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HomeMy WebLinkAbout2005 - P08856 - plumbing PERMIT CITY OF ORONO 2750,KeII'tParkway- PO Box 66 Permit Number: P08856 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 6/20/2005 SITE ADDRESS: 1270 Wildhurst Tr Unit# Mound,MN 55364 PID: 07-117-23-31-0015 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: $ 274.94 Valuation: $ 21,995.00 State Surcharge Fee: $ 11.00 Misc. Fee: $ 1.50 TOTAL FEE: $ 287.44 APPLICANT: Matthew Daniels Inc. OWNER: David Dalvey 15230 Carrousel Way 1270 Wildhurst Tr Rosemount,MN 55068 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. Mad Al L/N APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), I-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 - FOR CITY USE ONLY p` City of Orono ¢' 0P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway 1164' Crystal Bay,MN 55323 Approved B F'' (952)249-4600y' Amount S: CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 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 State Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT (Check All That Apply) (%)Residential 0 Commercial(Approval Required) ❑New 0 Additional 0 Repairs Ad Replace ❑ In Accessory Structure? *You will need prior approval and may need C i i P.(Per Orono City Code,Chapter 78,Article IV) Job Site I Owner Information: Site Address: /a.7O • Owner: &x .C41ALt c.0 Mailing Address: /470 City: 6L41) Zip: 563?n Home Phone: &A/• A32• 6-'39 Alternate Phone: Contractor Information: Contractor: tictifizi 10 _L/ ) Contact Person: Address: /3'2,30 aurAka Act ›L,1-, State Bond#: 121-1 3'7 4.4o21 City: 41.4.L.j,l..n_ j4 Zip:`-iii r, Expiration Date: AZ-NW-06— Phone: Z-NW-O6Phone: f,5/.112.3• .373o Alternate Phone: 467. 'z,3 . 8834 a Insurance-Current: 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1n 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory / / 3 Sewer Ejector Bathroom Laundry Tray Shower Washer 01. Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATIONS) BASED OFF-2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance 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;excluding the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) ai, y967 66 x.0125$ a 71i. 9,. - (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) 021, !S_OG x.0005 $ f/. 06 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 0{8'7.174 • * 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 installations 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 Building Department at(952)249-4600 for the price. PLUMBING PERMIT APPLICATION AGREEMENT 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: bar 4_,,,,,f Date:C ,,,,_ Re, A004---- Reset .D04f3._ Reset Form 3 1 gej-- PAT TIME CITY OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED 4 4 0 G' /- $0 PERMIT NO. _P � COMPLETED �' ADDRESS %�7C2 (.4_.) i• /dhLcr5 f 7e- OWNER CONTR. ( o?i- I1 1'7Aglv TELEPHONE NO. - 70 3 /3 DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 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 LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: x YES_NO • COMMENTS: ? \V? GU( /( ii\AL6 1614. CCLU CC CC W CC W W CC Ei LU WORK SATISFACTORY:PROCEED 1/0J ECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U 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 i spection 24 hours in advance. (952) 249-4600 Owner/Contractor ,si Inspector. White Copyllnspector's Fil Canary Copy/Site Notice --7 DTE TIME V 1;\CITY OF ORONO CALLED IN /-9-U6' INSPECTION NDTIC,E SCHEDULED /-/0-fl(, o7;3 I)"1 PERMIT NO. lb K 71' COM fPLETED ADDRESS / 7 0 (&, / c/- I /- OWNER CONTR. it -lig ii.'/- 2gie/r TELEPHONE NO. & 51 y 3 :3-7,30 DESCRIPTION 4/A..0,9, W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING st 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 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 W G.RL._ 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNEHICONTRACTOR TO MEET YOU:_YES_NO yo COMMENTS: cc W Q. ` � vis " u3A-\1-\1 COO k- k -c t om1 CC P • e--- ase W cc Q cnW Z W cc d LU WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT 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 inspection 24 hours in advance. (952) 249-4600 Owner/Contra s : Inspector. - White Copy/Inspector's File Canary Copy/Site Notice )'° DATE TIME I CITY OF ORONO CALLED IN - o INSPECTION N I G/ SCHEDULED y- 10 �? PERMIT NO. �� �j%(O COMPLETED 5)-01/ ADDRESS /. 770 lj//1lheirS1-- OWN ER CONTR./troilltaw Dale-Lek TELEPHONE NO. 6S7 9'3 3 720 DESCRIPTION alee- -6 W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS cl) O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 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 LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL ' OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: c CC W J � (.c:z\ cc 0 ,.d 4. W IZ CZk. W Z W Ct -S-- 2 d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC 11.1 '❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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 in advance. (952) 249-4600 Owner!Cont myon i : Inspector. 0 viva' White Copy/Inspector's File Canary Copy/Site Notice