HomeMy WebLinkAbout2002-P05229 - plumbing �IT�Y F R N PERMIT
� O O O O
2750 Kelley Parkway- PO Box 66 Permit Number: Pos229
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: si2si2oo2
SITE ADDRESS: 580 North Arm Dr
Mound,MN 55364
PID: 06-117-23-42-0005
DESCRIPTION:
Proposed Use: Kesidentiai
Permit Class: Plumbing
Pemut Type: Fixtures Pernut Sub-type(s): Plumbing Undefined
DETAILS:
Approved per resolution#:
Separate pemvts required:
NOTICES/REMARKS:
Backflow preventer for lawn sprinkler
FEE SUMMARY: Pernut Fee: $ 15.00 Valuation• $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 15.50
APPLICANT: Leon Duda Plumbing OWNER: Bryce&Paula Johnson
208 17Th Ave N 580 North Arm Dr
Hopkins,MN 55343 Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN Sf RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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AP ICANT PERMITEE SIGNATURE ISSU BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Aunlicant 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
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 cards 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 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 (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 Replace
�i_ Residential Commercial
JOB SITE: ��� �r� /'/r2- ��`t v c Zip: S's".�� �/
Owner's Name: r c� v d� Telephone Number: t; "7�q�,'�j/�
Mailing Address: ra ,. �� �, . Cit �'�� � Zi ��
Y� �< � - P� � S-��Y
Contractor's Name: o �(L � " Telephone Number: ���,�'�
Mailing Address: n7D�l� ,,� d.��� City: : ,� , Zip•
PLUMBING FIXTURE SCHEDULE
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 Laund Tra
Shower Washer �
Kitchen Sink Water Heater
Dis osal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list) ,�C !pc G/,c•L ✓�/
,.(_;r liCt c.1's� e�/�/�i�lL,��l .
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PERMIT FEE CALCULATION(S)
2002 State Statute �es, This Section Applies
The replacement of a Residential fixture or a�liance 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 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:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00)
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. 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 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 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 Inspection 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
correct.
Applicant's Signature: �� Date: c���� �:Z
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO�ICE SCHEDULED
PERMIT NO. �� COMPLETED �'3�""C� �_Sc�
ADDRESS �� " �'� � •
OWNER CONTR.���-
TELEPHONE NO. �S`� �3..3 J(� J��
� DESCRIPTION ,;U������ �/7 ��CC-Ud� /����y�-f'J�1
� 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
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAI. 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W BING RI 23 SEPTIC FINAL ; 35 HARD COVER REMOVAL
10 PLUMBING FIN 36 FOUNDATION/REMOVAL
� O ERICONTRACTOFi TO MEET YOU:_YES NO
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W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL AETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46�0
OwnedContra�tor on site:
Inspector. ���
White Copyllnspector's File Canary CopylSHe Notice