HomeMy WebLinkAbout2004-P08074 - plumbing ` ' PERMIT
ClTY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P08074
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: ioii3i2ooa
SITE ADDRESS: 3635 North Shore Dr
WAYZATA,MN 55391
PI D: 08-117-23-34-0008
DESCRIPTION:
Proposed Use: Kesicientiai
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Plumbing Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Water pipe extension
FEE SUMMARY: Pernut Fee: $ 37.50 Valuation• $ 3,000.00
State Surcharge Fee: $ 1.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 40.50
APPLICANT: �ndy Lane&Sons Plumbing&Heating OWNER: Z&M LIBERMAN
1501 West Broadway 3635 NORTH SHORE DR
Minneapolis,MN 55411 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 ORDINANCFS AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PE ITEE SIGNATURE SSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Aunlicant, 1-Monthlv Reuorts. 1-Assessing, 1-Finance Page 1
, 3
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT�!'� � � �U04
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 cards will be sent by return mail after a review is completed. PERM[TS ARE NOT VAL[D [JNTIL YOU
RECENE A PERMIT. WORK MUST NOT BEGW 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,
ca(1 (952) 249-4600.
Please check one: New Addition Repair ✓ Replace
✓ Residential Commercial
JOB SITE: 3635 north shore drive Zjp; 55391
Owner's Name: cathy sallas Telephone Number: (612)419-8744
Mailing Address: City: Zip:
Contractor's Name: randy lane 8�sons plumbing inc. Telephone Number: 612-521-8835
Mailing Address: 1501 west broadway ave Cjty; mpls Zlp:55411
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1 ST 2ND OTHER FIXTURE BSM 1 S 2ND OTHER
TYPE FL FL TYPE T T FL
FL
Water Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laund Tra
Shower Washer
Kitchen Sink Water Heater
Dis osal Water Softener
Dishwasher Wet Bar
Sillcocks Misc list
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PERMiT FEE CALCULATION(S)
2002 State Statute ❑ Yes, This SecHon 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�,
� DUD x .012 5 $ .� �, � �i
—�
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of$ .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 fixed costs. It is the amount to be charged to the customer for the work
done. [f any material, equipment, labor, or installation are furnished by the owner, tenant or any other party the
reasonabie market value of such items must be added to the estimated cost or contract price for permit fee
purposes. [n 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 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, true and correct.
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Applicant's Signature: �-�`��.,.,�,f'��,�� l�j f /r�-�F Date: /C% � G
Reset Form
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CITY OF ORONO � �� CALLED IN (' J Zj C�"� `
INSPECTION NOTIC � ��� � SCHEDULED % �3 G- `. C:C_�
PERMIT NO. ��\ ������COMPLETED
ADDRESS ��' ���� f v . ��l j� �� ��Z_
OWNER CONTR. �
TELEPHONE NO. ci ��� `]�- I ' ��S� � � J�S
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� DESCRIPTION I �-�--z:'»h . �/ �.,�:['
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING Rf 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�ES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ;� pH0T0 TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (952� 249-46��
Owner/Cont n it :
Inspector.
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