HomeMy WebLinkAbout2004-P07763 - plumbing A �
CITY O ORON PERMIT
� Permit Number:
2750 Kell Parkway- PO Box 66 P07763
Crystal Bay, Minnesota 55323 Permit Type: FiX�es
(952) 249-4600 Date Issued: 7/30/2004
SITE ADDRESS: 3202 North Shore Dr
Wayzata,MN 55391
P I D: 08-117-23-41-0003
DESCRIPTION:
Proposed Use: Kesiclenriai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Perxnit Fee: $ 35.00 Valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL F'EE: $ 36.00
APPLICANT: Owner/Self OWNER: Robert&Janet Labatt
MN 3202 North Shore Dr
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.
APPLICAN PERMITEESIGNATURE ISSUEDBYSIGNATURE
Conies: 1-File(SiQnitures Required), 1-Acrolicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Pazkway)
Crystal Bay, MN 55323
� GENERAI,INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YQU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT C 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 sepazate 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 pernut 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 Re air Re la
p p ce
Residential Commercial
JOB SITE: �020 o'Z /l/Ol�._��-� �l�� C;��L� Zip: �c��j�/
Owner's Names � 5,e.� �rq��" Telephone Number: �l,s".� �/7//a-7c�---
Mailing Address:�ao� �Q�'l. S � �,2. City;Gc>, �/� Zip: �"S'3� /
Contractor's Name: �3-TT'—� x��r�,�{Telephone Nutnber:
Mailing Address•_ Cityc Zip:
PLUMBING FIXTiTI�E SCHEDULE
FIXTURE ' BSMT 1ST 2ND OTHE FIXTUItE `BSMT 1ST 2ND OTHER
'TYPE FL ° FL TYPE FL FL
Water Closet � Floor Drains
Lavato Sewer E'ector .
Bathtub � La Tra
- Shower _ � Washer
Kitchen Sink Water Heater
D� sal ' Water Softener _
Dishwasher Wet Baz
Sillcocks Misc(list)
PERMIT FEE CALCULATION(Sl
2002 State Statute ❑ Yes, Tlus 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 $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00)
� QGY�.. � x .0125 $
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
(contract price) (minimum$ .50)
3. Postage and Handling (Only mail-in applications) __$ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above)� $ �
* CONTRACT PRICE or JOB COST means the actual or esrimated 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 aze 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 Departtnent of Inspection 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 statement de on this application are complete, true and
correct.
Applicant'sSignature: Date: �3�'D
- � 3sg �-�g�� �
�� ATE TIME
CITY OF ORONO � c�a,��ED IN �� ����
INSPECTION NOT E SCHEDULED I� �y
PERMIT NO. �v ���� COMPLETED
ADDRESS �c�O c�' / " 7 �Q'I,�Y� ,FJl2 :
OWNER �LJ C.G�'��CONTR. �
TELEPHONE N0. C�-`7 a �� � � l`3 �`�
� DESCRIPTION ����� `� ��-�L�--�-��'J� �
�
� 01 FOOTING 11 MECHANIC RI d� 18 EXCAV/GRADI G/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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBWG RI C�� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR T MEET YOU:_.J�YES_NO
� COMMENTS: � �. 1 C���
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��RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W CORRECT WORK 8 PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46QQ
OwnerlContractor 'te:
Inspector.
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