HomeMy WebLinkAbout2006-P09518 - plumbing PERMIT
CITI'i~OF ORONO Permit Number:
27fl0 Keliey Parkway- PO Box 66 P09518
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 1/3/2006
SITE ADDRESS: 1345 Rest Pt La Unit#
Mound,MN 55364
P��� 07-117-23-32-0054
DESCRIPTION:
Proposed Use: Residential
Pernut Class: Plumbing
Permit Type:
Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 242.19 Valuation: $ 19,375.00
State Surcharge Fee: $ 9.69
Misc.Fee: $ 1.50
TOTAL FEE: $ 253.38
APPLICANT: North Anoka Plumbing OWNER: Ascent Investment Inc.
22590 Rum River Blvd.N.W. 29685 N. 77th.Place
St.Francis,MN 55070 Scottsdale,AK 85262
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COIVtPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE ONLY
" City of Orono
�4`���< P O Boa 66 Date Received: Permit#
�; 27�0 Kelley Pazkway
��� �' F Cryst�l Ba�,MN 55323 Approved By: Amount$:
�a�t��'+�rj ,��o`�/ (952)249-A600
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial pennits must be approved by the Bufldfng Ofticial or Inspector)
GENERAL INFORMATION
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
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)
TYPE OF PERMIT
(Check All That A 1 )
✓� Residential ❑Commercial (Approval Required)
�❑ New ❑Additional ❑Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior approval and may need C'UP.(Per Orono City Code,Chapter 78,Article IV)
Job Site /Owner Information:
1345 Rcst Point Lane
Site Address:
Owner:�'oodstone BU>>d�rs Mailing Address:
St.Francis
City:
Home Phone: _ ��� G��C�c.� Q
Contractor Inforrr ��
Not C���� Bill Jansen
Contractor: _ ��2,D-Gl/1 Gl/X-�'
225 ���� C� � �' `�-(' 4��4
Address:
St. �� � 12/31/06
City: _
Pnone:
�76 G� �f �-°�
��2 ' �,/�_(j�� � � : 12/31/06
`t !
1
ub
FIXTURE BSMT 1 T ZND OTHER FIXTURE BSMT 1 T ZND OTHER
TYPE FL FL TYPE FL FL
Water Closet 1 1 2 Floor Drains 1 1
Lavatory � � 4 Sewer Ejector
Bathroom 1 1 2 Laundry Tray 1 1
Shower 1 2 Washer 1 1
Kitchen Sink 1 Water Heater 1 1
Disposal 1 Water Softener
Dishwasher 1 Wet Bar 1
Sillcocks Miscellaneous 1
�-�s�. , .: .
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.,k�;�.'C=�'v. f�.
❑ 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. ls 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
PERMIT FEE CALCULATION(S)-JOBS OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1?5%of contract price with a(Minimum Fee of$35.00)
19,375.00 x .0125 $ �42.19
(contract price) (ininimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(11inimum l�ec of�.50)
19,375.00 x .0005 $ 9.69
(contractprice) (minimum$ .SO)
3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 1.50
253.38
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. If a��y 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.
PLUMBING PERMIT APPLICATION AGREEMENT
Tlle 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 state�r�ents made on this application are co�nplete, true and
correct.
Applicant's Signature: � � Date: ����j0 �d�
�� � _�' Reset Form
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Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 S TIC�FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL ! 36 FOUNDATION/REMOVAL
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❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-46�0
OwnerlCont c o s te:
Inspector.
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� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTAIL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTI INAL 35 HARD COVER REMOVAL
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❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Call forthe next ins ection 24 hours in advance. (952� 249-46��
Owner/Co act si :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�D T TIME J
CITY OF ORONO CALLED IN �
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in ection 24 hours in advance. (g52) 249-46��
Owner/Contra s te:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� � �� DATE. TIME V
CITY OF ORONO '' -ca�LED IN `J�����
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PERMIT NO. f�n�5—I� COMPLETED
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OWNER CONTR. �/ -���i�m�
TELEPHONE NO. � �3 �S� �� �--3
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� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU:�YES_NO
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL{NSPECTOR � CITATION ISSUED
❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (g52) 249-460�
OwnerlContra ite:
Inspector.
White Copyllnspector's le Canary CopylSite Notice