HomeMy WebLinkAbout2005-P08585 - plumbing � � ' PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P08585
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(952) 249-4600 Date Issued: a���2oos
SITE ADDRESS: 3135 North Shore Dr
Wayzata,MN 55391
PID: 09-117-23-32-0018
DESCRIPTION:
Proposed Use: Kesicienriai
Pernrit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pemut Fee: $ 35.00 Valuation• $ 1,400.00
State Surcharge Fee: $ 0.70
TOTAL FEE: $ 35.70
APPLICANT: Scherer Plumbing and Heating OWNER: Stuart Harrington
4520 85th. Street 3135 North Shore Dr
Delano,MN 55328 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.
�
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Auplicant, 1-Monthlv Revorts, 1-Assessin¢, 1-Finance Page 1
FOR CITY USE ONLY
0,���0 City of Orono � ! '
P.O.Box 66 Dete:ReCe�ved: Permtt#
2750 Kelley Parkway � ••
� �� Crystal Bay,MN 55323 Approved Bqs Art�bunt$:
�� (952)249-4600
CITY OF ORONO—PLUMBING PERNIIT
(All Commercial permits must be approved�by the Build'mg Official or Inspector)
;,.
GENERAL INFORMATiON , ,
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within two worlcing days.
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 TI�
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plurnbing 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 State Code requirements.
6. All work must be inspected and air tested before it is covered. Ca1T(952)249-4600.
(24-48 hour notice required)
TYPE OF PERIVITT `
Check'Al1�That A l j'- �
�Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs ❑Replace
0 In Accessory Structure?
: *You will need urior auuroval and may need CCTP.(Per Orono City Code, Chapter 78,Article I�
`Job Site./�Owner InfQrmation;;' -
Site Address: 3/ 3s �. S�w r�c �:J�C ��c��� � 1�/l�
Owner: �' � ` �'�`�r;��vr� Mailing Address:
City: ��vr�.� Zip� �
Home Phone: ��a� �a�� �`v / Alternate Phone:
Contractor Informat�on.;' �
Contractor: ��'� t'�v m��� Contact Person: -�/�
f/��-� ' +�
Address• � s ��r,�State Bond#: �3 � 3 5S� '
City: ��r� Zip: h']+� Expiration Date: ' �a^37� a 0�"
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Phone: ��-3 r97�"8�3 '7 Alternate Phone: �-�a'� �3a 'S'.S�%''
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FIXTURE BSMT 1 �4 �
TYPE FL FL ��ER FIXT'UgE BSMT 1 2 OTHER
�E FL FL
Water Closet
Floor Drains
Lavatory
Sewer Ejector
Bathtub
, Laundry Tray
Shower
Washer
Kitchen Sink Water Heater
Disposal I
Water Softener
Dishwasher
Wet Bar
Sillcocks
Miscellaneous
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❑ Yes,this section applies
The replacement of a Residential fixture or a ' liance that meets all three of the following requirements:
1. -Does not require modificarion to electrical or gas service.
2. Has a total cost of$500.00 or less;excludins the cost of the fiicture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed.contractor.
Skip next section,if this applies; Cost of Permit
State Surcharge $ 15.00
_ _..._ $ .50
_ _- _ _.. .,.,_. _, .__._ _
_. .�_ . _____ -Mail-In Fae(If-Applicable ___. _ _
--
) $ __ . —1.50 _._ _. ^ ,_ ._ : _
Tota1 Permit Fee —
$
-- __--__-_—
----_--------,._
;
(Permit Fees Continued On Next Page) ` ~ --- —
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- :PE���E Ct�CUi,ArTiOI�`S ;-�J't�BS.�'�E��SU.4 Oq ;_ _ . .� " '`:
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
�� y� X.oi2s$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of 5.50)
x.0005 $
{contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mai1-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTR.ACT 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 chazged
to the customer for the work done. If any;material, equipment,labor or installations aze furnished by
the owner, tenant or any other party, the reasonable xnarket value of such items musf be added to the
estimated cost or contract price for pemut 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 con�act price under$1,000,000 or$.50—whichever is
greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
,,� .P��B�J.�"r�' �'��I�.� '�►� �,���� .��� .�;' �� �:
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.
• , • � � l�'" �� ��
Applicant s Signature: � Date: `
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Y � y 5 � �� �ff�
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�� DATE TIME V
CITY OF ORONO CALLED IN '�
INSPECTION NOT E SCHEDULED �-O� //=3CSA�
PERMIT NO. � COMPLETED
ADDRESS 31 /'..�..
OWNER CONTR. ��� SC e��
TELEPHONE NO. � �d� �3 � �,S9g
� DESCRIPTION ��l S[l��
� 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 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
Q
9 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PL 36 FOUNDATION/REMOVAL
� O NERIC AC TO MEET YOU: YES_NO
� COMMENT •
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W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
❑INSPECTION REQUIRED.CAI�TO ARRANGE ACCESS.
Ca11 for the nex in ction 24 hours in advance. (g52) 249-4600
OwnerlContr o i :
Inspector.
White Copy/lnspector's File Canary CopylSite Notice