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