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Home My WebLink About2001-P03645 - plumbing r � PERMIT C I TY O F O RO N O Permit ►vumber: 2750 Kelley Parkway - PO Box 66 P03645 Crystal Bay, Minnesota 55323 Permit Type: F�Xtures (952) 249-4600 Date Issued: 3i2�i2ooi SITE ADDRESS: 1254 Loma[,inda Ave MOUND,MN 55364 PID: 07-]17-23-41-0076 DESCRIPTION: • � ��_, PCOpOSe(1 USe: �c�iucii�ia� Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Fixtures>3 DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 950.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: HEINS PLUMBING& HEATING OWNER: K L HOFFMANN& L S HOFFMANN 21124 HORSESHOW TRAIL 1254 LOMA LINDA AVE CORCORAN, MN 55340 MOUND MN 55364 TI-IE 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 BUILD[NG CODE REQUIREMENTS. � �� . � � �'� �¢.�.�` � .�.� Z,'�- (,%��f�. APPL ANT P MITEE SI NATURE S D 13Y SIGNATURE -%� c- Copies: City, Applicant, Assessor,Finance Page 1 . � �3(�`� � � 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 cazds 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 pemuts 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 buildin�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• � a �y �-�l a n�/-� ��v� �- Zip: Owner's Name: �i=,� ,�-.J b �-�-�y R,� Telephone Number: 9 s a - Y�/-��6 0 l�iailing Address: � City: Zip: � Contractor's Name: �i:� s � I � Telephone I�umber: C �z SS� -,�� y� Mailing Address: ,�-I l �y f-( orzss �yS��,� City:G'�.�caa�r3�iP� SS' 3�� PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 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 f Wet Bar Sillcocks Misc (list) �. PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) �jsD � oo x .0125 $ -T (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. Posta�e and Handlin� (Only 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 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 t ordinances of the City and the regulations of the State of Minnesota, and certifies that 11 statements made on this application are complete, true and conect. ` Applicant's Signature: �t.�.�y Date: � z y o/ o ('� UDATE TIME CITY OF ORONO �--�7-`1� l��'3�_' INSPECTION NO CE SCHEDULED �G PERMIT N0. ��-�� COMPLETED � -� � f, � ADDRESS .� ��'� �� OWNER � CONTR. �' � f , TELEPHONE N0. � � �� — ss�'— `S(° �� 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 Z04 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 Q PLUMBING RI , 23 SEPTIC FINAL 35 HARD COVER REMOVAL v� LUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTON TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � � jQWORKSATISFACTORY:PROCEED ❑ PROJECTCOMPIEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOFiECOVERiNG PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnedContractor on site: Inspector.��(L�t �rol 5 White Copyllnspector's Ffle Canary Copy/Site Nodce