HomeMy WebLinkAbout2001 - P04190 - plumbing PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P04190
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 8/14/2001
SITE ADDRESS: 1080 Wildhurst Tr
Mound,MN 55364
PID: 07-117-23-24-0011
DESCRIPTION:
Proposed Use: RcSiuciitiai
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: $ 187.50 Valuation: $ 15,000.00
State Surcharge Fee: $ 7.50
TOTAL FEE: $ 195.00
APPLICANT: Lee Plumbing OWNER: Diane Benson
8148 Everest Lane No. 1080 Wildhurst Tr
Maple Grove,MN 55311 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 ED BY SIGNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway) r Cj o
Crystal Bay, MN 55323 p b i1
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 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 249-4600.
Please check one: New Addition Repair Replace
Residential Commercial
JOB SITE: /ip80 Zip:
Owner's Name: 0-e Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: L fs ��Q / Telephone Number: )6,3-- 9 " 53
5-6
Mailing Address: I Z a City: Zip: ,5 5 3 7/
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains I
Lavatory I J L) Sewer Ejector
Bathtub J2 Laundry Tray I
Shower t 1 Washer
Kitchen Sink / Water Heater Q
Disposal 1' Water Softener
Dishwasher 1 Wet Bar
Sillcocks `�-- Misc (list)
4
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
/ O oho x .0125 $
(c6ntract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
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 $1,000,000 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 statements made on this application are complete, true and
correct.
Applicant's Signature: ( / Date: D
•,
•
DATE TIME
CITY OF ORONO CALLED IN u-I 5-01f
N
INSPECTIOOTIC SCHEDULED
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PERMIT NO. , 0 0 COMPLETED li:
ADDRESS i . ice..L� iA Of
•OWNER -"� � ' - ONTR. A. '_' .‘
TELEPHONE NO CQ (42 l o . ¶0 5- /0 710
DESCRIPTION
1.44 4..
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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
Q J 07 DEMO- QIA.Ir 15 SEPTIC INSTALL. 22 FOLLOW-UP
PLUMBING 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
<--- OWNER/CONTRACTOR TO MEET YOU: YES NO
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0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner!Contr c or on site:
Inspecto . at7,/
White Copyllnspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICESCHEDULED /)-5-VI /0.j 0
PERMIT NO. l/CG COMPLETED !` ``
ADDRESS / ?) CZ le:�1,6wt-a �C- ��
OWNER CONTR. -- 2l-c-L_-(-.
TELEPHONE NO. -5 - Y </ - S.3S- Cs- 6 / POS -A, 7(
DESCRIPTION / %- ---" ��(/�'L-�
LU 01 FOOTING / 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
" 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
LLi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
vC OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
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�RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W 0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
OO 111CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ 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 ins ion 24 hours in advance. (952) 249-4600
Owner/Contract o
Inspector. C
White Copyllnspector's File Canary Copy/Site Notice