HomeMy WebLinkAbout2001-P04713 - plumbing t �� PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P04713
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: 12�i i�2ooi
SITE ADDRESS: l 170 Loma Linda Ave
Mound,MN 55364
PID: 08-117-23-23-0015
DESCRIPTION:
Proposed Use: Kesidential
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: $ 1,200.00
State Surcharge Fee: $ 0.60
TOTAL FEE: $ 35.60
APPLICANT: Plymouth Plumbing&Heating OWNER: �&G Holding Co. Ltd Partnership
6909 Winnetka Avenue N 1140 Loma Linda Ave
Brooklyn Park, MN 55428 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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APPLICANT PERMITEE SIGNATURE ISS BY SIGNATURE
Copies: 1-File(Signitures Reauired). 1-Abolicant, 1-Monthlv Reports. 1-AssessinQ, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 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 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 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 249-4600.
Please check one: New Addition Repair � Replace
_� Residential Commercial
JOB SITE: {rY�, L � Zip:
Owner's Name: i✓l ` � Telephone Number: 7La " (�
NTailing Address: � City: �Q� �vi, �c.� Zip: ,�j, - �4�
Contractor's Name: v �, � Telepl�one N ber: Co3 �3 -43�`�
Mailing Address• � City: � ��,Zip:
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND 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 Bar
Sillcocks Misc (list)
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PERMIT I'EE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
� �.,Q Q , « x .0125 $ �� , ��
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. �� •� x .0005 $ � (��
(contract price)
or $.50, whichever is greater
3. Post�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ `?� , o �
* 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 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 pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ci�y 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 lnspectional 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
correct.
Applicant's Signa Date: � -( � —�
d�.� � /
P� DATE TIME
CITY OF ORONO ? CALIED IN , :,�(�
INSPECTION NOTIC SCHEDULED
P E R M I T N O. L � COMPLETED � ��� � l��✓
ADDRESS l� �� L LTYYY,2.. � i� l�
OWNER CONTR. L
TELEPHONE NO. l U/ �� �
� DESCRIPTION �� �,��j �� � f�'1�
� 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINA� X 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:L�YES_NO
� COM ENTS:
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W� �1IORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL FiETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
❑1NSPECTION FiEQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContr r on site:
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Inspector.� �fCGv�
White Copy/lnspector's File Canary CopylSite Notice
���. DATE TIME
CITY OF ORONO �=e',aLLED IN
INSPECTION N�E l3 SCHEDULED
PERMIT NO.�� COMPLETED �Z"'
ADDRESS �D C, C�� !� -
OWNER CONTR. lC
TELEPHONE N0. � �L ���
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� DESCRIPTION � /���-�� � �����'������
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRA /FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORElWETLANDS
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
v 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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❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContrac n site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice