HomeMy WebLinkAbout2007-P11319 - plumbing PERMIT
CI'TY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P11319
Crystal Bay, Minnesota 55323 Permit Type: Fix�ures
(952) 249-4600 Date Issued: 8/8/2007
SITE ADDRESS: 3605 North Shore Dr Unit#
Wayzata,MN 55391
P��� 08-117-23-34-0011
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Mulriple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 197.50 valuation: $ 15,800.00
State Surcharge Fee: $ 7.90
TOTAL FEE: $ 205.40
APPLICANT: FreedomMechanical OWNER: MikeManey
11135 Hwy. 7 3605 North Shore Dr
Watertown,MN 55388 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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APPLICANT PERMITEE SIGNATURE IS LJED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
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� . FOR CITY USE UNLY
- ¢�� City of Orono
P.O.Box 66 Date Received: Permit#
�� � 2750 Kelky Parkway
� � � t � Crystal Bay,MN 55323 Approved By: Amount$:
����,af (952)249-4600. . '
�ITY OF ORONO-PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENER.AL INFORMATION
1. You may apply for plumbing perniits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return lnail 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 construcrion or remodeling is involved,a separate building pemvt must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
: � TYPE OF PERMIT
Check All That A 1 )
,�Residential ❑Commercial(Approval Required)
�New �Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need nrior aAuroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site f Owner Information:
Site Address: .3�D,S-' /�o�� CS�i2e. .�/�
Owner: ��%�i�v-� Mailing Address:
City: � Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ICi�o�• i�� Contact Person: �t��lC ���
Address: l� 7 State Bond#:
City: �� G,��.� Zip: •�38SExpiration Date:
Phone: �,Z 3�.3 �!�6' Alternate Phone: �1�- 3�3 �IIC�
❑ Insurance-Current:
1
. �
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PLUMBING FIXTURES BE1NG INSTALLED
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2' OTHER
TYPE FL FL TYPE FL FL
Water Closet j � Floor Drains /
/
Lavatory / � Sewer Ejector
(
Bathtub i Laundry Tray �
!
Shower � Washer �
Kitchen Sink / Water Heater �
Disposal � / Water Softener J
( !
. Dishwasher J Wet Bar
!
Sillcocks � Miscellaneous
PEP.1`,�IT FEE CALCULRTIQr:(S�
BASED OFF - 2002 S'I'ATE STATUE
❑ 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; excludin�the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
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PERMIT�F'EE C:Ai..CULATI01�1-5 =-'JO�S OV�R��SOO:QO :'
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
/���UC� x.0125$
(contract price) (minimum$35.00)
�- �. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50)
x.0005 $
(contract price) (minimum S .50)
3. POSTAGE&HANDLING(Only on 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
pernutted 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 installations are furnished by
the owner, ie�ant 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 valuarions over$1,000,000 call the Building Department at(�952)249-4600 for the price.
.�:w''� s C 3'.'�'a��+y� rS�{tl,�..,��++� {� �,����:,e�(5�� i.� � �.������ (�F�^�t y��,1� '�.�.
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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:�c��0 7
3
C / � p. DATE TIME V
CITY OF ORONO CALLED IN / '� 'D
INSPECTION I�Q���E/ �j SCHEDULED 9�S l: 3 O
PERMIT NO. f� / COMPLETED
ADDRESS �� �� N `�O`''` ��
OWNER rn��- CONTR.?/�¢.��lr7�n ��-�
TELEPHONE NO. � l�' -3 �° 3 ' 6 � 5 U
� DESCRIPTION
L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 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
� - 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 1 BING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑ RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (J52� 249-4600
Owner/Contra e•
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� DA�E�`/� TIME
CITY'OF ORONO �LLED IN / / ���,
INSPECTION TICE < SCHEDULED �-��
PERMIT NO. ! � COMPIETED
ADDRESS ���s 1 v 'O�P �� '
OWNER CONTR.�r{�(`Yl� ���
TELEPHONE NO. �Q l� � p���U��
� DESCRIPTION � �J ` �t V1 � �
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILIING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDAT�ON/REMOVAL
� OWNERICONTRACTOR TO MEET YO : YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (J52� 249-4600
OwnerlContrac ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice