HomeMy WebLinkAbout2004-P07177 - plumbing � - - PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 Po�l��
Crystal Bay, Minnesota 55323 Permit Type: FiX�,�res
(952) 249-4600 Date Issued: ii2ii2ooa
SITE ADDRESS: 500 North Arm Dr
Mound,MN 55364
P I D: 06-117-23-31-0009
DESCRIPTION:
Proposed Use: Kesidential
Perxnit Class: Plumbing
Perxnit Type: Fixtures Pernut Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 225.00 Valuation• $ 18,000.00
State Surcharge Fee: $ 9.00
TOTAL FEE: $ 234.00
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 ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMINTS.
APPLIC NT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Cot�ies: 1-File(SiQnitures Required), 1-Aunlicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT`
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 .
GENERAL INFORMATION
- L 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 permits may be issued ONLY to licensed plumbing contractors and to property owners residing
in the,dwelling. .
4. When any new construcdon 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. A11 work must be inspected and air tested before it is covered. Ca11 (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 ha�e
: questions, call (952) 249=4600. , ,
Please check one: New �Addition Repair �teplace
Residential Commercial
JOB srrE: 54v `�bv�l-► t�rYv�.�D .r zip: �S'3��
Owner's Name: �a-}-4-- 1-�Pj 1l Telephone Number,'
Mailing:Address: City: Zip:
Contractor's Name: ,(.� � ` Telephone Number: q�r3.�=F 7 3��3
� MailingAddress: �0 �o�aq - City: i,.or�e 1-�,Ke._. Zips �3S�
: PLUMBING FIXTURE 5CHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT` 1ST_, 2ND ' OTHER °
TYPE FL FL TYPE ` FL : FL
Water Closet 2 Floor Drains
� . � _ � �
Lavato 3 Se�ver �'ector
Bathtub � Laun Tra
>Shower . Washer.
. < . �
Kitchen Sink n ''Water Heater `
Dis sal `Water Softener :
Dishwasher Wet Bar �
Sillcocks Misc(list)
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; excluding the cost of the fixture or appliance: :
ana
3) Is improved, 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:
l. Contract Price* is .0125 % of job with a Minimum Fee of($35.001
� '�� O�0 x .0125 $
(contract price) (minimum$35.Q0) �
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
I g �Op 0 X .000s $
(contract price) (minimum$ .SU)
, 3. Postage and Handling (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 dollaz amount charged for the permitted
work including materials,labor,profit,and other fixed costs. It is the amount to be chazged to the customer.
for the work done. If any material,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 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 or $.50-whichever is greater.
For valuations over$1,000,000 call the Department of Inspecrion.Services for the price.
The undersigned hereby applies to-the City for issuance of a Plumbing Pernut, 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.
c-
Applicant's Signature: � �it.t, Date: ��o����•
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED -,.�f-� �
PERMIT NO. �d 7�7 7 COMPLETED
ADDRESS ��d N��► �/n- �1'�J
OWNER 16�1i CONTR. p�l> �D�i ��''�'��
TELEPHONE N0. ��Z �7.3 l� y�3
� DESCRIPTION �� �
� O7 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
�NSPECTOR W{LL AETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
CaU for the next spection 24 hours in advance. (952) 249-4600
Owner/Contracter�afi it :
Inspector.
White Copyllnspector'a File Canary CopylSlte Notfce
DAT TIME
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CITY OF ORONO CALLED IN -Q
INSPECTION NO CE SCHEDULED �- a `�
PERMIT NO. �O�7/7 7 COMPLETED
ADDRESS O T ,G � .
OWNER CONTR. �� GGt�•,L.ftv1 ��r/
TELEPHONE NO. a s� �I � 3 ��a.�
� DESCRIPTION ��C)/YJ�//1�J �
ly Ot FOOTING 11 MECHANI AL RI 16 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
Q 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 DEMO-SITE 27 SEPTIC MAINT. 21 COMPUUNT
v 07 DE - AL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
09 PLUMBI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 1 MBING FINAL 36 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:✓YES_NO
y COMMENTS:
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W RKSATISFACTORY:PROCEED O PROJECTCOMPLEfE
� ❑CORHECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on 'te•
Inspector.
White Copyllnspector's File Canary CopylSite Notics