HomeMy WebLinkAbout2004-P07275 - plumbing CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po�2�s
Cryst�l Bay, Minnesota 55323 Permit Type: FixrUres
(95�) 249-4600 Date Issued: 3i2i2oo4
SITE ADDRESS: 3570 North Shore Dr
Wayzata,M[�I 55391
P I D: 08-117-23-34-0019
DESCRIPTION:
Proposed Use: xes�dential
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: $ 90.00
Valuation: $ 7,200.00
State Surcharge Fee: $ 3.60
TOTAL FEE: $ 93.60
APPLICANT: Tonka Plumbing OWNER: Thomas&Marylou Lutz
265 Cty Rd 110 North 258 Cygnet Pl
Mound,MN 55364 Long Lake,MN 55356
TI-IE UNDERSIGNID IIIItEBY 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 BUII.DING CODE REQiJIRIIvIF.NTS.
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APPLICANT RMITEE G ATURE ISS DBYSIGNATURE
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Conies: 1-File(SiQnitures Reauiredl. 1-Apnlicant, 1-Monthlv Renorts. 1-Assessine, 1-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 City offices.
2. Permit cazds will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOU RECENE 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 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 APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: New �Addition Repair Replace
_�Residential Commercial
aos srrE: 35�o Nv►�s►�u.s,i-e,�,�- z�p: 55 3 a-�
Owner's Name: -�� �t� Telephone Number:_g�a-a �j l.�
Mailing Address: City; �C' Zip; �j .
Contractor's Name: Telephone Number: ;z. -r-j�
Mailing Address• a-(o V ity: Z�p;
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 15T 2ND OTHER
TYPE FL FL TYPE FL ` FL
Water Closet Floor Drains
Lavato � Sewer E'ector
Bathtub I La 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 Surchazge $ .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)
��t7��' 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 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 charged to the customer
for the work done. If any material, equipment, labor,or installation aze fiunished by the owner,tenant or
any other party the reasonable mazket value of such items must be added to the estimated cost or contract
price for permit fee purposes. In the event ihat 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,Q00,000 or $.50-whichever is greater.
For valuations over$1,000,000 call the Department 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, txue and
correct.
Applicant's Signature: Date:
�L� � �
DATE TIME
CITYOFORONO CALLEDIN �-Zl� - vY ���
INSPECTION NOTICE -7 _. scHE�u�Eo -Z�''�y -�L-L'�
PERMIT N0. b7 Z" /-S � COMPLETED
ADDRESS � � �`��v�'- --
OWNER CONTR. ����LK-�- U�
TELEPHONE N0. ���5. � ����� �/ ��`�I I
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� DESCRIPTION
ly 07 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
Q 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO,_=FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q _
�LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v � 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES NO
� COMMENTS:
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W� WOFiKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR fiEINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContractor on site:
Inspector. � �
White Copylinspector's File Canary CopylSite Notice