HomeMy WebLinkAbout2003-P06995 - plumbing ' � PERMIT
CITY OF ORONO permit Number:
2750 Kelley Parkway- PO Box 66 P06995
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(952) 249-4600 Date Issued: iiii2i2oo3
SITE ADDRESS: 500 North Arm Dr
Mound,MN 55364
P I D: 06-117-23-31-0009
DESCRIPTION:
Proposed Use: xesiclentiai
Pernrit Class: Plumbing
Pernut Type: Fixtures Permit Sub-type(s): Plumbing Undefined
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation• $ 1,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Earl W.Day&Sons,Inc. OWNER: Mr. &Mrs Hoy
P.O.Box 294 500 North Arm Dr
Long Lake,MN 55356 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 ORDINANCFS AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
r �
AN RMITEE SIGNATURE D BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Avt�licant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes, This Section Applies
The replacement of a Residential fixture or appliance that�meets all three of the following
requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excludin� the cost of the fixture or appliance:
and
, 3) Is unproved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit ` $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below: -
1. Contract Price* is .0125 % of job with a Minimum Fee of($35.001
�, �C�4 �' x .0125 $
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $
(contract price) (minimum$ .50)
3. Posta�e and Handling {Only mail-in aPPlications) $ 1.50
4. TOTAL PERNIIT FEE (Add lines 1-3 above) $
* CONTRACT PRIC�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 aze fumished by the owner,tenant or
any other parry the reasonable mazket value of such items must be added to the estimated cost or contract
price for permit fee pdtp25ses. In the event thaf there is a dispute on tlie amount of the job cost,the City may
request the submission o�a signed copy of the actual conuact.
** The STATE SURCHARGE is:0005 of the contract price under$1,000,000 or $.SO-whichever is greater.
For valilations over$1,000,000 call the Department of Insp�ction 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 complete, true and
correct.
.
APPlicant's Signature: ' � Date: �/ �'- n��
>`
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 RECENE 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 sepazate building permit must be.obtained. - _
5. All work must be done in accordance with the State Gode requirements. '
6. All work must be inspected and air tested before it is covered. Call`(952) 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 (952) 249-4600.
- Please check one: New � Addition Repair Replaee
�_Residential Commercial
JOB SITE: ✓Sp�' �a/o,e r� �t'�'1 1� Zip:.�3 3� � .
Owner's Name: /'s�-r7` }�-� Telephone Number:4s�- �'7.z- 3��9
Mailing Adiiress: ✓r"- `oo�r� .s� ��7 p.�. City: ���v.�.� Zip: ,�.5'��'
Contra,ctor's Name: p.�y, �p,e�� .�.s ='�� Telephone Nu�ber:�sa �y7� �v3
Mailing Address:y�o 't3�'i��-� ,/��� t3'• '"�w � p•.� 3.s�
Ci � L�re Zi �
`- PLUMBING.FIXTURE SCHEDUI.E
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
D' sal Water Soft�ener :
Dishwasher Wet Baz
Sillcocks " Misc(list)
��.�.�o�ur e /l�i�t/ $c-?.L✓�o. Ti�P�``w� .���✓ ;,a¢.v.cJi�'—iv�
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DA E TiME
CITY OF ORONO CALLED IN �� -3
INSPECTION NOT CE SCHEDULED J%-/�--d 3 �.�G�
PERMIT NO. � g q� COMPLETED
ADDRESS_'S�C'D ��TI-�/�ti1
OWNER CONTR._�(.cJ ��f ��4ll.S
TELEPHON E NO. (So� y 7 � �/U 3
� DESCRIPTION :%��/�G��� �t i� �l�.�e tr` 7�irv EZCu.��slh.
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/(iRADING/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 06 PROGRESS
� 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HAF?D COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE
�` O CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
W
� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETUFiN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952) 249-4600
OwnedContracto s e:
Inspector.
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