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Home My WebLink About2003-P06290 - plumbing �' PERMIT CITY�OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Po6290 Crystal Bay, Minnesota 55323 Permit Type: FiX�es (952) 249-4600 Date Issued: si9izoo3 SITE ADDRESS: 1180 Loma Linda Ave Mound,MN 55364 P I D: 08-117-23-23-0002 DESCRIPTION: Proposed Use: Kesidentiai Permit Class: Plumbing Perniit Type: Fixtures Pernut Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 50.00 Valuation: $ 4,000.00 State Surcharge Fee: $ 2.00 TOTAL FEE: $ 52.00 APPLICANT: Tonka Plumbing OWNER: Matthew Burns 265 Cty Rd 110 North 1180 Loma Linda Ave Mound,MN 55364 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. ,% ' � '� � �� APPLICANT P ITEE GN TURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Apnlicant, 1-Monthlv Reoorts, 1-Assessin�, 1-Finance Page 1 C�T'I' QF Q��NQ �PPF,ICA�I�N F�R PLLT1�Il�r1G FERMIT Box G6 (2750 Kelley Parkway) CrystaI �ay, h�INN 53323 GENERAI,INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. 2. Permit cazds will be sent by retum 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 (952) 249-4600. 24-hour notice required. Irnstructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APP�,ICATIONS WILL N4T BE PROCESSED. If you have questions, ca11 (952) 249-4600. Please check one: New �,Addition Repair Replace _� Residential Commercial JOB SITE: (,�'� (�►�Y1ec. �..i ��. �rp�Y1.� Zip:_,��, '?j�� Owner's Name: TelephoneNumber: Mailing Ac�dress: i t�L�� t ,r�� _ City:_ !�'c� ZiP.�?��. Contractor'sName: i TelephoneNumber: ��a1- �"]►�-C�� Mailing Address: -�- r Zip:_ - � (ot�- FLIJI�ISING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavato Sewer E'ector Bathtub Laun Tra Shower � Washer Kitchen Sink Water Heater Dis osal Water Softener Dishwasher Wet Baz Sillcocks Misc (list) � � ��- ��;�c��,-�� — ��e� i � c�� 1�G l�--�� r � � � �� . � c� �c� � FERIr��' FEE Ct�.CU�.,��4N(�) 2002 State Statute ❑ Yes, This Section�€gpiies The replacement of a Residential fixture or a�,nliance that meets all three of the following requirements: 1) Does not require modification to electrical or gas service. 2) Has a totai 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 Pemut $ 15.00 State Surcharge $ .50 Mail In Fee $ 1.50 If above does not apply, follow guidelines below: 1�. Contract Frice* is .0125 % of job with a NFinimum Fee of ($35.001 �a �E'jc`�� x .0125 $ 'r''��" (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50) �{�� x .0005 $ `L�� (contract price) (minimum$ .50) 3. gostage and I�andlin� (Only mail-in applications) $ 1.50 4. TQTAL PERMIT FEE (Add lines 1-3 above) $ �j C�'•� * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted work including materials,labor,profit,and other fized 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 mazket 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 ar $.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 State of Minnesota, and certifies that all statements made on this application are compiete, true and correct. Applicant's Signature: Date: � � �� . /.' DATE TIME �� CITY OF ORONO CALLED IN '`�`�3 INSPECTION NO ��,U SCHEDULED ��—/��c�� PERMIT N0. COMPLETED ADDRESS ��[�� /1'3GL�-�/1C��-�- �_ OWNER_ ��Ji/�-S CONTR. / �/Z,�- P�(1i!'r�• TELEPHONE NO._ �� S � �/ 7.� ��Q _C� � DESCRIPTION ��'�'d� �a"'��" � 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 O6 PROGRESS � 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PL BI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTORTOMEETYOU:!YES_NO � COMMENTS: � a •J �' C I(' � J O �. p�L p� vY O � W � Q � Z W � W � � a W� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next ins ction 24 hours in advance. (952� 249-4600 OwnerlContractor on si� inspector. �� White Copylinspector's File Canary Copy/Site Notice V DATE TIME CITY OF ORONO CALLED IN 5�S G�3 INSPECTION TICE SCHEDULED �//-03 � PERMIT N0. COMPLETED' ADDRESS ��0?'1'I QCX �%� OWNER CONTR.TOx °�LR P�t�.rnL7l�lg- TELEPHONE NO. �P�-�'��! - Q5� � � ' g�/S a c� - 5�-4�72 - 9200 � DESCRIPTION /� �'/l1D r �P�i ng � 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 OS 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 �LUMBING RI 23 SEPTIC FI L 35 HARD COVER REMOVAL � 0 PLUMBING FINAL 36 FOUNDATIOWREMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � � a � � � �� 0 � � 0 � W � Q � 2 W � W � � � O W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CO�IERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i spection 24 hours in advance. (952) 249-46�� OwnerlContr 'te� Inspector. White CopyllnapectoPs File Canary CopylSite Notfce