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HomeMy WebLinkAbout2006-P09842 - plumbing PERMIT CITY' OF ORONO ' Permit Number: 2750 Kelley Parkway- PO Box 66 P09842 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 5/8/2006 SITE ADDRESS: 1056 Loma Linda Ave Unit# Mound,MN 55364 P��� 08-117-23-23-0029 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: Permit Fee: $ 43.75 Valuation: $ 3,500.00 State Surcharge Fee: $ 1.75 TOTAL FEE: $ 45.50 APPLICANT: PipeRight Plumbing,Inc. OWNER: Kevin&Suellyn Tritz 10710 Mississippi Blvd.NW 1056 Loma Linda Ave Coon Rapids,MN 55433 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 RE UIREMENTS. .�-'" ' , � c�.�"—,_ _ � ' .1� �. `Y'l(,�ti� � APPLI ANT PERMITEE S[GNATURE ISSUED Y SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � ; FOR CITY USE ONLY �Q�_ City of Orono � �¢� �`�r P.O.Box 66 Date Received: Permit# /�'^ � 2750 Kelle Parkwa ' �,;,;��- Y Y �I„� ,�,� �,r �, Crystal Bay,MN 55323 Approved By: Amount$: ���^ �'y��`�i�o o'` (952)249-4600 ��� ,,,8�' y�Ho CITY OF ORONU -PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Permit cards will be sent by rehun 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 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) i TYPE OF PERMIT (Check All That Apply) �Residential ❑ Commercial(Approval Requued) (�rNew ❑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: ��`.� � �-�� e,. � , ti � �., Owner: �" � i?��� Z Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �" ,�� -1 Contact Person: ��`ti� Address: �0`71� M•.ts.ss,�,o, (3l�rd iN� State Bond #: City: �P� {�¢,a; �t Zip:�s� Expiration Date: Phone: ��Z' S �Sr-S t O� Alternate Phone: ❑ Insurance- Current: 1 � J �, ,�. � ;,�+�r� �.y �'`�� C�'f 6ra �"(�tawsl 5�['. a�`aj , <��;�`"�.�,�-'���'.S��x��a��i,� 6� � .���{ r i!' .� `,D��n`.���`�,-.�-r+.r� ";���.ca_w a.u.,.t,.�.�k;�A.F,���,�t�,.�� FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet / Floor Drains Lavatory � Sewer Ejector Bathtub / Laundry Tray Shower � Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Baz Sillcocks Miscellaneous +�� g q � �/� gn �" " � p i?9,����i9kTax 'E. � �G"� � � �p � � .,�� � €' �.�� '�t��ax _ .3a6 w ���. ❑ Yes,this section applies The replacement of a Residenrial fixture or appliance 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 Permit $ 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 contract price with a(Minimum Fee of$35.00) ���� x.0125$ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.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 charged to the customer for the work done. If any material, equipment, labor or installarions are furnished by the awner, tenant or any other party, the reasonable market value of such items must be added to the estimated cost or conn�act 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 cali 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 de on this application are complete, true and correct. � / ' 'f ' j/ � _ 7 Applicant's Signature: � Date: � ✓ � 3 C � �,./���T ATE TIME " CITY OF ORONO CALLED IN � INSPECTION NO ICE SCHEDULED 0 ��.' PERMIT NO. � COMP TED ADDRESS ���lG C-��- ���L. OWNER CONTR. � � TELEPHONENO. (�� � � � 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 � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU�YES_NO � COMMENTS: � W a � � O >. � O � W � Q � Z W � W � � d W� ORKSATISFACTORY:PROCEED CI PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (J52� 249-46�� OwnerlContra i : Inspector. White Copyllnspector's File Canary CopylSite Notice D�E/ T CITY OF ORONO CALLED IN 7 G U INSPECTION N SCHEDULED 7' -O a� PERMIT NO. COMPLETED ADDRESS �D� L.�:�YN��l,/�tG� ��� OWNER CONTR. � TELEPHONENO. lP�o�Z �S /(1 Ol� c!� � DESCRIPTION l� 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 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 W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J-4Q PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: s W a O - Q >. � � O � � %V /3 � C G��S ��.�J CT� �'q s'Q Q � �`�l C , Z v c � __ � 1 l� 1 CJ✓'P.S �(�✓�-� y'�l i�/t.c P�j/� J��n�,�/(� � _ I,c,Jh��1��� � �TU r� ��STt�' I� �( ��� � �iIORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W �CORRECT WORK&PROCEED l i ISSUE CERTIFlCATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on sit Inspector. � White Copyllnspector's File Canary CopylSite Notice