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Home My WebLink About2005-P09192 - plumbing � PERMIT CITY OF ORONO 2750 Kelley Park�vay- PO Box 66 Permit Number: Po9192 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 9/16/2005 SITE ADDRESS: 4460 Forest Lake Landing Unit# Mound,MN 55364 P�� 07-117-23-24-0015 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: $ 318.75 Valuation: $ 25,500.00 State Surcharge Fee: $ 12.75 TOTAL FEE: $ 331.50 APPLICANT: Thompson Plumbing OWNER: Paul&Ida&Peter Martinson 15001 Minnetonka Ind.Rd. 4460 Forest Lake Landing 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. � � �� /`-� �l�I �_ ICANT I EE SIGNATURE ISSU Y SIGNATURE �� Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � 1 ��'OR CITY USE ONLY ' '"��. City of Orono �� P.O.Box 66 Date Received: Permit# e�, 2750 Kelley Parkway � `� ��' �� Crystal Bay,MN 55323 Approved Dy: Amount$: ��_�� (952)249-4600 `^�-� CITY OF ORONO—PLUMBING PERMIT (AII Commercial pennits 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 A ll That A 1 ) ;�Residential ❑Commercial(Approval Required) �New ❑ Additional ❑Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: '`�`�CoO ��nsr..� �hc�•.k.�.�U'^��,�, � Owner:�c�.n�t,��-�� Mailing Address: City: �� --r.z � Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: � � � -�;- �� '�Contact Person: ��G�i� tL�,� Address: ��o��.l '�d k:e.�:Y\�nc�,�c�,��State Bond #: 3�• ��I�' `��lbr � � City: ��'n��'�"�k-�.--- Zip:`�y��`Expiration Date: � ��) -b� Phone: ��Sa-�13�J-- � �� " Alternate Phone: ❑ Insurance-Current: 1 � ��-�� ?`�� ,, ,;�� .:, _" ,�. � �3:�,�.J ��e� ��\ ��``� � . .,,.z._ ..,... .., v _ . �... ��_.. _ . . � _.� .��_,_,�•�,.. ..... . ...� ,��. ___.a . FIXTURE BSMT 1 T ZND OTNER FIXTURE BSMT 1 T ZND OTHER TYPE FL FL TYPE FL FL Water Closet � I � Floor Drains Lavatory ' � � Sewer Ejector Bathroom � Laundry Tray 'T�b� Shower � � Washer Kitchen Sink � � � Water Heater Disposal � Water Softener Dishwasher Wet Bar Sillcocks � Miscellaneous � � J" *�-�2.1`�i r�c... / - Id�-.� b�;,� (- OW��..J ?Y.'i� NI?RMTT F`EE CALCUL�ITION(S) �; � BAS�D OTF - 200?��STATE STATIIE '�� ❑ Yes,this section applies The replacement of a Residential fixt e or a lia e that meets all three of the following requirements: 1. Does not require modification�t� lectrical or gas service. 2. Has a total cost of$500.00 or ss; cludin the cost of the fixture or appliance: and 3. [s improved, installed or r aced by the`homeowner or licensed contractor. Skip next section,if �s applies; Cost Permit $ 15.00 State Su harge $ .50 Mail-In Fe (If Applicable) $ I.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 . . PEKMIT FE�CALCiJLA��N(�}-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) Gy / �5�o;�, X .o�2s $ ��g �� (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) ��j �U��, x.0005 $ �`�' 7 �'J (con ract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ . 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��,•• 5� ■ * 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. [n 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. `� r', T �'� 3 ��`��s��T�P��`�� 4?�� ,R�� _ � � _. �a, , « ..._._. ....... .. . r.. _ .. ..... .. �� 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: �� _��c�r. ��'�-�.t,'1 Date: � �—� �� Reset Form 3 �-� /. � �� I� � /G� � DATE��t� �Ij; TIME 9 CITY OF ORONO� .-� I(.1�CALLED IN U INSPECTION NOTI �� SCHEDULED � D ' PERMIT NO. COMPLETED ADDRESS � IiC% ��I��`.7� ��I� L/�`q OWN ER CONTR. � TELEPHONE NO. �� n � DESCRIPTION ! � ��. lL 01 FOOTING 11 MECH NICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h Q 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL q 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU: YES_NO � COMMENTS: � W � o �/� C C �5,� ��i'� /�A � ��C�c�C' � � J J�� ) �J J � /�.> r � O � W � Q � Z W � W � � d W ❑WORKSATISFACTORY:PROCEED CI PROJECTCOMPLETE �\�CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O�"CORRECT WORK,CALL FOA REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED C INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Call tor the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. l� �� (�� _ White Copyllnspector's File Canary CopylSite Notice �� D E TIME V CITY OF ORONO �?J� CALLED IN INSPECTION nNOTI E Q Q SCHEDULED _�� ,�: � PERMIT NO. Yv' 9�9DTPQ�I/ZeOMPLETED , ADDRESS ��/� ��rs�- ��e- G��w4� , OWNER CONTR. �d7�ox G, TELEPHONE N0. g5Z � 93 3 ' �7�7 � � DESCRIPTION U'��c.� �� d � � � � 01 FOOTING 11 MECHA L RI 18 EXCAV/GRADING/FILL G Q 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP r09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMM �S: a �uc- � � O � � O � W � Q � Z W � W � j d W� ORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for ihe next i pection 24 hours in advance. (J52� 249-46�� OwnerlContr on si : ; Inspector. �-- White Copyllnspector's File Canary CopylSite Notice ��P �� 3�3 ATE TIME � CITY OF ORONO CALLED IN �L INSPECTION NO ICE SCHEDULED �� -" � PERMIT NO. / � COMPLETED � ADDRESS�� V�� OWNER CONTR.� TELEPHON E NO. /t(�l� - ��L - 2 7� --3�� DESCRIPTION �l �� lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 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: � W a � J O a � O � W � Q � Z W � W � j d W WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ^: ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. n pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the ne�xt inspection 2a hours in advance. (952� 249-4600 OwnerlContXac�o o�site: Inspector. �� ', ` r� 4 White Copyllnspector's File `t Canary CopylSite Notice