HomeMy WebLinkAbout2003-P06062 - plumbing CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po6o62
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-460G�' Date Issued: 2�2s�2oo3
.
SITE ADDRESS: 1045 Linden La
Mound,MN 55364
PID: 07-117-23-13-0095
DESCRIPTION:
Proposed Use: Kesidentiai
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: $ 35.00 Valuation: $ 2,500.00
State Surcharge Fee: $ 1.25
TOTAL FEE: $ 36.25
APPLICANT: OWNER: Mr. &Mrs. Terrance 7ohnson
1045 Linden La
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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� AP TPERMITGESIGNATURE IS EDBYSIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1
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PERMIT FEE CALCULATION(S)
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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 ($35.00)
c7 x .o12s $ 3�
( ontract price) (minimum $35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
�.5�7 C7 x .0005 $ � ��Z�
(contract price) (minimum $ .50)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ Q,(o_ 02�
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* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
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 installation 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 permit 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 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 statements made on this application are complete, true and
conect.
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Applicant's Signature• - -- �`�"�,., Date: e2- .2���-�
� CIT�� OF ORONO APPLICATION FOR PLUMBING PERMIT
�ox 66 (2750 Kelley Parkway)
-- Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
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 i
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 tested before it is covered. Call (952) 249-4600. 24-hour notice
required.
Instructions 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
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JOB SITE: I �' 1 � L�i����`��-� �-!-��1-.r � i��� �"l ZiP� �� '�'� �.z�� � ��
Owner's Name: �,,-,r�, ���. �M�,� a r � Telephone Number: i� � - `'17.�-.� �'�� ��`fj "
Mailing Address: � ,' , �. : City: �;►'� �� Zip: •'-5 ' � c ��� `�
Contractor'sName: �r�c. �Jt,��_ TelephoneNumber: `�S��[��-��'1
MailingAddress: lV�� I_cv�c�e�n-, L,�-�e City: Cir-c,.� Zip: , �� �,�� �v5 '
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PLUMBING FIXTURE SCHEDULE C e i�
FIXTtiRE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER �
TYPE FL FL TYPE FL FL
Water Closet 1 � � Floor Drains
� Lavato Sewer E'ector
� Ba[htub '� Laund Tra
Shower � Washer
Kitchen Sink Water Heater
Dis osal Water Softener
Dishwasher Wet Bar
p Sillcocks Misc (list)
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DATE TIME
CITY OF ORONO LLED IN b�1�1�.3
INSPECTION NOTICE , scHe�u�Eo �1 a.�lt3-� ^
PERMIT NO. �C� �L'�2 COMPLETED —� �
ADDRESS ��'� S �- � r�e-`�C.,i'l ��
OWNER ��'ti�� .�I`.Vl(��`�"CONTR.
TELEPHONE NO. � � e� � '��� - �� � �
� DESCRIPTION � �`'L-�� ' �r'i �"�
� 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 WA�L 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-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNEFi/CONTRACTOH TO MEET YOU:_YES�NO
� COMMENTS: �l� �z�YP- � � �l��'i�- �
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W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �C�TATION ISSUED
❑iNSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex i pection 24 hours in advance. (952� 249-4600
OwnedContract n si e:
Inspector. —
White Copy/lnspector's File Canary Copy/Site Notice