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HomeMy WebLinkAbout2004-P07900 - plumbing CITY OF ORONO PERMIT 2750 Kell� Parkway- PO Box 66 Permit Number: Po�9oo Crys*�" ay, Minnesota 55323 Permit Type: Fixtures (952) �9-4600 Date Issued: si3ii2ooa SITE ADDRESS: 1300 Spruce Pl Mound,MN 55364 PID: 08-117-23-32-0016 DESCRIPTION: Proposed Use: Kesicienrial Pemut Class: Plumbing Permit Type: Fixtures Pernut Sub-type(s): Mulriple Fixtures DETAILS: Approved per resolurion#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 375.00 Valuation: $ 30,000.00 State Surcharge Fee: $ 15.00 TOTAL FEE: $ 390.00 APPLICANT: Lakeside Plumbing OWNER: �llian's Gate LLC(Dr.Dennis Killian) 12469 Zinran Ave. 1300 Spruce Pl Savage,MN 55378 Mound,MN 55364 Tf�UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICf COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMINTS. ���� � ` .� 0�-ir�. APPLICANT PERMITEE SIGNATURE D BY SIGNATURE � Conies: 1-File(SiQnitures Re4uired), 1-Anplicant, 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1 CITY OF URONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for plumbing percnits by mail or in person at the City offices. 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 sepazate building permit must be obtained. 5. All work must be done in accordance with the State Code requirements. 6. Al?work must be inspected and air tested before it is covered. Ca11473-7357. 24-hour notice required. Instruction� Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOIVI�'LETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, ca11473-7357. Please check one: �� New Addition Repair Replace � Residential Commercial JOB SITE: /300 Spr�ctQla.c -L Zip: Owner'sName: ���fie Sf�.ec� �{Urnef TelephoneNumber: Mailing Address: yloK 2nd .s'f City:��/f�- Zip: S 5.�3/ Contractor'sName:�,e�s,�l�/��Gy,ry,6iik TelephoneNumber: MailingA.ddress: lay b! ��n/'�n ,�9� City: $�t�y<- Zip: J33 �� PLUMBING F�TURE SCHEDULE FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet � I �j Floor Drains Lavatory � � � Sewer Ejector Bathtub Laundry Tray � Shower a Washer � Kitchen Sink Water Heater Disposal l Water Softener Dishw�,sher � Wet Bar Sillcocks 3 Misc (list) � g u�n P' ��t s"'pp l7 i rr;�S�-�p�y PERMIT FEE CALCULATION 1. �.25% of Contract Price* or Minimum Fee ($35.00) 3 7s �,�v ,�Oddv "`' x .0125 $ (contract price) 2. State Surchar� ** Add the State Building Code Division _ Uv Surcharge to each permit. x .0005 $ /S (contract price) or $.50, whichever is greater 3. Postagg and HandlinQ (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3 �J �,SU * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted work including materials, labor, profit, and other fixed costs. It is the amount to be chazged to the customer for the work done. If any material, equipment, labor,or installation aze furnished by the owner, tenant or any other pazty the reasonable market value of such items must be added to the es�imated 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 Department of Inspectional 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 aad correct. . < l Applicant's Signature: �s"'�`�" Date: �i����` c� � DATE TIME CITY OF ORONO CALLED IN �� '� INSPECTION N I E SCHEDULED -5'� 3:ad PERMIT NO. D O COMPLETED ADDRESS �.�O�D �� OWNER CONTR. Q��. TELEPHONENO. /�Z a / T' 7��D � 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 Z04 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Caii for the ext inspection 24 hours in advance. (952) 249-46�� OwnerlCo site: Inspector. White Copyllnspec r's File Canary CopylSite Notice � t �� D TE TIME � v CITY OF ORONO CALLED IN ��� �� INSPECTION NOT E SCHEDULED _��r� 10 PERMIT NO. COMPLETED ADDRESS �J� O� �Zri���I. OWNER CONTR. � �����(/K.; TELEPHONE NO. �_�� .�f y �Cp D C7 � DESCRIPTION /�.X�.(.(i �61/I �y 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 v 07 D - AL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J G FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � � J O � � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION RE�UIRED.CA�L TO ARRANGE ACCESS. Cal{for the next nspection 24 hours in advance. (952) 249-460� OwnerlContr on ' Inspector. � White Copyllnspector's File Canary CopylSite Notice V� � DATE,l TIME �/ CITY OF ORONO CALLED IN `� INSPECTION NO CE SCHEDULED � �� �:c�C P.M PERMIT NO. cCJU COMPLETED ADDRESS L����O S�}'?/L� I�l�-C=� OWNER CONTR. ����1 Sr c�Z ��c1� TELEPHONE NO. i Sv� �`� � 7 l�C�v � DESCRIPTION I`-J� �'T !� � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 I, � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 0�,9,.-�P•-`�,L!l�A8JAl6,�d31___ 23 SEPTIC FINAL 35 HARD COVER REMOVAL '10 PLUMBING FINAL 36 FOUNDATION/REMOVAL �� TOR TO MEET YOU:_YES_NO � COMME TS: W Gf.�t,d Nti P.rr� D a � J O >. � O � W � Q � Z W � W � j � �ORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED �I ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor it Inspector. White Copyllnspector's File Canary CopylSite Notice