HomeMy WebLinkAbout2003-P06753 - plumbing * f-
� PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po6�s3
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: 9iloi2oo3
SITE ADDRESS: 1180 Garden Court
Mound,MN 55364
P I D: 07-117-23-23-0031
DESCRI PTION:
Proposed Use: Kesidential
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 544.00 Valuation: $ 43,520.00
State Surcharge Fee: $ 21.76
TOTAL FEE: $ 565.76
APPLICANT: Larson Plumbing Inc. OWNER: Stimkel LLC
3095 162nd Ln NW 6624 Gleason Ter
Andover,MN 55304 Edina,MN 55439
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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APPLICANTPERMITEES[GNATURE ' 1SSUEDBYSIGNATURE L
Copies: 1-File(SiQnitures Required), 1-Apolicant, 1-Monthlv Reoorts, 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO �PI.ICA,TION FOR PLUIV�Il�iG PERMI'�"
Box 6fs (2750 Kelley Parkw�y}
Crystal �ay, MN 55383
GENERAI,IlVF'oI�NIATY01v
1. You may apply for plumbing permits by mail or in person at the City off'ices.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YQU RECEIVE A PERMIT. WORK�IUST NOT BEGIN LTN'TIL 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 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.
Instrt�ctions Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPI.ETE APPLICATI011�TTS WILL IVOT BE PROCESSEI�. If you have
questions, call (952) 249-4600.
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Please check one: � New Addition Repair Replace
``�-�— Residential Commercial
.�oB si�: ���'� �=���e�� c�� z�p:
Owner's Naane: �� �.c�,��� Tele��oa�e l��aber:
Maiting Ac3dress: City: Zip:
Contrac�or's Name: ���-,s�;��. � �E�. T`��4�. Telephone l��unber: ��s �p�;��
1Vdailing Address��� ��`�� �,� ��.� City:�; ' � Zip: �`���
PLLTM��1V� �IX�'i.TItE SCHE�ULE
FIYTURE BSMT 1ST 2ND QTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � � Floor Brains � � � ��.�c�..��
Lavato � � Sewer E'ector
Bathtub Laund Tra � �,
Shower �- Washer
Kitchen Sink � Water Heater � I
Dis osal � Water Softener
Dishwasher � �Vet Bar �
Sillcocks �. ��:.� Ivlisc (list)
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`� �{� ��ts.�,�, �.�r�a-� � ���,�C� � ���.
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ �'es, This Section Applies
The replacement of a Residential fixture or ap�liance 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 improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
l. Contract Price* is .0125 % of 'ob wi h a Minimum Fee of ($35.00)
��> �� �i
_ �� X .o12s $
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
(contract price) (minimum$ .50)
3. Fostage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PEI�MIT 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 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.
E r
Applicant's Signature. ' I�ate: 1_Ca_c��
�se�� �
q 2DA,T,E TIME
CITY OF ORONO CALLED IN -�
INSPECTION N TICE SCHEDULED l�-2'03 I l : oc
PERMIT N0. 0 6 7 S3 COMPLETED
ADDRESS �lgU 6�� C-�"•
OWNER CONTR. Da-►�� I-�
TELEPHONE NO. 7�3 `f'�7 7�� �
� DESCRIPTION �� � �''� G�-a
� 01 FOOTING 1 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 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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W��RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W RECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
�" RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITH�N HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next ins tion 24 hours in advance. (952� 249-460�
OwnerlContractor on si •
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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DAT .n� TIME
CITY OF ORONO CALLED IN �
INSPECTION NOT E SCHEDULED � " ,��
PERMIT N0. COMPLETED
ADDRESS l ��(� C � /'� P� �f—
OWNER CONTR.
TELEPHONE NO. �_ L� 3 - �c�� � �i o g
� DESCRIPTION ���'�'�� ' �7 ���
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING D�-
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS �{s�,
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL j�
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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: , YES_NO
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V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next ins ction 24 hours in advance. (952� 249-4600
Owner/Contrac it
Inspector. .
White Copyllnspector's File Canary CopylSite Notice
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D TE TIME
CITY OF ORONO CALLED IN G 3
INSPECTION NOTI SCHEDULED '���
PERMIT N0. L'� �S� COMPLETED
ADDRESS � �� �=7��'�Q-� ��
OWNER CONTR. .f''L�
TELEPHONE NO. � �l' `���� �G�S1�
� DESCRIPTION �iVD rS!�� ' l`7�l f'' ��-�}—
� 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/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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cal1 for the next i spection 24 hours in advance. (952) 249-4600
OwnerlContrac , i e
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
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DArFjI �M`�
CITY OF ORONO CALLED IN � (J �'
INSPECTION N ICE SCHEDULED ' �
PERMIT NO. COMPLETED
ADDRESS I� 0 C� �
OWNER CONTR. � ��K��
TELEPHONE NO. 7�.3 �Z.�7 7(9�
� DESCRIPTION �UtL�-t — �-���"�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WA�L 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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,`, PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Call forthe xt inspection 24 hours in advance. (952� 249-46��
OwnerlContr site:
Inspector. -�
White Copyllnspector's F e Canary CopylSite Nofice