HomeMy WebLinkAbout2005-P09339 - gas line inspection � PERMIT
GITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09339
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
l0/21/2005
SITE ADDRESS: 1210 Loma Linda Ave unit#
Mound,MN 55364
P��� 07-117-23-41-0087
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type:
Mechanical Pernuts Pemut Sub-type(s): Gas Line Inspection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Repair of Gas Line to Grill&Future Range In Basement w/ 1/2"Copper
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Center Point Energy Minnegasco OWNER: Donald&Carolyn Udell
13562 Central Avenue NE 1210 Loma Linda Ave
Anoka,MN 55304 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 SIG ATURE ISSUED Y SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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CITY OF ORONO APPLICATION FOR P�.,L�P1G PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, I�IN 55323
GEI�'ERAI. INFOR`L�TI ON
1. You may apply for plumbing permits by mail or in person at the City o�ces.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII. THE PERI�IIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued 0�1I.Y to licensed plumbin� contrac[ors and to property owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a separate buildin� permi[ 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�600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sijn and date
the certification. INCOI�LETE APPLICATTONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New Addition Repair Replace
_� Residential Commercial
JOB SITE: %�/ O L--C�,��Z �r;C��-, ��!�' Zip: `����3L��f
O�mer's I�'ame: � ,� Telephone 1�'umber:
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1�Ia.ilin� Address: City: �='��`�' ^ Zip:_�:�,3L>�r'
Contractor's Name: ���,��,G;,;� �'�J,,.�y� Telephone I�umber:
l�lailing Address: /-i���,� ���r,�% �,�'�:� Cih'� �'�;i�,r. ZiP� ��� 5�''�
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PLUI�IBING F`IXTURE SCHEDULE
FIXTURE BS�1T 1ST 2ND OTHER FIXTURE BS�iT 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)
/l'���1,'�f'1/ ��/' ,p _yG'' ^ /% �� ll�n''�(���1�%_('' ✓�`'�Ua.r /' ;./ i✓'! ������/„��P
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PERNIIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
x .0125 $ ; ,;. :'.,
(contract price)
2. State Surchar�e. ** Add the State Buildin; Code Division
Surcharge to each permit. x .000� $ ��'
(contract price)
or $.50, whichever is greater
3. PostaQe and Handlina (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ j��_ ,,�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and ocher 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,
teaant 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 chat there is a dispute on the amount of the job cost,
the Cicy may request the submission of a signed copy of the actual contract.
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** 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 Jnspectional Services for the price.
The undersijned 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.
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Applicant's Signature: � � � / ��:. Date: �G••/���;
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DATE TIME
CITY OF ORONO CALLED IN �"Z�v
INSPECTION NO ICE. C� scHEou�Eo I 1 -7�� :v'
PERMIT NO. � � 1 COMPLETED
ADDRESS �4� � C�}� �t �� nC��
OWNER C�� � CONTR. ��,Gt� %�d%wT
TELEPHONE NO. C�S o�Z �7� rS LP tY�"
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� DESCRIPTION �:�i--F.�.t ���- �.�.�(A�.2_, -
� 01 FOOTING 1 MECHA ICAL 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
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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 M81NG FINAL 36 FOUNDATION/REMOVAL
Z OWN /CONTRACTOR TO MEET YOU:,�YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED f PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR W4LL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46��
Owner/Contr n site:
Inspector.
White Copy/lnspect 's File Canary Copy/Site Notice