HomeMy WebLinkAbout2000-P03369 - plumbing PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P03369
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(612) 249-4600 Date Issued: 12/6/200
SITE ADDRESS: 521 North Stream Rd
WAYZATA,MN 55391
PID: 25-118-23-34-0007
DESCRIPTION:
Proposed Use: i�c5iuvu�ini
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Water Softner
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 900.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.00
TOTAL FEE: $36.50
APPLICANT: SURGE WATER CONDITIONING OWNER: T T DEVINE&S M WISH DEVINE
12201 MINNETONKA Blvd 521 NORTH STREAM RD
MINNETONKA,MN 55305 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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1APPLICANT PERMITEEI A URE IS D BY SIGNATURE
Copies:City,Applicant,Assessor,Finance Pagel
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CITY OF ORONO APPLICATION FOR PLL7-vMLN1G PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, NV55323
GENERAL INFORMATION
I. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit car-ds will be sent by return mail 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 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 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 249-4600.
Please cher:; one- C"' New Ac Repair Replace
Residential CL-:nmercial
SOB SITE: O � t Zip: 553
Owner's Name: c,✓L Telephone Number: a',T?-c'c s-
Mailing Address- City: (n Lq2 Zip: X356
Contractor's Name: lephone Number: 03�, -7 S&0
MOing Address: l z�v ✓Y2-1-,�P . (.✓r Ci yti� ,�L� Zip: �{3
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT IST 2ND OTHER
TYPE FL FL TYPE FL IFL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERN= nE CALCULATION
I. 1.25% of Contract Price` or Njinimurn Fee ($35.00)
le i0% x .0125 $ �S
(contract price)
2 State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Postale and Handling (Only mail-in applications) $ 1.50
Q. 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 are furnished by the owner,
tenant or any other parry 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 Ciry may request the submission of a signed copy of the actual contract.
** T"ne 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 Inspectional Services for the price.
The undersigr_ed 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, trice and
correct.
Date:
PP
A licant's Signature: 1 I
DATE TIME
CITY OF ORONO 3 36 CALLED IN 12_/
INSPECTION C SCHEDULED
PERMIT NO. COMPLETED 2r zG� �a
ADDRESS 5-W A10.
OWNERS CONTR. � ' ✓� i
TELEPHONE NO.
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W6-I3L 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBINGFI L 36 FOUNDATION/REMOVAL
Q RACTOR TO MEET YOU:_YES_NO
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d ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE/�j
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� ORRECT WORK R PROCEED ISSUE CERTIFICATE OF OCCUPANCY
CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
oCJ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. _ PHOTO TAKEN
INSPECTOR WILL RETURN
F]STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlContr for on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice