HomeMy WebLinkAbout2002-P05260 - plumbing CITY F R N PERMIT
O O O O
2750 k�11ey Parkway - PO Box 66 Permit Number: Pos26o
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952)�249-4600 Date Issued: 6�3i2oo2
SITE ADDRESS: 1170 Garden Court
Mound,MN 55364
P I D: 07-117-2 3-24-004 8
DESCRIPTION:
Proposed Use: Kesidential
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required: Other-(Iron Filter and 2 drinking filters)
NOTICES/REMARKS:
FEE SUMMARY: Pemut Fee: $ 40.00 Valuation: $ 3,200.00
State Surcharge Fee: $ 1.60
TOTAL FEE: $ 41.60
APPLICANT: Clearwater Systems OWNER: Thomas&7ane Sutton
1519 148th Avenue NW 1170 Garden Court
Andover,MN 55304 Mound,MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVENIENTS 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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UCANT PERMITEE SIGNATURE ISSUED SIGNATURE
Copies: 1-File(SiQnitures Reouired), 1-Applicant, 1-Monthlv Reoorts, 1-AssessinQ, 1-Finance Page 1
CIZ'�' OF �YtQl�IO ��E.ICATI�N F�It FL�TIVI�ING P�1�I'I'
�ox 66 (2750 I�elley Parkway�
Crys�al Bay, MN 55323
GE��L,I1vF���'�ON
1. You may apply for plumbing pemuts by mail or in person at the Ciry o�ces.
2. Permit cazds will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PEItMIT CARD IS POSTED ON
THE JQB SITE.
3. Plumbing pemuts may be issued QNLY 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 the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice
required.
Instructions Complete all items on this application. Compute the pernut fee. Sign and date the
certification. INCOIVIPLE'FE APPLICA`�'IONS V�ILL IVOT BE PIZOCESSED. If you have
questions, call (952) 249-4600.
Please check one: � New Addition I�epair I�eplace
Residential Commercial
JOB SIT'E: 1 � �D ����J �`�'• Zip:
Owner's Name: ��ezL� � �Lm� Telepl��r�e 101�t�e�:
1VYaiiing Address: City: Zip:
Contractor's Naane: ��, ��� �� �� T'eleghone Number: ���-��c�-�c�`�f�
1Vlailing Address:/�i9 �5�� .4,. ,� �,�,1 City:�nc�o�A��, �ip:5 S3 0 �s
PLLTM��1� FIXTI.TItE SCI�EI)U�.E
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavato Sewer E'ector
Bathtub Laun Tra
Shower Washer
Kitchen Sink Water Heater
Dis osal Water Softener t
Dishwasher Wet Bar
Sillcocks Misc (list)�e(� �-
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PERMIT FEE CALCiJI,ATION(S� �
2002 State Statute ❑ Yes, Tliis Sect�on 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; excludin� the cost of the fixture or appliance:
and
3) Is unproved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00)
.�� �' x .0125 $ �f��
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $ �� �O
(contract price) (minimum$ .50)
3. Fost�ge and �andlin� (Only mail-in applications) $ �
4. TOTAI.I��RMIT FEE (Add lines 1-3 above) $ '�� � ��
* 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 installation 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 Department of Inspection Services 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 orc�inances of the City and the regulations of the State of
IVlinnesota, and certifies that all tatements made on this application are complete, true and
correct.
Applicant's Signature: ` Date��.Z c�
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ��'��
PERMIT NO.��D S� c C� COMPLETED — '6y
ADDRESS %�7C� Gz�c ic�CC.L. C�,.
OWNER CONTR. �-�-c-�c.c-�-�� c�°�
TELEPHONE N0. lp /�- �.� f �U l C�
� DESCRIPTION � � G'11, �:�.-�7`C/' {�t.�-i-�
l� 01 FOOTING � 11 MECHANICAL RI ,y fZU�'1 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL �'"+ �E+"` 19 LAKESHOfiE/WETLANDS
�
Q 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP �/G � 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP / O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. S*�,�!. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. F� 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL �/d �� 35 HARD COVER REMOVAL
� M�iNG AL ; � 36 FOUNDATION/REMOVAL
Q O NTRA TO MEET YOU:_YES�O
� COMMENTS: G�n'r�"�`1 �-d � w� I� ��
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� WORKSATISFACTORY:PROCEED �OJECTCOMPLETE
�CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUTAED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-Q6QQ
OwnerlContractor on site:
Inspector,���l/�
Whiie Copyllnspector's File Canary CopylSite Notice