HomeMy WebLinkAbout2003-P06427 - floor drains CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po642�
Cryst#1•Bay, Minnesota 55323 Permit Type: FiXcu�es
(Q;Z) 249-4600 Date Issued: 6i16i2oo3
SITE ADDRESS: 3440 North Shore Dr
Wayzata,MN 55391
PID: 08-117-23-43-0019
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Pernut Type: Fixtures Pernut Sub-type(s): Floor Drains
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 15.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 15.50
APPLICANT: Tonka Plumbing OWNER: David&Paula Lindberg
265 Cty Rd 110 North 3440 North Shore Dr
Mound,MN 55364 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STWCT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT ITEE S NA RE SUED BY SIGNATURE
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Copies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
, � CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway) �
Crystal Bay, MN 55323
GEla1ERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the Ciry offices.
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 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 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 permit fee. Sign and date the
certification. INCOMPLETE APPLICAI'IONS WILL NOT BE PROCESSED. If you have
quesdons, call (952) 249-4600.
Please check one: New �Addition Repair Replace
_� Residential Commercial
Jos srrE: 3�-1'�-4�fl t�ur t�. Sh,v�re � �J z�p: 5 5 3 91
Owner's P�Tame: e � • Telephone Number: q 521- 1-1-'7(-'7;3��-
Mailing Address• 5a.�nr► a�. : City: Zip:
Contractor's Name: TO Y\ Telephone Number: q 5 a -�f'1 d-�'32-�(7
Mailing Address: � C,�'�y: Zip:
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL �
Water Closet Floor Drains 1
' Lavato " Sewer E'ector
Bathtub Laun Tra
Shower Washer
Kitchen Sink Water Heater
Dis sal Water Softener
Dishwasher Wet Baz
Sillcocks Misc(list)
PERMIT FEE CALCULATION(S) �
2002 State Statute �Yes, This 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; excluding 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)
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 estimated dollar amount charged for the permitted
work including materials,labor,profit,and other fiaed costs. It is the amount to be charged to the customer
for the work done. If any material, equipment, labor, or.installation aze fun►ished 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 Depaztment 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 statements made on this application are complete, true and
correct.
Applicant's Signature: Date: � l�`C�
�a� � �'�ss .
DATE TIME �
CITY OF ORONO �D IN le--f�O��'3
WSPECTION NOTIC SCHEDULED CP �%3 2�
PERMIT NO. �� COMPLETED
ADDRESS 3 � �C� /`-� � ��.�.. ��.
OWNER CONTR. %tiri 1' � PlLt/Yt�
TELEPHON E NO._ � ���` ���- - ��L�
� DESCRIPTION �G� �"- ��v U2" �«'l'
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILIING
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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
_ �9 2WM8lA1G 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J MB}NG FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES�NO
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� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W4LL RETURN ❑CITATION ISSUED
❑STOP OFDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the nex inspection 24 hours in advance. (952� 249-46�0
OwnerlContract i e:
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice