HomeMy WebLinkAbout2003-P06030 - plumbing t � PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway - PO Box 66 Po6o3o
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: 2�i3�2oo3
SITE ADDRESS: 1160 Loma Linda Ave
Mound,MN 55364
PID: 08-117-23-23-0014
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: Pernut Fee: $ 162.50 Valuation: $ 13,000.00
State Surcharge Fee: $ 6.50
TOTAL FEE: $ 169.00
APPLICANT: Bergman Plumbing Inc. (see notes) OWNER: G&G Holding Co. Ltd Partnership
21181 Xeon 1140 Loma Linda Ave
Jordan, MN 55352 Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVENIENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMIT NATURE -� ISSUED BY SIGNATURE
Copies: 1-File(Si�nitures Required), 1-Aoplicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
CI'f'� Q�'OIZOI�IQ° �.F'�I..���.��4N ��R PI.UII�ING PE�I�
�ox 6C (2750 Kelley Pazkway)
Crystat ��y, 1!� 5532�
GENERAL INFORIVIATION
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
THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing
in ihe dwelling.
4. � When any new construction or remodeling is involved, a sepazate 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.
Instructi�ns 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 (452) 249-4600. �
Please check one: � New Addition Repair Replace
Residential Commercial
J4B SITE: 11 Co f? (�-n a L���Q Qr�y,p �g.
Owner's Name: r.,�,��6�„� Teiephone Number:
Mailing Address: City: Zi •
Cantractar's Name: g�� w►�n g�
__..� g,,�� �'eiephone Number: �c���-y 3:
Mailing Address: a i 1�� �'e.c�� �c- City: J o�a� Zi .��'3S
P� �—
PI..LT1Vf�ING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL _ FL
Water Closet �- i F1oor Drains I
Lavato O�' � Sewer E'ector
Bathtub Laun Tra �
Shower � Washer �
Kitchen Sink � Water Heater �
Dis osal � Water Softener
Dishwasher � Wet Baz
Sillcocks v� Misc(list
gE��� �� e�.c�,�����sz
2042 State Statute ❑ Yes, �his Section Agplies
The replacement of a Residential 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; excluding 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 Minimvm �ee of($35.00)
� l3�, ao�•� x .0125 $
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
(contract price) (minimum$ .50)
3. Postage and Handiin� (Only mail-in applications) $ 1.50
4. TOTAI.PERMIT FEE (Add lines 1-3 above) �
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted
work including materials,labor,profit,and other fixed costs. It is the amount to be chuged to the customer
for ttie work done. If any material,equipment, labor,or installation aze 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 Pemut, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the 5tate of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: Bate: � -/3 l d�
✓
DAT TIME
CITY OF ORONO CALLED IN �` / ' b.3
INSPECTION N IC SCHEDULED �� /O.'Oo �G(
PERMIT N0. 4��� COMPLETED �' ��
ADDRESS � a �m� �-�'��� �
OWNER CONTR. �- l
TELEPHONE NO. �� -3� d�P
� 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
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
= LUM 23 SEPTIC FI i 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
2 OWNER/CONTRACTOR TO MEET YO YES_NO
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContracto i
Inspector.
White Copyllnspecto�'s Ffle Canary CopylSite NoHce
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D�ATE� � �("�� TIME
CITY OF ORONO CALIED IN l.( ��
INSPECTION NO ICE SCHEDULED �� �
PERMIT NO. � � �� COMPLETED
ADDRESS � 1 �Q � �-C��{�l�l� �- I l�l��� �-��' .
OWNER CONTR. �
TELEPHONE NO. __ C��---�-� ' �CC�� '� : �1 ��
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� DESCRIPTION � ��-�-��'.� � �"� Y�C� 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
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-46��
OwnerlContract n ite:
Inspector.
White Copylinspector's Ffle Canary CopylSite Notice