HomeMy WebLinkAbout2001-P04449 - plumbing CI�fY �F ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: Po4449
Crystal Bay; Minnesota 55323 Permit Type: FiX�res
(952) �49-4600 Date Issued: loig�2oo�
SITE ADDRESS: 3400 North Shore Dr
Wayzata,MN 55391
P I D: 08-117-23-43-0016
DESCRIPTION:
Proposed Use: Kesicientiai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 75.00 Valuation: $ 6,000.00
State Surcharge Fee: $ 3.00
TOTAL FEE: $ 78.00 "
,�it,'�,4ZKN t � \ ���Cg,�,<-..,
APPLICANT: Owner/Self OWNER: Kenath&Donna Stein
MN 3400 North Shore Dr
Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK W STWCT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
``��.� � i� � (`�'Y�c.,�-'ti�.-- .,
APPLICANT PERMITEE SIGNATURE ISSUEDBYSIGNATURE
Copies: 1-File(Sienitures Required), 1-Avplicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
r
�'ITY OF ORO�'O APPLICATION FOR PLLJi�iBING PERMTT
�
rBox 66 (2750 Kelley Parkway)
Crystal Bay, NL` 55323
GENERAL INFOR�Lr1TION
1. Yeu may apply for plumbing permits by mail or in person a[ the City offices.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII. THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued OI�1LY to licensed plumbing contractors and to properry owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a separate buildino permit must be obtained.
5. All work must be done in accordance with the State Code requirements. y
6: All work must be inspec[ed 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 certirication. INCOi�IPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New �,(, Addition Repair Replace
Residentia�T Commercial
;
JOB SITE: .3 `�o� l�16 s�oK E D lZ l v� Zip: ��.S-��'/
Owner's tiame: �'Ei���Ty R S;F_ ii�r Telephone Number: ys,�- �7/-d 'T� q
1�Iailing Address: 3�loo nlo 5«o�eE (1�'�v�= City: v►�oN a Zip: .�'S��9 /
Contractor's I�ame: Telephone l�umber:
Mailing Address• City: Zip:
PLUNIBL�TG FIk�'URE SCHEDULE ;
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS;�iT 15T 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � � Floor Drains
Lavatory � Sewer Ejector
. Bathtub j � Laundry Tray
'.. S
Shower � � Washer
Kitchen Sink Water Heater
Disposal Water Softener
` Dishwasher Wet Bar
Sillcocks Misc (list)
s
PERMIT FEE CALCULATION •
1. 1.25% of Contract Price* or Minimum Fee ($35.00) -
� b, 6�c� , x .0125 $ 7 S^ c� o
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin7 (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. I[ 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,
tenan[ or any other party the reasonable marke[ 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 51,000,000 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.
A licant's Signature: �-�'��.�:�i�' � Date: �� � 4
PP � I
;
PU Y y�� DATE TIME
CITY OF ORONO C LED IN
INSPECTION NOT,L�CE �`� �EDULED �0�7 �yk'-��'t-�
PERMIT NO. �D ����7 � COMPLETED �d-/7-d/ .= �t'
ADDRESS � UU U a2-rG�! �
OWNER /S.d��- 5�2�'� CONTR. ��/�/'
TELEPHONE NO._ ��� �7 I ����
� DESCRIPTION L1 rQill Li�� ���.��
� 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 REMQVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMM NTS:
� p ,
� fr(-� �
O ^1 � � � } .
>. �
�
O
� �
W
�
Q
�
Z
W
�
W
�
�
a
W� �U+VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 2Q9-4600
OwnerlContractor on site:
Inspector. ���'�- ��'��1 >
White Copy/lnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO � CALLED IN
INSPECTION N ICE`', / SCHEOULED �-Zo-�-- �
PERMIT NO. a T`"E COMPLETED
ADDRESS _ �'�G O NO S�j a/��_ �
OWNER��P,t,.-t�� CONTR._J��,�
v
TELEPHONE N0.
� DESCRIPTION�� --��. �
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING .13 NICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION � WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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
W �LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS: ^� L��.- � �__
�'` C-`�
W
�
J � � �
� �i f a
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANGY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN ��
INSPECTOR WILL RETURN ��
❑STOP ORDER POSTED.CALL INSPECTOR TIO SS �
O INSPECTION REOUIRED.CALLTO ARRANGE ACCESS_-� �
�
Call forthe next inspection 24 hours in advance. �952� 249-Q6�0
OwnerlContra n site:
�
Inspector. �•��
�.
White yllnspector's File Canary C ISite Notice
�'� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI SCHEDULED
PERMIT NO. �� COMPLETED �� 't� -
ADDRESS
. �'�;
OWNER CONTR.
TELEPHONE N0.��1����� 'D 7�O`7
� D ESC RI PTI O N �� � ��--��f /��Ct�c./'�-,
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILL!NG
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 INSPEC i ION
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 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER=;EMUV.4L
J 10 PLUMBING FINAL 36 �OUNDATIONrRE^.1nVAL
� OWNER/CONTRACTOH TO MEET YOU:�YES_Nfl
� COMMENTS:
�
W
a -
� n
J / ',,(i .�--Xr-�r��� ,
Q r
�-
�
�
�
W
�
Q
�
Z -
W
�
W
�
�
O
� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� "�7 C�ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V �EFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. �
Call forthe next inspection 24 hours in ad�ance. (g52) 249-4600 '
OwnerlContract�or�on site:
Inspector.���� -�„��� ", �* �%i-�'
White Copyllnspector's File Canary CopylSite Notice