HomeMy WebLinkAbout2005-P08871 - plumbing + �' PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P08871
Crystal Bay, Minnesota 55323 Permit Type:
(952) 249-4600 Fixtures
Date Issued: 6/21/2005
SITE ADDRESS: 4051 Highwood Rd Unit#
Mound,MN 55364
PID: 07-117-23-44-0076
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: Perniit Fee: $ 21g•�5 valuation: $ 17,500.00
State Surcharge Fee: $ 8.75
TOTAL FEE: $ 227,50
APPLICANT: Huikko Plumbing Inc. OWNER: Anita Rouse
1001 Ridge Haven Circle 16220 48th Ave N
Buffalo,MN 55313 Plymouth,MN 55446
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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APPLICAN PERMITE SI NATURE � ISSUF.D BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY USE ONLY
O���O City of Orono �i pv��?�
`Y P.O.Box 66
Date Received: (d � �S Permit# (
• �,r; 2750 Kelley Parkway .7�� �
`� j���r � Crystal Bay,MN 55323 Approved By: Amount$: �`
t '�" �����'?i��..$a'` (952)249-4600
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CITY OF ORONO —PLUMBING PERMIT
(All Commercial pennits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing pernuts 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 pemuts may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new consn-uction 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 All That Apply}
�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 Infortnation:
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Site Address: 0� � �,t,-�t7d
Owner: ll ��L t� t� �CS.�. Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor I�lformation:
Contractor: y�(/K�'� -�4—�� Contact Person: �I �"^ �j�Gf//��d
Address: I�0 _�C� State Bond #:
City: /3 G{r� Zip:��3 Expiration Date:
Phone: �p�a— l�l�'�0�3 Alternate Phone:
❑ Insurance— Current:
1
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PLUMBING FIXTURES BElNG INSTALLED
FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory � Sewer Ejector
Bathtub / Laundry Tray
Shower � Washer �
Kitchen Sink � Water Heater �
Disposal � Water Softener
Dishwasher / Wet Bar
Sillcocks •� Miscellaneous
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PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATLTE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all tlu•ee 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 licensed contractor.
Skip next section, if this applies; Cost of Permit � 15.00
State Surcharge $ .50
Mail-In Fee(If Applicablej � 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
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PERMIT FEE CALCULATION(S)—JOBS OVER$500.00
� If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of conh�act price with a(Minimum Fee of$35.00)
Q"d' � x.oi2s $
contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(cont�•act price) (minimum� .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the achial or estimated dollar amount charged for the
pernutted 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 fuinished by
the owner, tenant or any other parry, the reasonable market value of such items must be added to the
estimated cost or conn�act price for pernut 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 Building Department at(952) 249-4600 for the price.
PLUMBING PERMIT APPLICATION AGREEMENT
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: Date: a O
3
�� DATE TIME �
CITY OF ORONO CALLED IN �����
INSPECTION NOTIC�E^ SCHEDULED -�� :�9O M
PERMIT NO. �D�6 �I COMPLETED
ADDRESS ��J /— � ��
OWNER Q l�� CONTR.�C.�; ���r� P�U;�4b
TELEPHONE NO. (,�/� �� � � �� �
� DESCRIPTION ,Q->R-��
�
lL 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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W�qg.PCUM6 NI G RI b� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� G FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN � CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (952� 249-4600
OwnerlContract
Inspector.
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