HomeMy WebLinkAbout2007-P11022 - plumbing PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P11022
Crystal E�,�y, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 5/21/2007
SITE ADDRESS: 1015 Linden La Unit#
Mound,MN 55364
P��� 07-117-23-13-0093
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:
New Fixtures,Except Water Heater Is Being Replaced
FEE SUMMARY: Permit Fee: $ 122.45 Valuation: $ 9,796.00
State Surcharge Fee: $ 4.90
TOTAL FEE: $ 127.35
APPLICANT: B &D Plumbing&Heating Inc. OWNER: Thora Ericksmoen&Sapa Mary Carlson
4145 Mackenzie Const 1015 Linden La
St. Micheal,MN 55376 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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APPLIC T P RMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� FOR C1T1�'CSE ONLY
�0� City of Orono
P.O.Box 66 Date Received: Petmit#
��;;;, , � 2750 Kelley Parkway
a "����'' C stal IIa MN 55323 Approved By: Amount$:
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� �'����:.�c, (9�2)Z49-4600
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CITY OF OIrONO-PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENER.AL INFORMATION .
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Pemut 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 pernuts may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construcrion or remodeling is involved, a separate building pernut must be
obtained.
5. All work must be done in accordaiice 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 X�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 Information:
Site Address: /d 6 3- G , ti o�� r �u n --�
Owner: ��r�S�„ / �z , �f.s'•�c,�� , Mailing Address:
City: ����ti c, Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: /��l� �'/�:, �/�j`� Contact Person: T����
�-
Address: `�'�5'S`/1'1�`I��,�L%P C"°'�tState Bond#: 7�o �3s��
City: .�� �%��4•�� Zip:S� 3'� Expiration Date: 6/�o/��
Phone: ��3` Y97- .Z2 �O Alternate Phone:
❑ Insurance-Current:
1
�
PLUMBING FIXTURES BEING 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 f Laundry Tray
Shower % W asher /
Kitchen Sink Water Heater
��e /u�-� �
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PERIVIIT FEE CALCULATION�S`,
� BASED OFF - 2002 STATE STATUE
❑ 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 licensed contractor.
Skip next section,if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee �
(Permit Fees Continued On Next Page)
2
�
PERMIT FEE CALCULATION S -JOBS OVER$500.00 '
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of conn�act price with a(Minimum Fee of$35.00)
�l�� � x.�0125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50)
x.0005 $
- (conn•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 actual or estimated dollar amount charged for the
pernutted work including materials, labor, profit, and o.ther fixed costs. It is the amount to be charged
to the customer for the work done. If any material, equipment, labor or installations 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 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.
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Applicant's Signature: 1 � Date: .�- � ��U �
3
d.-�W p-f� � 1�T��� TIME �
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED � �
PERMIT NO. ��I (� COMPLETED
ADDRESS (-% •
OWNER CONTR. Ci�'"
TELEPHONE NO.____�I_D� `-�q � — z Z=�(�
� DESCRIPTION �I �1 I `F� I Ll.�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 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
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
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� COMMENTS:
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W ORK SATISFACTORY:PROCEED Cl PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the n xt inspection 24 hours in advance. (J52� 249-4600
OwnerlCo ct n ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice