HomeMy WebLinkAbout2003-P06347 - plumbing t �
CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po634�
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(952) 249-4600 Date Issued: si22�2o03
SITE ADDRESS: �3ig spru�e P�
Mound,MN 55364
PID: 08-117-23-32-0018
DESCRI PTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Mulriple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 57.44
Valuation: $ 4,595.00
State Surcharge Fee: $ 2.30
TOTAL FEE: $ 59.74
APPLICANT: Weld&Sons Plumbing OWNER: Patricia Groetken
315 Juneau Lane 1318 Spruce Pl
Plymouth,MN 55447 Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APP CA PE E I AT � ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLiJ�iBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIN 55323
GENER4L INFOR��IATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cazds will be sent by return mail after a review is completed. PERMTTS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII. THE PERMTT 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 obtai.ned.
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. Si�n and date
the certification. INCOMPLETE APPLICATIONS WII..L NOT BE PROCESSED. If you have
questions, ca11249-4600.
Please check one: New _� Addition Repair Replace
X Residential Commercial
JOB SI'TE: /3/8 s���cce ��ac4 � �✓�ov�v Zip:
Owner's Name: Telephone Number:
1�Iailing Address: i3/f� So�kc� /u�� Cit3':Q✓'o2o Zip:
Contractor's Name: j�/c/�l aK� SeK� �/u.�,6�.1d Telephone i�umber: �63-�f�s-o�`i�
1�lailing Address: 3/S Tknea� /�.�e City: -�, Zip: ssy�t�
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS:�iT 1ST 2�ID 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
Dishwasher Wet Bar
Sillcocks Misc (list)
PERMIT TEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee 35.00
�J� "`� x .0125 $
(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. Posta�e and Handlin.g (Only mail-in applications) $ 1.50
4: TOTAL PERNIIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged for the permitted
work including materials, labor, profit, and other fiaed costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor,or installation aze 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 Ciiy may request the submission of a signed copy of the actual contract.
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. ** 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 Plumbin; Permit, agrees to do all
work in strict accordance with the ordinances of the City and the re;ulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signa Date: 5 z z o
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DATE � TIME
CITY OF ORONO CALLED IN "-� -�'.='
INSPECTION N TICE, SCHEDULED '" �� �'�- �
PERMIT NO. COMPLET
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ADDRESS �� (� ' I��'
OWNER CONTR. � ��Gr1..�
TELEPHONE NO.�vG �c�+ ��J y 7�y � OI'J
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� 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 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 COVEFi REMOVAL
J F�N ��� 36 FOUNDATION/REMOVAL
� OW R/CONTRACTOR MEET YOU:_YES✓NO
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W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
�CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next ins ction 24 hours in advance. (952� 249-4600
OwnerlContractor n te.
Inspector. �-
White Copylinspector's Ffle Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOT E SCHEDULED / ��UU
PERMIT NO. � � 3y�7 COMPLEiED
ADDRESS_ I 3 l � S Pr1-��-- t��--
OWNER CONTR. I,f.�.�� Ic� ���1Y1�1k� �
TELEPHONENO. �(�� ���5 � �ZCCc
� DESCRIPTION �� �� r - Pl��h
� 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
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
� OWNER/CONTRACTORTOMEETYOU• YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVER�NG PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL FETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the n t inspection 24 hours in advance. (952) 249-4600
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OwnerlContr te:
Inspector.
White Copyllnspector's File Canary CopylSfte Notice