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
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CITY OF ORONO CALLED IN
INSPECTION NOTICE')
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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
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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
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INSPECTOR WILL RETURN ❑CITATION ISSUED
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Call for the next inspection 24 hours in advance. (952) 249-4600
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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
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Call for the nex •nspection 24 hours in advance. (952) 249-4600
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V DATE TIME
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• 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
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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