HomeMy WebLinkAbout2003-P06132 - plumbing PERMIT
G'ITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po6i32
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: 3�2g�2oo3
SITE ADDRESS: 3625 North Shore Dr
Wayzata,MN 55391
P 1 D: 08-117-23-34-0009
DESCRI PTION:
Proposed Use: Kesidential
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
APPLICANT: KottPlumbing OWNER: MarkWelch
15118 64th. St.N 3625 North Shore Dr
Stillwater,MN 55082 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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APPUCANT PERMITEE SIGNATURE [SSUED BY SIGNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
Mar 27 03 02: 27p KOTT PLUMBIMG IMC 651 342 0340 p. l
� Nar-:T 20Q3 02:05am From-CITY OF ORONO +9522494616 T-15B P.001/003 F-034
CITY��' ORONO AF'PLICAI'ION�OR PLYJMBII�IG PERMIT
Box 66 C1750 Kelley Parkway)
Cry�gay,1V�T 55323
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1, You aosy apP�Y�Plumbing petmia bY mail or i�u pcxson at thc CitY offices.
2. Pecmit euds will be seat bY reaua mail after a rev�ew is completed. pERMTfS ARE NOT VALID ZJNTIL
YOV RECEIV E w YERM.IT. �VORK��S7'NOT BEGIN P CARD FOSTED 0[�I
�E�oB_ s�t�E•
3. Plumbing permits maY be issucd ON1.Y to licensed plumbiag co�actors and[o property awners residiag
ia the dwelliab• must be ob�aiaed•
4. Whea any t�v comauctica or cemodeliag is invotved.a separaoe bnildir+8 P�
5. All work musc be do� ��c usted betore Code tc�mauall (9S2) 249�600. 24hour nooce
6. All work rqust be iospcc
required•
Tn�trurh� Complete all items oa�A,�ONS VVII.L NOT E PRO10ESSE�I�f'You �a�ve
cercificarion. INCOMPLETE APP
questions. call (95Z) 249-4600. ,
Addition �pau �p��
please check one= „�New Cott�rcial
Residetuial
3UB Sl'�:_ 3�:� �I J'�r�
�p: �s��i,
Owner's Name•_lY�ark we I�l, � _ Telepl►one Nwmber: �I? �6s �6��
Mailing Address:3,f i� �I rba�L (I r _City: O�� Zip: �'13�1 �
Cou�r.�cc�r's Nsnie:�co r-r P���+b�.��, Telephon�e N�bac:.�f� - y3��G�a
�, s-T,Sllu.rrra,- Zip:_�So�� —
Matling Address: � �i� �`� f r u �Y=
p�,UMBiNG FIXTU1tE S['�UL�
p��gg �SMT 1ST 2ND OTHER FtX'fURE BSMT 1ST 2ND OTNER
' PL FL TYPE FL �L
�'YPE
w��aosa 1 Floor Draim
L.a a. � � Sewer fi'ector '
Batb�tub � � I.s�md '�a
� R►ashe� �
Sdou►e�
Kitcbea Suok � Water Keauc
Dis sal ( Wazcr Sofc�s
n�snwasher
� wu�
S�llcocks a Misc�list
Mar 27 03 02: 27p KOTT PLUMHInG IhC 651 342 0340 p. 2
� Nar-�Tr2003 02:06pm From-CITY OF ORONO +852T484616 T^15B P.003/003 F-034
�Sp��;�'F (`ALGU�.AT O S
�nn�_ cta� S4'�t�te ❑ Yes� This SectiOn ApplieS
The cepla�enlent of a R��"�"n 'a�l f�cure or i tl�at meets all threo of tbe followit�g
requiremetus:
1� p��ot roquire modification co electrical or gas service.
2� H��to c�of g5p0.00 or less; clgg udi���st of cbe fixture or applian�e:
and
g� u impraved, instailed or replaced bY the bomeowner or liccnced corm'actor.
Cost of Per�nit $ 1 S 00 _._ .
Slcip next section; .50
Stace Surcharge $
Mail In Fee $ t 50
If above docs aot apply, foUow guidelines below:
�ce* is .0125 °�b of jvb with a Fe�e o 5.001
1. ��4��- od
6�4°Q x .oi2s S 7�
(conu8ct priee) (mioimum 535.00)
. 2, Sta Surc¢�r, ��e. *" Add th�e Statc Suilding Code Division a (MiniYaum Fce af� •50)
�Ol/O� x .0005 $ �o .
(contrac�piice) (minimwn S .50)
�a*s� aqd�n�C '� (�n1Y mai!-in applications) $ i.SO
3' oD
4. TO��p�g�T�E (Add lines 1-3 abov�)
�
* CON'I'[iACT PRICE ur JOB COST mwas cbe ac�ual or estimated dollar amount cl�arged for tbe permisted
worlc ipclndin8 mauutials,labor.ProCu,a�other Qxed coscs. 1t is du amount to be cai.irged to tlu castomer
foc�e work done- If any material.�iPm�at,laUor.or installstioa are furnisbed bY the�'�T�t�or
�y o�e�pxcry ttie ressoaable markec valu�e of such items must be added to du esdIDated oou or contspc�
pYice for percnit tee pucPoses. in tbe event that fi�ese is a dispuu on tbe amount of[l�e job cos�,the Cicy may
requcst tbe submisaion of a sigaed copy oE tbe acn�al cva�acc.
*s -[he STAT�'s SURCHARGE is.0005 of ihe co��P��r S1 Ser�n'ces for tbe pr�whichever is gxeatcc.
For valuarivag mrer a1.000.000 call the Dcp P�OII •
hereb a lies to the Ciry for issuance of a plumbing Pe��► a� t° do all
'The undersigned Y PP
work in strict accordance wirh tbc ordiaances of the Ciry and� n�� m le�uue an�d
M�o�, az�d cettiSes that all statemenrs made on this apQ P
correct.
�c� �(�� Date: . ' � �
pppticant's Signaoure: _ �
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED _..�� �:3�1
PERMIT NO. / [�1���3�� connP��eo
ADDRESS �,_..(�� �G6`ZT�}� SI1c5f� � {�.
OWNER CONTR. �J°�- �1��,�-b�
TELEPHONE NO. C�5 ���f �)C�.S� C'G�/ (a,_5,���5�
� DESCRIPTION v�e�:.• C o�.�fi � � )n��C�i�= ti' •``� c�%
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS
y 03 INSULATION 24/25 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 MO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
PLUMBI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= MBING FINAL 36 FOUNDATION/REMOVAL
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� OWNERI NTRACTOR TO MEET YOU:�_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (952) 249-4600
OwnedContr�tc� site:
Inspector. �� �'�
White Copyllnspector's File Canary CopylSite Notice
✓
DATE �/It�'I�'� TIME
CITY OF ORONO CALLED IN - - -3'3a
INSPECTION NO C SCHEDULED��ZY�'3 � -�
PERMIT N0. � � COMPLETED
ADDRESS ,'S�Dc�� 0�2.T�'l � I �'
OWNER CONTR. �0�� ��ur•-,6 .
TELEPHONE NO.�(� .S_,� �— �`�� ���_
� DESCRIPTION
� 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 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 COMPLAINT
� L 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINdiL 35 HARD COVER REMOVAL
v �� �• � � 36 FOUNDATION/REMOVAL
� OW RICONTRACTO MEET YOU�YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W O CORRECT WORK 8.PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cal1 for the ne inspection 24 hours in advance. (952) 249-4600
OwnerlConUa o s e:
Inspector. �
White Copy/lnspector's Fil Canary CopylSite Notice