HomeMy WebLinkAbout2006-P10294 - plumbing PERMIT
CITY �F ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P10294
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued: 9/6/2006
SITE ADDRESS: 1300 Spruce Pl Unit#
Mound,MN 55364
PID: 08-117-23-32-0016
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Plumbing Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Backflow Preventor For Lawn Sprinkler
FEE SUMMARY: Pernut Fee: $ 15.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 15.50
APPLICANT: Leon Duda Plumbing OWNER: Nina Wildman
208 17Th Ave N PO Box 13519
Hopkins,MN 55343 Arlington,TX 76094
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 ISSUED BY [GNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page l
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` ,� FOR CITY USE ONLY
� City of Orono
� O�O�O P.O.Box 66 Date Received: Permit#
�";, 2750 Kelley Parkway ,
Ia �j���;4 Crystal Bay,MN 55323 Approved By: Amount$:
1�i��,,����{c.�o� (952)249-4600
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CITY OF ORONO -PLUMBING PERMIT
(All Commercial permits must Ue approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing peimits by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within two working days.
2. Pernut cards will be sent by ret�.uzi 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 J�B SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing conh-actors and to property owners
residing in tl�e dwelling.
4. When any new construction or remodeling is involved,a separate building pernut 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 Apply)
esidential ❑ Commercial(Approval Required)
❑ New �dditional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need nrior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
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Site Address: �3 �%' � �J,(�!'' �� � � � a��- (�t(��'`�1�
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Owner:_/1/��)2 (�[�,C�,t� �. .2 Mailing Address: , � �C _ � �0��
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City: �J`'�:-� � Zip: .J 7 ;j /�
Home Phone: 6l� ��C��7�7L Alternate Phone:
Contractor Information:
Contractor: /��� �c�.�sc���� Contact Person: � " �`�`�-
Address: �3� -l"7�`:�ti... �d State Bond #:
City: /ZC� � �� -� Zip:����xpiration Date: �Z���-E�
Phone: ����-�3 ..��.�` Alternate Phone: �i� l� ,�v2��i'.��
❑ Insurance-Current:
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PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener /�
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Dishwasher Wet Bar � ��"
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Sillcocks Miscellaneous �
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ 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 electricai or gas service.
2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance: and
3. Is improved,installed ar replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Pernut $ 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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� PERMIT FEE CALCULATION(S)-JOBS OVER$500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
x.0125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on 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
peimitted 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
tl�e owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or contract price for pernut 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 Deparhnent at(952) 249-4600 for the price.
PLUMBING PERMIT APPLICATION AGREEMENT
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: � 6 ��
3
�A� ��y � TIME �
CITY OF ORONO �-'��- ` LED IN � U�
INSPECTION NOTIC ✓' scHEouLED - -� � ����,�,,,
PERMIT NO. "� COMPLETED
ADDRESS J ��U SPY'IXC� /-�IC1�'-�>
OWNER CONTR. ��� ��LZ/Y)���1G1
TELEPHONENO. 1 s� ' -I 3✓'� " ��.��
� DESCRIPTION ��V4Z � ����1 /Gi'�
lL 01 FOOTING 11 MECHANICAL RI `' 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU�YES_NO
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W� WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR G' CITATION ISSUED
❑ INSPECTION RE�UIRED.CAL�TO ARRANGE ACCESS.
Call forthe xt inspection 2a hours in advance. (952) 249-46��
OwnedContra n site:
Inspector.
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