HomeMy WebLinkAbout2005-P08695 - plumbing PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P08695
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 5/6/2005
SITE ADDRESS: 1150 Old Crystal Bay S
Wayzata,MN 55391
PID: 09-117-23-13-0004
DESCRIPTION:
Proposed Use: Residential
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: $ 250.00
Valuation: $ 20,000.00
State Surcharge Fee: $ 10.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 261.50
APPLICANT: Lakeside Plumbing OWNER: Charles Brown
12469 Zinran Ave. 1150 Old Crystal Bay S
Savage,MN 55378 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 D BY SIGNATURE
Conies: 1-File(Si&nitures Required), 1-Applicant, 1-Monthly Reports. 1-Assessing. 1-Finance Page 1
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�0 City of Orono w k k
P.O.Box 66 9 �� y �
�' 2750 Kelley Parkway
Crystal Bay,MN 55323 ,
j• ,d (952)249-4600 f
CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
1. You may apply for plumbing permits 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 mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
1 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 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)
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Er Residential ❑Commercial(Approval Required)
❑ New [}'Additional ❑Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
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Site Address: I I So 0.N Cryo l g R�
o- Owner: L-itel 1s" Mailing Address: i-((,&j efi
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City: xceISSor Zip: x"3331
Home Phone: Alternate Phone:
Contractor.Information:
Contractor: a��S:�e Yw,n11,1 Contact Person: &tat
Address: 1a'-LL° Z ' e qde State Bond #:
City: ,,tr Zip: 3'1? Expiration Date:
Phone: ciSd-glq-i L•oo Alternate Phone:
❑ Insurance—Current:
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:; < E Nk'k e , ::11 1 4i) 1't
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet } Floor Drains
Lavatory ` LA Sewer Ejector
Bathroom 1Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
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❑ Yes,this section applies
a.L' 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 licensed contractor.
Skip next section,if this applies; Cost of Permit $ 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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If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
dC)o0o x.0125 $ aS0
(cogtract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
j OoS x.0005 $ 1 0
(contract price) (minimum$ 50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 07(01. So
• * 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 installations are furnished by
the owner, tenant 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 valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
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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: �- 3-cd--
3
619 /- D TIME /
CITY OF ORONO CALLED I
N (.D V 5
INSPECTION NOAI ��� SCHEDULED (p'7-ac 0'3U
PERMIT NO. P COMPLETED
ADDRESS 1150 O/c( C y ,ece S
OWNER CONTR. S.'d P/cvr,
TELEPHONE NO. ` s - 19((-76, 0c)
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Ucc, 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS
ci/ 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING R 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
c.)• COMMENTS: -
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ner inspection 24 hours in advance. (952) 249-4600
Owner/Contrtor n I i e:
Inspector. ( ) - \
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