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HomeMy WebLinkAbout2002 - P05492 - plumbing CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: P05492 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 8/12/2002 SITE ADDRESS: 4760 West Branch Rd Mound,MN 55364 PID: 06-117-23-33-0002 DESCRIPTION: Proposed Use: Kesidentiai 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: $ 100.00 Valuation: $ 8,000.00 State Surcharge Fee: $ 4.00 Misc.Fee: $ 1.50 TOTAL FEE: $ 105.50 APPLICANT: North Anoka Plumbing OWNER: Micheal&Carman Rodewald 22590 Rum River Blvd.N.W. 4760 West Branch Rd St.Francis,MN 55070 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. APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 A4-09-2002 02:35pm From-CITY OF ORONC +9522494616 T-764 P.001/002 F-364 is 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 i 1NTIL 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 (952) 249-4600. 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 (952) 249-4600.( Please check one: -3C New _� Addition Repair Replace l� / �`C_� Residential __ Commercial JOB SITE: -1 7 K) CN a $V4 kci. J _ Zip: Owner's Name: IV\ l-(o r i ec Telephone Number: 7 3- '-1 7— tA(l Mailing Address: City: Zip: Contractor's Name: NO rl L NIA Q itl. t_Telephone Number:/63 -7 S 3 3373 Mailing Address: a-as (�uwt _TA,, - IJ 6d. City:St. Frelnct5 Zip: $S-07O PLUMBING_FIXTIJ SCHEDULE FIXTURE 1 BSMT 1ST 2ND OTHER FIXTURE 1 BSMT [ 1ST _I 2ND OTHER TYPE FL. FL TYPE l FL. FL , Water Closet l ( a - Floor Drains Lavatory ( _ Sewer Ejector Bathtub I Laundry Tray 1 y Shower I 4 ( Washer 1 Kitchen Sink 1 ' Water Heater - Disposal _ _ Water Softener Dishwasher ( Wet Bar - _ Sillcocks _ Misc (list) Aua-09-2002 02:35pm Frcm-CITY OF ORONC +9522494616 T-794 P.002/l02 F-364 • • FIMIT FEE CALCULATION(S) 2002 Std Statute rT Yes, This Section Applies The replacement of a Residential fixture or a,� lip once 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; exclu i the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licenced contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail In Fee $ 1.50 If above does not apply, follow guidelines below; 1. Contract Price* is .0125 % of job with a Minimum Feeof($35,001 6Oc c1 co x .0125 $ LOU° (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50) 6006 t _ x .0005 $ 1 . 00 (contract price) (minimum$ .50) 3. Postage and Handling (Only 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 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$1,0001,000 or $.50-whichever is greater. For valuations over$1,000,C00 call the Department of Inspection 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 state •ents made on this application are complete, true and correct, / ioe Applicant's Signature: ,L���— Date: �d.� DATE TIME 7 ,f CITY OF ORONO CALLED IN INSPECTION NOTICE') i/1,1 SCHEDULED D 9 PERMIT NO. a(✓ieCOMPLETED ADDRESS 0 £ ./ /I OWNER CONTR. TELEPHONE NO. -7 p��uob i i i-,iiii, /A/? • DESCRIPTION q t, 3 5 3 3;3�� ��b IQ 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Cr/ 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 is 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:4YES_NO O COMMENTS: at -t) xv_ r tSv� It r "Tq, a -70.. CC (aNil`Fi P"-- O o et 0 4. W CC Q W Z W tt 2_RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ID CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n t inspection 24 hours in advance. (952) 249-4600 Owner/Cont t o ite: f Inspector. dAltid White Copyllnspector's FI e Canary Copy/Site Notice /CITY OF ORONO V CALLED IN DATE TIME INSPECTION NOTIAE SCHEDULED =1; -.2: 3 4 PERMIT NO. rl/O..s-c/T a COMPLETED ADDRESS q 760 /.t .1A''4p d £ OWNER CONTR.Jcr ,.1_20_& fe TELEPHONE NO. 762 7.S_3 3 5 7 DESCRIPTION /C te — C r /' e,S u 01 FOOTING CHANICAL RI 18 EXCAV/GRADING/FILLING Q02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 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 Q 07 • •.- • 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBIN r 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 - s'BING FINAL36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:-YES_NO o COMME TS: cc 14.1 i . L . _ li„ ='1••44.-......, 1-7 ..._ 0 0 cc G4} -7- , 0=C�r cc 1 4 Aermery 1 /0 e, '3 z -- wv—, so CC 4 ;i94 /61r 76-5 • .r 0 4 ORK SATISFACTORY:PROCEED E PROJECT COMPLETE W CICORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY O(..) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. LI 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 in advance. (952) 249-4600 Owner! T*-.for o -: c Inspector. .�� , , _ 411011°PYllnspector's FileAir lary Copy/Site Notice C-).-='C-- c DATE TIME CITY OF ORONO ✓ .....---- CALLED IN --,�,�-- INSPECTION NOTICE SCHEDULED j'00 PERMIT NO. `-x'1`1)-COMPLETED t��,Y. f ADDRESS Li-)(r, 0 L�).Q_J} -1-- i,� 11 k V (? OWNER CONTR. N -yr TELEPHONE NO. (. '3' - I G(inb • DESCRIPTION --P1 LP1A 41 LU 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 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 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: V YES_NO o COMMENTS: cc e LW 1,60.ske,r ld px 1M ti 414:1- x t\I o wall vol' cc 0 u. W c. W z W EF. d Wl WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CICORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY OU 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 nex •nspection 24 hours in advance. (952) 249-4600 Owner/Co ,.• si e: Inspector. "lip_ Ma/ White Copy/Inspector's File Canary Copy/Site Notice V DATE TIME CITY OF ORONO CALLED IN INSPECTIO TI SCHEDULED 1 i 1-ctz- X0. :3 v PERMIT NO 1 / 7- COMPLETED ADDRESS 1--/-? , C (-4-)• � ��-Kyy� ie OWNER CONTR. --41-tapeta- T.A t _- TELEPHONE NO. 74o 3 (e, ‘-Y '( 3 1 DESCRIPTION -7/Af A X, tys Uj 01 FOOTING 1 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 • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION • 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 FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO CI• COMMENTS: cc W cc 0 cc 0 W W CC 12 C d Wl WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i pection 24 hours in advance. (952) 249-4600 Owner/Contract sI e: Inspector. White Copyllnspector's File Canary Copy/Site Notice