HomeMy WebLinkAbout2000-P03256 - plumbing - � PERMIT
�C�TY OF ORONO Permit ►vumber:
2750 Kelley Parkway - PO Box 66 P03256
Crystal Bay, Minnesota 55323 Permit Type: F�Xtures
(612) 249-4600 Date Issued: 11i13�2o
SITE ADDRESS: 460 North Arm Dr
MOUND,MN 55364
P ID: 06-117-23-31-0004
DESCRIPTION:
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Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): avat Closet
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Bathtub
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DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SU1111MARY: Permit Fee: $ 61.25 Valuation: $ 4,900.00
State Surcharge Fee: $ 2.45
1V1ALrL�L�: � 63.711
APPLICANT: STANDARD PLUMBING&APPLIANC OWNER: T J& S J WANNER
8015 MINNETONKA BLVD 460 NORTH ARM DR
ST. LOUIS PARK,MN 55426 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 n�INNESOTA BUILDING CODE REQUIREMENTS.
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PLICANT PERMITEE SIGNATURE SSLTED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
BoY 66 (2750 Kelley Parkway)
Crystal Say, NIN 55323
GENERAL INFORMATION
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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII., THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permiu may be issued ONLY to licensed plumbing contractors and to properry 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 certif'ication. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: New Addition Repair Replace
x Residential Commercial
JOB STTE: �(p(� /V U✓`�� �✓'fn �i`�r/`L Zip:
Owner's Name: `' � - j�4,G�, , � Telephone Number: �7� D��l
l�Iailing Address: � /Z D ' i��c ►^�v� City: Zip:
Contractor's Name: S ,� l� e,, � ���elephone Number: �� �
Nlailing Address: �D a I/ Clt3'� 4�,l�u�l/��f"' Zip:� S� Z �
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
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Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar �
Sillcocks Misc (list)
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�, Oj�C� x .0125 $ G2 I� �-�
(contract price)
2. State Surcharge. ** Add the State Building Code Division �
Surcharge to each permit. C''C� x .0005 $ � °�S
(co tract 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) $ f� �, � v
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work inciuding materials, labor, profit, and other fixed costs. It is the amount to be charged to the
cus[omer for the work done. If any ma[erial, equipment, labor, or installation are fumished 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 Ciry 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 Depar[ment 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
conect.
Applicant's Signature: � Date: 1 � l �( UV
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� DATE TIME
CITY OF ORONO CALLED IN -�� � U( �
INSPECTION TICE SCHEDULED ` � ��A
PERMIT NO. � S� COMPLETED � • G
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ADDRESS
OWNER Uv Cc.rw�.� CONTR. •
TELEPHONE NO. �S Z �/ � � > .� ��/
� DESCRIPTION
l� 01 FOOTING 11 tv1ECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 0 . 12 WATER HOOK-UP 17 SITE INSPECTION
05 F 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP
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UMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� COMMENTS:
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W�WORK SATISFACTORY:PROCEED ,�ROJECT COMPLETE
4�r ❑CORRECT WORK&PROCEED �ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. _ pHOTO TAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR ` CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContrac or n site:
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Inspector. t-sr� G�L�
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