HomeMy WebLinkAbout2003-P06353 - plumbing CITY OF ORONO PERMIT
2?50 Kelle;� Parkway - PO Box 66 Permit Number: Po63s3
C yst�l Bay, Minnesota 55323 Permit Type: FiXcures
( 52) 249-4600 Date Issued: si23i2oo3
�
aITE ADDRESS: 4415 Forest Lake Landing
Mound,MN 55364
P I D: 07-117-23-24-0047
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Permit Sub-rype(s): Multiple Fixtures
Permit Type: Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 245.63 Valuation: $ 19,650.00
State Surcharge Fee: $ 9.83
Misc.Fee: $ 1.50
TOTAL FEE: $ 256.96
APPLICANT: Lake Side Plumbing&Heating Inc. OWNER: Timothy&Lori Line
12469 Zinran Avenue S. 4415 Forest Lake Landing
Savage,MN 55378 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.
�/� .� G����
%�7 ��l ,�
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Covies: 1-File(SiQnitures Reauired), 1-Applicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
y
� 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 o�ces.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VAI,ID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS �
POSTED ON THE JOB SITE.
3. Plumbing pemuts 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 sepazate 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
J� Residential Commercial
JOB SITE: yy/� ,r,,�,�,r>G�r,r..� G.�,���.� 6 Zip: _
Owner's Name: Lo�t�� c•�+E Telephone Number•
Mailing Address: S�k� City: o�Po.�o Zip: �SS3i3 _
Contractor's Name: c.s�.C.�,,rio,e f'U36 � .�,�T6 Telephone Number: y.fa-�f/.�60 0
Mailing Address: �a y6� Z,�.�.e.�.v ,v�,� City: �q�/�6.c Zip: SS3�8
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Z Floor Drains
Lavatory z Sewer Ejector
Bathtub l Laundry Tray l
Shower Z. Washer �
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher l Wet Bar
Sillcocks � Misc (list) ,ZG,�'
,
f0 �Z�j�' 'a��Q :a.zn��u�is s��u��ijdd�
�
•��a.uo�
pu� an.�� `a�aidvuo� a.z� uoi���iidd� sn�� uo ap�uz s�uauia��as it� a�u� sai�iva� pu� `��osauuiy�
�o a���s a� �o suoil�in�ai au� pu� �i� a� �o sa�u�uip.�o a� u�tn� a�uep�o��� ��t.z�s ut x.�on�
ii� op o� saa.z�� `1Tuuad �u�quinid � �o a�u�nsst �o� �i� au10� saiidd� �qa�au pau�is.zapun ati,L
•a�ud acp lo; sa�in.tas �uotl�adsuj 30 lIIatul.�daQ aua IIE� 000`000`I$ jano suopzn�n.ro3 •ial�aiS
st lana��iqm - OS'$ io 000`000`i$ iapun a�ud 1�EI�Qo� a�i 3o S000' si �J2it�H�2I11S �.Ld.LS ati.L **
•a�Enuo� �n1�E aql�o �Cdo� pau�is �3o uoissnuqns aql lsanbal �(gai ,CnJ au�
`lso�qof at�l;o 3Br,�u�aqi��ainds�p B si aiaq�1e�-��uana a��uI 'sasodlnd aa;aruuad io�a�ud a�Ei�uo��o
�so� pa�eu�psa a�l 01 papp8 aq �sn� s�ual; ��ns 3o an�n 1ax�iu aiqEuoseai au� �d la�o �Cus io �uEual
`launno aq7�q paqsruin3 a.�uoilzi�lsut io`ioqEi `lIIamdmba `�eua�etu�CuE 31 •auop xion�a�io� iatuo�sn�
a� oi pa��t�� aq o� iuno� au1 st lI 'slso� paxi3 iaqlo puz `]t3oid `.�oqEi `s�ua�eui �uipni�ui xioM
pa�l�ad aqi lo; pa�.�u��unotue.�tiop pa�zurilsa io �nl��aql suzaut ZSO�gOf i���I2Id .L�d2I.LI�IO� *
. 9'� � 7�' $ (anoq� £-j sautl PPd) . ��d ,LIY1R��d 'I�.LO,L '1�
OS'I $ (suoil��iidd� ut-ji�ui �iup) u�IpuEg puE a ��sod '£
ia��ai� si ianau��� `OS'$ .zo
(2'Ji1d a�EIJIIO��
�� $ S000' X � 'G'S 9 6� '�iuuad u��a o1 a�i����ns
uotstniQ apo� �cnp�ng ai�S a� PPd �* 'a .�Eu�mS a���S 'Z
. . (a�ud•3�EIlIIO��
S/5 $ SZIO' X o� � �S /
� �9 00'S£ aa,� umunu,ry� �o ,�a�ud ���.�uo� 30 �SZ'T 'T
� . I�IOI,L�'IIl�'I�� ��:I .LII��d
✓
DA���� TIME
CITY OF ORONO CALLED IN
INSPECTION N ICE SCHEDULED '(�3
PERMIT NO. 3 COMPLETED
ADDRESS ^ �r''�S � ��— �-�� !�
OWNER CONTR. k'���
TELEPHONE N0.__�✓O� �`� ��G�
�
� DESCRIPTION
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 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
`� 07 DE - AL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 9 PLUMBIN RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v A� 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
W �a
�
J
O
>.
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W� WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe nex inspection 24 hours in advance. (952� 249-4600
OwnedContrac n ' .
Inspector. \ —
White Copyllnspector's Fil Canary Copy/Site Notice