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HomeMy WebLinkAbout2002-P05309 - plumbing CITY OF ORONO PERMIT 275VKelley Parkway- PO Box 66 Permit Number: P05309 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 6/13/2002 SITE ADDRESS:. 1300 Vine PI Mound,MN 55364 PID: 07-117-23-42-0002 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: $ 198.13 Valuation: $ 15,850.00 State Surcharge Fee: $ 7.93 Misc.Fee: $ 1.50 TOTAL FEE: $ 207.56 APPLICANT: Southtown Plumbing Inc. OWNER: Rick&Kristine Sterling 6636 Penn Ave S 1300 Vine PI Richfield,MN 55423 Mound,MN 55364 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. _1)�6ZAI ;,/— - AP LICANT PERMITEE SIGNATURE I D BY SIGNATURE Conies: 1-File(Siknitures Required), 1-Analicant, 1-Monthlv Reports, 1-Assessin2, 1-Finance Page 1 CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for plumbing permits 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 separate building permit must be obtained. 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 2494600. 24-hour notice required. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. Please check one: New Addition Repair ✓ Replace tr Residential Commercial JOB SITE: Zip: Owner's Name: Telephone Number: Mailing Address: City: Zip: Contractor's Name: Tel hone Number: Ca/� Mailing Address: City: c c_ Zip: PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT IST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub o2 Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Misc (list) PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) /S SS',50 asx .0125 $ f3 (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. / fs5 Q o C x .0005 $ 7. �3 (contract price) or $.50, whichever is greater 3. Postage and Handlinf? (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 0-7,SCP * 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 installation 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 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 statemeris made on this application are complete, true and correct. Applicant's Signature: Date: r— ORONO ADMINISTRATIVE OFFICES 1NpORMATION DISCLOSURE REQUEST _ M2 SNESOTA GV RI MENT DATA PRACTICES ACT REQUESTER NOTE: A. Request Frequency - Private Data on individuals. After you have been supplied the data and informed of its meaning, the data need not be disclosed to you or additional nal hs thereafter at-on .unless a dispute or action is p you .has' been collected. ts in making, B. You may be reauired to pay actual cos certifying and/or compiling the copies of information requested. �,/�7 /IUvDate of Request: _ Requester Name: / City: Address: Zip: .S Home Phone: Business: z- Z 2 Z O Description of Information Requested:. V�-! Requester' s Signature: c� BELOW INFORMATION TO BE F IN BY DEPARTMENT ONLY Handled By: Department: Request Type: In person . Mail Phone Requested By: Subjec� of Data Not Subject of Data Information Requested is Classified: ublic Private Confidential Non-Public -rotected Non-Public Approved Denied _ Approved in Request is: _ part . Remarks/Comments: Authorized Signature: gna Fees:• x Total Due ._ No. of Pages Rate per Page DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. '5309 COMPLETED << ADDRESS 1 -5b0 V kol _ ��-- OWNER CONTR. TOS )n pIVKmk TELEPHONE NO. In 96U - 30S--� DESCRIPTION 14 01 FOOTING 11 MECHANICAL RI 18 EX V/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 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 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEP IC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU: YES_NO COMMENTS:CCMall 0 0 cc 0 W CC Q Z W W cc LU -?MORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 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 next inspection 24 hours in advance. (952) 249-4600 Owner/Contrac Inspector. White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NP TIC SCHEDULED �{ -,.3() PERMIT NO. VQ COMPLETED ADDRESS ��� I rs PI OWNER CONTR._ S Of UM)o • T-moi TELEPHONE N0. DESCRIPTION � 1141 IP—T 4 01 FOOTING 11 M CHANICAL RI 18 EXCAWGRADING/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 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TOMEETYOU: YES_NO COMMENTS: QC W Q. J O CC O W J CC Q Z W OC Z — L I,-,- ��� a Uj WORK SATISFACTORY:PROCEED ElPROJECT CO W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours' van 952) 249-4600 Owner/C actoron.site: Inspector. White opy/Inspector's File Canary Cop ite Notice