HomeMy WebLinkAbout2006-P1061 - plumbing h PERMIT
CI�Y OF ORONO
Permit Number:
2750 Kelley Parkway - PO Box 66 P10610
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 12/5/2006
SITE ADDRESS: 4030 Dahl Rd Unit#
Mound, MN 55364
PID: 07-117-23-11-0022
DESCRIPTION:
Proposed Use:
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: $ 81.25 valuation: $ 6,500.00
State Surcharge Fee: $ 3.25
TOTAL FEE: $ 84.50
APPLICANT: Thompson Plumbing OWNER: James&Mary Gilbert
15001 Minnetonka Ind. Rd. 4030 Dahl Rd
Minnetonka,MN 55345 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.
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APPLI ANT PIsRMI � S[GNA , I ED E3Y SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
, ' `
POR CITY USE ONLY
City of Orono
Og��O P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
�,, �, Crystal Bay,MN 5�323 Approved By: Amount$
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building O�cial or Inspector)
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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 per►nit must be
obtained.
5. All work must be done in accorciance with State Code requiremenis.
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 A l
�Residential ❑Commercial(Approval Required)
❑New �Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need prior aparoval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
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Site Address: '�-'G�'�' �c�.��--�oc�--�- —
Owner --�������'� �-�':c�c��cc, Mailing Address: i-}(�=�� �� 1�*,..�-,� •��c.�1
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ciry: �1 �,.<�c\ _ zip: `� 3 � 1
Home Phone: Aiternate Phone:
Contractor Trlforn�ation: ' �
Contractor: �� k,�...�..�y ���V..��'�+� ��t�JContact Person: =��:G�+c�c�- ���dl�U�r
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Address:t��C;1 '(,fl��.�r�c���Rr�C��State Bond#: '�`� �J�����'Jy�'I ,�.
City:� ' \�nn�c�"��,. Zip���y-�Expiration Date: � �/ ��� 0 ��
Phone: `�1`-�� - `�I'�7" � -�/ � Alternate Phone: ���c�I�• �/ ;�'(�� L�-ti�
❑ Insurance—Current: ��4c:��v�Cc�'�
1
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory � Sewer Ejector
Bathroom Laundry Tray
'f'U� f
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
❑ Yes,this section applies
The replacement of a Residential fixture or a�,pliance that meets all three f the following requirements:
1. Does not require modification to electrical oc gas se ' e.
2. Has a total cost of$500.00 or less;excludine e c t of the fixture or appliance: and
3. Is improved, instalfed or replaced by the home er or licensed contractor.
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Skip next section, if this applies; _�ost of Perm $ 15.00
State Surcharge $ .50
Mail-In Fee(If Ap licable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
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`� :: r��rilvil�,rE� c��c�JL,�TIo�!Es>-�o�,: ..� °
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
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U`�CC � x.0125 $ �� . ��S J
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
��,� � x.0005 $ � � v��j
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ �Q.
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �S� . `J�
■ * 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 catl the Building Department at(952)249-4600 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.
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Applicant's Signaturei��/�-r-•�� (('(j1!-�('!1t�� Date:�/— /���
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f �. � DATE � TIME �
CITY OF ORONO CALLED IN �
INSPECTION N T CE/�., SCHEDULED O 7 �
PERMITNO. ��C�`" � � COMPLETED
ADDRESS 7 C�0 ���rt / F�
OWNER CONTR. `';�l t�'Y►t'�7'17 �l�c�nh
TELEPHONE NO. ��t �t'YI��]j�� � - �YL�iC,;?f� '7 �?��i
� DESCRIPTION q�,��.�J� �— � �� �
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 5 INAL 14 SEWER HOOK-UP 06 PROGRESS
� 7 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU�YES_NO
� COMMENTS:
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GW WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
� C ORRECT WORK&PROCEED 1-' ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,�, PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContrac�pr,on te:
f�Inspector.
White Copyllnspector's File Canary CopylSite Notice