNER: D C&M G LEVY JR
3670 Dodd Road Suite 100 2425 NORTH SHORE DR
Eagan,MN 55123 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 PERMITEE SIGNATURE UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, i-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley 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 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 con[ractors and to property owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
�. All work must be done in accordance with the State Code requirements.
6. All work must he inspected and a.ir tested before it is covered. Call (952) 249-4600. 24-hour notice
required.
Instructions Complete all items on this application. Compute the pemut 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:` �q25 N• SlrlOr�e �'P� Zip: 55-��1 �
O���ner's Name: Mo�r r�s �--C.v y Telephone Number: �52 '-��3��2�
MailingAddress: �YY�e. City: C7�-�►�U Zip: SS�,� I
Contractor's Name: ���,�Q�� Telephone Number: b� �3b51�+C�
Rlailing Address: 3670 DODD ROAD City: Zip:
E14GAN, MN 55123
���I[��V�N�XTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Wa�er Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laund Tra
Shower Washer
Iticchen Sin�: r Water Heater �
Dis osal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
� l • ���
.
. �
.
PERMIT FEE CALCULATI N S
2002 State Statute Yes, This Section Applies
The replacement of a Residential fixture or a� liance that meets all three of the followin�
requirements:
;
1) 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
x .0125 $
(contract price) (minimum $35.00)
2. State Surcharge. Add the State Buildin Code Division a �
��` g (Minimum Fee of $ .50)
x .0005 $
(contract price) (mirumum$ .50)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz aznount charged for the permitted
work including materials, labor,profit, and other fixed costs. It is the amount to be charged to[he cuscomer
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 - whiche.ver 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 Perm.it, 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 statemer.ts made on'-this application are complete, true and
conect. �
Applicant's Signature: �"^�VI Date: b ly U5
� 1�1-U(�
DATE TIME "
CITY OF ORONO CALLED IN �
INSPECTION NOT CE SCHEDULED � '
PERMIT NO. ��� � OMPLETED
ADDRESS o2 ��
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION ��� ��-
ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
ti� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAI 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Catl for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contrac�Qr ite:
��Inspector.
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