HomeMy WebLinkAbout2003-P06821 - plumbing CITY OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: Po6g2i
Crystal Bay,Minnesota 55323 Permit Type: Fix�eS
(952) 2;�9-4600 Date Issued: 9i2ai2oo3
SITE ADDRESS: 4125 Highwood Rd
Mound,MN 55364
P I D: 07-117-23-44-0084
DESCRI PTION:
Proposed Use: Kesidential
Pernut Class: Plumbing
Permit Type: Fixtures Pernut Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 237.44 Valuation: $ 18,995.00
State Surcharge Fee: $ 9.50
TOTAL FEE: $ 246.94
APPLICANT: �'�'estonka Mechanical Inc OWNER: John&Roberta Henrich
6501 County Rd 15 4125 Highwood Rd
Mound,MN 55364 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.
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%�PPLI NT PERMITEE SIGNATURE ISSUED BY SIGNATURE
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vCopies: 1-File(Signitures Required). 1-Annlicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
�!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 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 PERMTT 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 xested before it is covered. Call (952) 249-4600. 24-howr notice
required.
Instructioas 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{952) 249-4600.
Please check one: � New Addition Repair Replace
Residential Commercial
JQB SITE:_�Jo�S" ltJ�•`�A�l Gt/vJ C' L-r-t h.{ • Zip:
Owner's Name: TelephoneNumber:
Mailing Address: ` uJ _ City: I2 Zip: .
Contractor's Name: - � Telephone Number:��,t�:�y
Mailing Address: 5 City: Zip: ;�,d t�
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST" 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE �L ' FL TYPE FL FL
Water Closet � f Floor Drains
Lavato � Sewer E'ector �
. Bathtub � Laun Tra
Shower Washer
Kitchen Sink Water Heater
Dis sal - Water Softener '
Dishwasher ( Wet Baz
Sillcocks �. Misc list)
PERMIT FEE CALCULATION(Sl
2002 State Statute ❑ Yes, This Section Applies
The replacement of a Residential fixture or a�pliance 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:
1. ` Contract Price* is .0125 % of job with a Minimum Fee of($35.001
�� 49�� X .oi2s $ .
(contract price) . (minimum$35.00)
2. State Surcharge. **Add the State Building Code Division a (Minimum Fee of$ .50)
�� � x .0005 $
(c n act price) (minimum$.50)
3. Postage and Handlins (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted '
work including materials,labor,profit,and other fixed costs. It is the amount fo be charged to the customer
for the work done. Tf any material, equipment, labor, or installation aze furnished by the owner,tenant or
any other party the reasonable mazket value of such items must be added to the estimated cost or contract
price for permit fee purposes. In the event that there is adispute'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 state nts de on this application are complete, true and
correct. /
Applicant's Signature: Date: ��-3
"� �
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NQ���Z / SCHEDULED 2- 3-
PERMIT N0. � COMPLETED
ADDRESS ��Z� �TL 5d'�-�CT�a� I�K�
OWN ER CONTR,�(•�G��l,��S��C-�J
TELEPHONE NO._ ��Z � 7 Z `��S�I
� DESCRIPTION }��' V L��'G
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVEfLANDS
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
r09 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� RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
�INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlCon o ite:
Inspector.
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