HomeMy WebLinkAbout2000-P02869 - plumbing PERMIT
C�i Y� O F O RO N O Permit Number:
2 7 5 0 K e l l e y P a r k w a y - P O B o x 6 6 Po2s69
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(612) 249-4600
Date Issued: si2ai2oo
SITE ADDRESS: 3160 North Shore Dr
WAYZATA,MN 55391
P I D: 09-117-23-32-0008
DESCRIPTION:
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Pl'OpOSCCI USe: nc�iucii�iai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Closet
Lavatory
Shower
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUIIIIMARY: Permit Fee: $ 35.00
Valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 36.00
APPLICANT: H.I.S. PLUMBING COMPANY INC OWNER: DAVID R POMIJE
5132 GORGAS Ave S 3160 NORTH SHORE DR
EDINA, MN 55424 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 CI'IY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS.
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P I I NA URE IS D BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIl�T 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Pernut 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 contractors and to property owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a separate building pernut 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 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 249-4600.
Please check one: � New Addition Repair Replace
_Y Residential Commercial
7
JOB SITE: 3!�0 0 �� � S�v�� �2t�'`� Zip:
Owner's Name: 1�1,� � t,��-(..�.�-.� Telephone Number: 7�// - � 3:1-/
Nlailing Address: 3/G, ,C�� 5�4n4 /J2t;,�.; City: �i�u,Lv Zip:
Contractor's Name: , / S. � ,�� 1� � 'n-� Telephone Number: �52 y�a�. �r�
Mailing Address: .�/ 3 �-- -����szs .4u t City: /=�/,c-�, Zip: �yiK%�yZy
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lava[ory f Sewer Ejector
Bathtub Laundry Tray
Shower � Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT �EE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
� 660 ��' x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e 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 chazged 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 pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciry 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 Inspectional 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.
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Applicant's Signature: �- ��`v� Date: � LY ��
C/DATE TIME
CITY OF ORONO CALLED IN D-LY d D �J c7
INSPECTION N TICE SCHEDULED -� :� �� Q
PERMIT NO. �a�� COMPLETED
ADDRESS -��� O yd, ✓�'`�'
OWNER ��`�'��'e-� CONTR. �-�S .
TELEPHONE NO. �-ra �-Z Z ���z
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINA 15 SEPTIC INSTALL. 22 FOLLOW-UP
W MBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J tt71Gf61NG FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO M YOU:_YES—1�0 �
� COMMENTS: ����J�� �Y�Q��.
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d 1�Y WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� �O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C, pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContr r on site:
Inspector �C
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