HomeMy WebLinkAbout2001-P03741 - plumbing � �
� PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 Po3�41
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(952) 249-4600 Date Issued: 4i26i2ooi
SITE ADDRESS: 3510 North Shore Dr
WAYZATA,MN 55391
P I D: 08-117-23-43-0008
DESCRIPTION:
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PPO]�OS0C1 USe: i�c�iucii�ia�
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Fixtures>3
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 4,000.00
State Surcharge Fee: $ 2.00
TOTAL FEE: $ 52.00
APPLICANT: Atwater Plumbing,Inc. OWNER: Nancy Cronen
603 County Road 4 Northeast 3510 North Share Drive
Atwater, MN 56209 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.
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A P I A T PERMITEE SI NATURE , ISSUED BY SIGNAT�JRE
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, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the Ciry offices.
2. Permit cazds will be sent by return mail after a review is completed. PERMTTS 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 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 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 yo� have
questions, call 249-4600.
Please check one: New Addition Repair � Replace
Residential Commercial
JOB SITE: dL�' (J� Zip:
Owner's Name: Sr' Telephone Numberc �^ -.
Niailing Address: . City: Zip:
Contractor's Name• l��'�� ���1(�'/�,�� �J�/� Telephone l�umber: _ 2�
Mailing Address: d 3 Gt7�����E CiLy w � Zip: ,z
PLUMBING FTX;TURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS:1�IT. IST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet F1oor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower � Washer �
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Baz ,
Sillcocks Misc (list)
pERNIIT I'EE CALCULATION
1. 1.25% of Contract Price or Minimum Fee 35.00
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(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. Postage and HandlinQ (Only mail-in applications) $ 1.50
4. TOTAL PERNIIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted
- work including materials, labor, profit, and other fixed costs. It is the amounE 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 Ciiy may request the submission of a signed copy of the actual contnct.
4
** The STATE SURCHARGE is .0005 of the conuact price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Jnspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Perm.it, 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 aze complete, true and
conect. .
Applicant's Signature: Date:
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DATE TIME
CITY OF ORONO CALLED IN `� J�� � ���
INSPECTION N CE SCHEDULED .��b�- � ��
PERMIT NO. � � / COMPLETED �i —�-� ~��'
ADDRESS Jrl� �� <��� +"�Z
OWNER � CONTR. � : -�f,�'h�s-;
TELEPHONE NO. �� c' �S� �- G/��
� DESCRIPTION �'�1 ��if�d�C.
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� C�RK SATISFACTORY:PROCEED � PROJECT COMPLETE
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� RRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. :., pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContrac or on site:
Inspector. (�
White Copyllnspector's File Canary CopylSite Notice
DATE IME
CITY OF ORONO CALLED IN Q-�'
INSPECTION TICE SCHEDULED 6 . Uv
PERMIT NO. � COMPLETED - �
ADDRESS /� ,/I�U. �-�l�t,GQ� ��
OWNER ���� CONTR. � .
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TELEPHONE NO. ��-U �7��y�/
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� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAI 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPL4INT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PL 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERI TRACTOR TO MEET YOU:_YES_NO
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W OflRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V i BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContra�tor on site•
Inspector.��`�'�� �v �
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White Copyllnspector's File Canary Copy/Site Notice