HomeMy WebLinkAbout2007-P10916 - plumbing PERMIT
` � CI�rY OF ORONO �
2750 Kelley Parkway- PO Box 66 Permit Number: P10916
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 4/23/2007
SITE ADDRESS: 1040 Loma Linda Ave Unit#
Mound,MN 55364
P��� 08-117-23-23-0028
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:
FEE SUMMARY: Pernut Fee: $ 37.50 valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 39.00
APPLICANT: Sam's Plumbing OWNER: Cindy Shapiro
18738 93rd St. SE 5704 Deville Dr
Becker,MN 55308 Edina,MN 55436
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 PERMITEE SIGNATURE UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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• POIZCITY USE O�.LY
��-�A� City of Orono
�����`r P.O.C3oxGG Date Received: Pennit#
��-;>;,,,� � 2750 Kelley P�rl:���ay �
a }1� $;.;''- � Crystal Bay,�IN»323 APProved i3y: Amount S:
��'i��tj�'�P�,o" (952)2a9-�iG00
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CITY OF ORONO—PLUMBING PERNIIT
(All Commercial permits must Ue approved Uy the Building Ofticial or Inspecfor)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within two working days.
2. Peinut cards will be sent by rehirn mail after a review is completed. PERMITS AR�NOT
VALID UNTIL YOU R�CEIVE A PERMIT. WORK:VIUST NOT BEGIN UNTIL'CHL
PEI2MIT CARD IS POS"TED ON THE JOB SITF,.
3. Plumbing permits inay be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwellinQ.
4. When auy new constnzction or remodeling is involved, a separate builduig permit must be
obtained.
5. All�vork must be done in accordance with State Code requirements.
6. All�rork nuist be inspected and air tested before it is covered. Call(952)249-4600.
(24-�8 hour notice requircd)
TYPE OF PERMIT
�� (Check All That Apply) �
� Residenrial ❑ Cornmercial(Approval Required)
❑ Ne��v ❑ Additional ❑Repairs ❑ Replace
❑ In Accessory Structure?
y�1�G11 iVlii il2f;il j3f�vI' 27j3ji1'J�'i1i dRCl Zllc'ly I1Ct;Ci l.iii. �YCT VI'Ur10�ll�/L.UCiI:� ��',ii,i��(:I 7i7�tiiilCll;i�r�j
�v Site/ Owner Information:
Site Address: /�y(� �.OfvIA- �,�,�1- /��/•�'
Owner: Mailing Address:
City: d/U /�� Zip:
�-Io311e Phone: A]te�7late �hone:
Cor�tract�r�:f�rmatic:�: —�
Conh�actor: .L� Contact Persorl: �—f,�
Acidress: /�73� ,�3,�;� 5���� State Bond �: �'�f���,/
�ity: �j�F/ _ Zip: �� Expiratio,l I�ate: /� - � 7
Phone: 7�,3���������� Altenlate Pho11e: ��3—�� S-���j
❑ Insuratzce— Current: �i�r/f � '//�
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������- � � PLUMBING FIXTURES�BETNG 1NSTALLED �� � � �
FIXTURE BSMT 1 2' OTF3ER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYP� FL PL
Water Closet � ' Floor Drains
Lavatory i Se���er Ejector
Bathtub � Laundry Tray
Shower Washer
KiYchen Sink Water Heater
Disposal � Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OI'F - 2002 STAT� STATUE
❑ Yes, this section applies
The replaceizlent of a Residentill fixhn-e or appliance that nleets all fln�ee of the following requirements:
1. Does not require modification to elech-ical or gas service.
2. Has a total cost of$�00.00 or less; excludina the cost of the fxture or appliance: and
3. Is improved, installed or replaced by the houieowner or licensed couh�actor.
S]<ip next section, if this applies; CosC of Perinit $ 15.00
State Surcharge � .�0
Mail-In Fee(If Applicable) $ 1.50
'Total Pernut Fee �
(Pe►•nlit b'ees Continued On Neat I'age)
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�- PERMIT FF,E CALCULATION(S)—10BS OVER $500.00 �
If above does not ap�ly; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of conri-act price with a(Mininnun Fee of$35.00)
� ���� x.0125 $
(contracC price) (minimum 535.00)
2. STATE SiJRCHARGE *�� Add the State Bldg Code Div. Surcharge(Minimum Fec of�.50)
x .000� $
(contract pric�) (minimum� .50)
3. POSTAGE&HANDLING(Only on Mail-Ii1 Applications) $ 1.50
4. TOTAL PEI2NIIT FEE(Add Liues 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the achial or estiinated dollar amount cl�arged for the
pein�itted work includin�inaterials, labor, profit, and other fi�ed costs. It is the amount to be charged
to the customer for the work done. If any material, equipment, labor or installations ar� furnished by
the owuer, tenant or any other party, fl1e reasonable market value of such items n�ust b� added to the
estimated cost or contract price for permit fee puiposes. In the event that there is a dispute on the
amount of flie job cost, the City may request the subnussioil of a signed copy of the achial coiltract.
_ ** The STATE SURCHARGE :s .0005 of the contract price under $1,000,000 or $.50– �vhichever is
greate�r. For valuations over$1,000,000 call the Suilding Departrnent at(952)249-4600 for the pric�.
� PLUMBING PERMIT APPLICAT�ON AGREEMENT
The undersigned hereby applies to the City for issuance of a Plumbing Perinit, agce�es to do a11
work in shict accordance with the ordinanc�s of the City and the regulations of the State of
iVilnneSULa, �friCi Cl;Tilti�5 til�i dii SiaiciTlciii5 iiiauc uli ii115 appilCa�iGi1 aiE CGi1i�iEt�, iTU� ai1 i
correct.
1�pplicant's Signature: ������l— Date: �� �� �
3
� � D TIME �
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CITY OF ORONO� /�(p ALLED IN �
INSPECTION N I SCHEDULED - �
PERMIT NO. COMPLETED
ADDRESS ��7TJ �k�Qy�l G�1-�iltL�C('
OWNER CONTR.(.��0�
TELEPHONE NO._ 7�-3 �� `����
� DESCRIPTION _ ��''�'
� 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
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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
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,� pHOTOTAKEN
INSPECTOR WILL RETUFN
❑STOP ORDER POSTED.CALL INSPECTOR '-� CITATION ISSUED
❑ INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS.
Call tor the next nspection 24 hours in advance. (J52� 249-4600
OwnerlCon i :
Inspector. v
White Copyllnspector's File Canary CopylSite NotiCe