HomeMy WebLinkAbout2006-P10617 - plumbing PERMIT
CITY O� ORONO
Permit Number:
2750 Relley Parkway- PO Box 66 P10617
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 12/6/2006
SITE ADDRESS: 1027 Linden La Unit#
Mound,MN 55364
PID: 07-117-23-13-0094
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Pernut Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 36.00
APPLICANT: Brisbin Plumbing In.c OWNER: Troy&Traci Peterson
18687 Jaspar St.NW 1027 Linden La
Ramsey,MN 55303 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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APPLI ANT PE SIGNANRE I SUED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 3
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� � FOR CITY USE ONLY
' City of Orono
4'�'� P.O.Box 66 Date Received: Permit#
�n�„'*, � 2750 Kelley Parkway `
a� � � Crystal Bay,MN 55323 Approved By: Amount$:
�d , .' `'�o� (952)249-4600
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CITY OF ORONO-PLUMBING PERMIT
(All Commercial pertnits must be approved by the Building Official or Inspector)
GENERAL INFORMATION:' :
1. You may apply for plumbing pernuts by mail or in persoii at the City offices. Applicarions will be
reviewed and a pemut will be issued widiin two working days.
2. Pernut cards will be sent by rettun mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate building pernut must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
(Check All That'A T )
❑Residential ❑ Commercial(Approval Required)
❑ New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need prior annroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job-Site_/Oyvner Information:
i
Site Address: �� �7 �'� ��'� l•r-,
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
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Contractor: �Sr%�YI►� ��''�����ti%� Contact Person: � �
Address: ���� � �5��'` 5'`�'�'� State Bond#:
City: �i'Y'Sr., �� J Zip:�ss3�� Expiration Date: �� � 3 � J��"
Phone: ���` �S � "�� � Alternate Phone:
❑ Insurance-Cunent:
1
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`' :.PLU1V�$INCi FIX'�C:TRES��BEING'INS'�'.�L-LED "
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FIXTURE BSMT 1 2 OT�IER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet I 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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❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requuements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine 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)
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- x .. : � ; ��RMrr�,�E C`��uLA�1o� s �=JOBS o�R:�soo 00 . .
If above does not apply;follow guidelines below:
l. CONTRACT PRICE *is 1.25%of conh�act price with a(Minimum Fee of$35.00)
� ��vo t c�v
X.oias$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcliarge(Minimum Fee of$.50)
x.0005 $
(contract 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
pemutted work including materials, labor,profit, and other fixed costs. It is the amount to be chazged
to the customer for the work done. If any material, equipment, labor or installations are fumished 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 puiposes. 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,
,��"r�t.`_`>��rt�-��;_'.��� ;. �'ING'PER���?�'LIG�°►.►'�4��4�C�REE�I�T_",. ` ,x"� , � f.� .�_:
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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.
A licant's Si ature: .��y � Date: ��' (o ��
PP �
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�� DA _O TIME ,4/
�� CITY OF ORONO CALLED IN � �
INSPECTION NO E SCHEDULED �� •� O
PERMIT NO. U� �� COMPLETED
ADDRESS ��� � ' �
OWNER CONTR. .
TELEPHONE NO._�l oZt' c���I
� DESCRIPTION�C,t?2�'`�// _
� 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
Z04 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-F NAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
iPLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J AL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (J52� 249-46��
OwnerlContr site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice