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Home My WebLink About2004-P07961 - plumbing CITY OF ORONO PERMIT �75G kelley Parkway - PO Box 66 Permit Number: Po�961 Crystal Bay, Minnesota 55323 Permit Type: FiXcures (952) 249-4600 Date Issued: 9�20�2004 SITE ADDRESS: 2565 North Shore Dr Wayzata,MN 55391 PI D: 09-117-23-41-0004 DESCRIPTION: Proposed Use: Kesidential Pernut Class: Plumbing Permit Type: Fixtures Pernut Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 35.00 Valuation: $ 2,000.00 State Surcharge Fee: $ 1.00 TOTAL FEE: $ 36.00 APPLICANT: Mack Plumbing&Heating OWNER: Jeffrey Martineau 12233 94th Ave.N 2565 North Shore Dr Maple Grove,MN 55369 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. �,-� ��%�!�%�s'� �� l - � � < � y1�( �l `�� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGj�IA URE Conies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 CITY OF ORONO APPLICATION FOR PLUMB[NG PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 � � _ GENERAL INFORMATION 1. You may apply ior 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 VAL1D UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEG1N 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 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 application. 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: � �� ,.,,2 `y� Zip: Owner's Name: e ; Telephone Number: Mailing Address: City: Zip: Contractor's Name: Telephone Number: ��_3�y�y��{is,s Mailing Address: , City: �e Zip:_�� PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1 ST 2ND OTHER FIXTURE BSM \ 1 S 2ND OTHER TYPE FL FL TYPE T T FL FL Water Closet ! Floor Drains Lavato Sewer E'ector ; Bathtub Laund Tra Shower f Washer - Kitchen Sink Water Heater � ' Dis osal Water Softener Dishwasher Wet Bar Sillcocks Misc list PERMIT FEE CALCULATION(Sl 2002 State Statute ❑ Yes, This Section Applies The replacement of a Residential fixture or appliance that meets all three of the following 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 $ i.50 If above does not apply, follow guidelines below: l. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00� ao ��C�OD 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 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 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 lnspection 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: —fl �rim�.:. _ _ Reset Form ✓ -DAT TIME CITY OF ORONO CALLED IN 'd INSPECTION NO CE SCHEDULED - 23'�Y �UU G( PERMIT NO.�R(Q� COMPLETED ADDRESS 5 �1.02 � OWNER CONTR. � TELEPHONE NO. �CP � �� — � DESCRIPTION� i►.c.<-��n.�.t� lL 01 FOOTING 11 MECHANI AL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 DE - INAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q = 9 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J G FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the ne inspection 24 hours in advance. (952) 249-4600 OwnedCon i e: Inspector. " White Copy/lnspector's Fiie Canary CopylSite Notice / � DATE / TIME V � CITY OF ORONO CALLED IN �.-�D-D) INSPECTIONNO E SCHEDULED S'�/'dS"` /U�3DA►M PERMIT NO. COMPLETED ADDRESS .X��.S d/Z%�1 _,"/�.v� �2 OWNER CONTR.��t c � P�U�+-�• TELEPHONE NO. ��O J �l/�y �y�� DESCRIPTION /�� 'S-�. / �4 �_ � L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti Q 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP �'2S9 PLUMBIN�G RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10_p�TBnJG FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � � d W WORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (952� 249-4600 OwnerlCont c si : Inspector. White Copyllnspector's File Canary CopylSite Notice