HomeMy WebLinkAbout2002-P05243 - plumbing ' � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: pos2a3
Crystal Bay, Minnesota 55323 Permit Type: FiXr�es
(952) 249-4600 Date Issued: si3oi2oo2
SITE ADDRESS: 4195 Highwood Rd
Mound,MN 55364
P I D: 07-117-23-44-0022
DESCRIPTION:
Proposed Use: xesidential
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: $ 136.88 Valuation: $ 10,950.00
State Surcharge Fee: $ 5.48
TOTAL FEE: $ 142.36
APPLICANT: Plumbing Services Inc. OWNER: Douglas&Roban Smith
1628 Highway 10 NE 4195 Highwood Rd.
Spring Lake Park,MN 55432 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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APPLICANT PER ITEE SIGNATURE ISSUED BY SIGNATURE �
Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessins, 1-Finance Page 1
•µay-30-?002 08:10am Fro�-CITY OF ORONO +9522494616 T-345 P.002/003 F-O67
CTT� pF QRONU APPLICATION FOR PLUMBIN� PEYtMY'T'
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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1. You may apply fos plumbing permi�s by mail or in person at the Ciry offices.
2, peraiit caxds wlll be sent by recurn mail afur a r�vicw is completed, P&RMI7S ARB NOT'V�►L1D UNTTL
YOU REC�IVB A PER'+�I'F. «10RK MUST NOT BSGIN tTN'FIL THE PERMIT CARD I5 POSTED ON
T�TL JOB S TLE.
3. Pltlu�bing permLu may be issued QNI.Y to licensed plumbiu,g cantractors and to properry owners residi�
in the dwelli�sg.
4, W'hen any new canstrucdon or remodeting is invotved, a separate beulding perm"r�musc be ob�axned.
5. All work must be done in accordance with che Scace Code requiremenu.
6. All work must be iuspeeted and air ces[�d b�fore it is covered. Cail (9S2) 249-4600. 24-hour aotice
rcquired.
�nstructions Gomplete all items on this appli�.ation. Campute the permit fee. Si,gn and date the
cer�ification. INCOMPLETE APPLICATI�NS 'oVILL NOT BE PROCESSED. If you have
questians, call (952) 2�9-4600.
Pleasc check one: Nevcr _�Addition _ ltegair � R�place
Resideniial Commercial
J4B SY7'E: `�`1 �� �7 I��1�G�66E,%� (�f�l��' Zip:
Owner's Name• Telephone 1�Yum6er•
Mailing Address: City: Zip:_
Contractor's Narne: �-tJ r�8�c�l� 5 E12Ut f��� t 1 (-- Telephone Number:�- "1 �'�,r�
Mailing Address: I �'Z--� riwY 1� N� � ; _ City: 1�'1 �� Zip:���3Z-
P�.L�LIBING FIX'T'C7RE SC ULE
�'IXTURE BSMT 1ST ?ND OTHX;lt FIXTURE BSMT IST 2ND aTH�R
TYPH �L FL T`lp� FL FL
Wacer Closot �loor Drains
Lavato \ Sewer B'ector
Bathtub Laun rra _
Shower Washer
����S� Water Hea[er �
Di sal Water Sofrener � ,
L7ishwasher � We[Bar
s�n�x� Z M�a�z� \
> �v�� (t-�, �Z=z�i C.��[� �, �9 E� �15{1 ��;, v��iS��'( �1 �t�� � �
�i���-l.��I�- S���f,-v�'�S ,
«Isy-3D-200Y 08:t0�� From-CITY OF OROWO +0622d04616 �-346 P.003/D03 �-067
��VII't'FET CA��CLTLATIQN(S)
�,Q�2 State St�� [� Yes, This S�ion Applies
The replacement of a i t)aat m�eets a.0 three of the following
r,aquircments:
i} Dcxs not requine madificatian to electrical or gas service.
2) XYas a tota�_cosc of�500.00 ar less; exclusline the cost of rhe fiacture or applianca:
and
3) ;s iu�proved, insta]led or replaced by the homeowner or licenced Contractor.
Skip rnext section; Cost of Permit $ 15_00_ _______
State Surcharge $ .50
Mail In Fee $ i.50
If above does not apply, follow guidelines betow:
1, Cnntra�t Price� is .Oi25 36 of job wirh a M'iin�utum Fee of{�35.OQ�
,
�o� 95�, B° X .o1�s $ !3b� �7
(conoract price) (miaimum S3S.00}
2, Stste 3w�c�+A�. ** Add the State Building Code Divisidn a (Minirnam Fee of� .SO)
lD,°IS� � � .0005 $ �J ��'�1
(cpn[ract price) (miniaium$ .SO)
3. Poeta�a_�lin� conly mail-in applications) $ �Q
._
4. TpTpi,pF,,R.MYT FEE (Add litus 1-3 above) $ �Z � 3�
�' CpNTRACT PRICE nr JO$COST means t1��ctual or eatiasateQ dollar amo�nt charrgsd for tha permitted
work includiug materials�labor,proiit�and other fixod wa�s. It ia the a�mount to be cttarged to the cussomer
for the work done. if an,y ma�erial,equipme�u.labor�or installatfon are furaisbed by tho owner,teuant or
a�r otl�er party tbe reasonahle rnarkec veltu of suc�h items must be added to the estimated cost or contract
prica for parmit foe purposes. In tbe cvent thac there ia a dispute on the amount of rhe job cpsr,the Ciry msy
rcquest t�submisaion of a signod cogy of tlu:actual coauact.
'�* The STATE SCJRCHARGE is .00OS ot chc contract price under$I,i�OD,000 or $.5(1-whicbever is grtacer_
For Yai�at�as over 51.000,000 calt the Qaparuneuc of Inspaction Servicea for the prlce.
The undersigned hereby applies to the City fi�r issuancc of a Plumbing Permit, agrees to do aIl
werk in scrict aceordanca with che ordinancas of the Ciry and the re�ulations of che State of
Mian�sota, a�d certi�ies that all statements made on this applieation are complete, true and
correcc.
V"v1,1 WV�1' ,1� r' '�Z'
�PPlicant's Signaturc: Date: � 3a
� �� � �c�� �� �������
�, � DA TIME
CITY OF ORONO �p CALLED IN
INSPECTION OT E SCHEDULED -
PERMIT NO. COMPLETED � ' �J
ADDRESS �!� % 7`� l �-�.�OC�/�
.
OWNER CONTR.
TELEPHONE NO. �� � l '
� DESCRIPTION l���t���
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICA�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 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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W� ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� �;ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CAL�TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlConVactor on site:
Inspector.������C�'�1� -
White Copyllnspector's File Canary CopylSite Notice
' // DATE TIME
V
CITY OF ORONO CALLED IN
INSPECTION NOTI SCHEDULED � �
PERMIT NO. �U '�`��� COMPLETED � ' d
ADDRESS '`���� �'�G`(GJUv<'t � ,
OWNER CONTR. ���i�2t 6i�h c, .Sc'/`v•
TELEPHONE NO. ��'��� � ��� �D�O
�
� DESCRIPTION
� 01 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 AL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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��WORKSATISFACTORY:PROCEED � PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContra tor on site:
Inspector. ��� ��I�
White Copyllnspector's File Canary Copy/Site Notice