HomeMy WebLinkAbout2006-P10570 - plumbing PERMIT
CITY OF ORONO Permit Number:
, 2750 Kelley Parkway- PO Box 66 P1o570
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued: 11/16/2006
SITE ADDRESS: 3145 North Shore Dr Unit#
Wayzata,MN 55391
P��� 09-117-23-33-0013
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Pernvt Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 312.50 Valuation: $ 25,000.00
State Surcharge Fee: $ 12.50
TOTAL FEE: $ 325.00
APPLICANT: Victoria Plumbing OWNER: Sveron Peterson
1855 West 80th St/PO Box 174 3145 North Shore Dr
Victoria,MN 55386 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO AL W IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA UILDING REQUIREMENTS.
L[C T E E S N SSUED BY SIGNATURE
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
I �
� . FOR CITY USE ONLY
�` City of Orono
' ��`►� P.O.Box 66 Date Received: Permit#
�p�•. � 2750 Kelley Parkway , �
� d. '-� 1� Crystal Bay,MN 55323 Approved By: Amount$:
'�����,`�G� (952)249-4600
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CITY OF ORONO-PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in persoii at the City off'ices. Applications will be
reviewed and a pernut will be issued within two working days.
2. Pernut cards will be sent by retum 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 contractors and to property owners
residing in the dwelling.
4. When any new constxuction or remodeling is involved,a separate building pernut 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. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF AERMIT
(Check All That A 1 )
�Residential ❑ Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior annroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job;Site/Owner Information:
Site Address: �l�( � �Dr"�'� _��� ����
Owner: Mailing Address:
City: Zip:
Horne Phone: Alternate Phone:
Contractor Information:
Contractor: V � L'�o r�c., ��rJM�j;'.� Contact Person: �p�j �.��h�
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Address: • � �7� Statc Z�n1�: ��„�a�
City: 11i c.,-f' r,- Zip: �/V Expiration Date: ! 2-3�- ��
Phone: �Z. ��.3-��- Alternate Phone: Ll2 " 4�[D " Z l S7
❑ Insurance-Current;
1
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:: ,�,'-�_:: � : .: . .:PLL�BING FIXT�RES�B�I.NG:INSTAI;I;EL?'�, � �._ : F, .�i =''
pIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet 3 2 Floor Drains �
Lavatory Sewer Bjector
B athtub � � Laundry Tray �
Shower � � Washer � �
Kitchen Sink ' Water Heater C
Disposal ' � Water Softener
Dishwasher ' r Wet Bar
1
Sillcocks � Miscellaneous
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❑ Yes,this section applies
The replacement of a Residential fixture or�pliance 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;excludine the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Tota!Permit Fee $
(Permit Fees Continued On Next Page)
2
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� `- ``,: . ,PERIVIIT<�'�E CAI:CULA�'ION(S)=:1QBS QVERr$500'.00 .. .
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
�.�j C�c9p x A125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcliarge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on 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
pemiitted 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 installations 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 con�act.
■ **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 Building Deparlment at(952)249-4600 for the price,
� �;;�.���`;::���A�G�'ER�`�`.'.A'E'�LICA'�:.�41'��At'�R�E�N,T`:;f,. : �;� , ;:: .,,..;
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinanc s of the City and the regulations of the State of
Minnesota, and certifies that all state nts de on this application are complete, true and
correct.
Applicant's Signature: Date: ld' 6��d�
3
�� ��5 / � � II D�� TIME ✓
CITY OF ORON� CALLED IN /
INSPECTION I � SCHEDULED �/��7 -�
PERMIT NO. d COMPLETED
ADDRESS 3 ��
OWNER CONTR. �'
TELEPHONE NO.��a_�!/ ��'/7 ( ��`� -
� DESCRIPTION 1'lwrnb�n� �6
� 01 FOOTING 11 MECHANIC L I 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� CORRECT WORK&PROCEED �:� ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next spection 24 hours in advance. (J52� 249-46��
OwnerlContra�t�fcjh site:
5
Inspector. �
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White Copyllnspector's File Canary CopylSite Notice
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DATE T E, "
�Y OF ORONO CALLED IN �
�2��� =IL�-���
INSPECTION NOTICE SCHEDULED � .Jw�I �
PERMIT NO. �I��Z� COMPLETED
ADDRESS ��`C� I�C��'�'� ���Y�-
OWNER ' CONTR. �
TELEPHONE N0. ��2--� �� Z-I'��
� DESCRIPTION � ��1�(�1,�-�
� 01 FOOTING 11 MECHANICAL R 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANIC L FI AL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING Rt 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED f� PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED � � ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �J pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice