HomeMy WebLinkAbout2003-P07109 - plumbing CIT�jOF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po�io9
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: 12�isi2oo3
SITE ADDRESS: 706 North Arm Dr
Mound,MN 55364
P I D: 06-117-23-43-0004
DESCRIPTION:
Proposed Use: Kesicientiai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 200.00 Valuation: $ 16,000.00
State Surcharge Fee: $ 8.00
TOTAL FEE: $ 208.00
APPLICANT: Westonka Mechanical Inc OWNER: 7eff&Cara Ziebarth
6501 County Rd 15 820 Bayside Lane
Mound,MN 55364 Minnetrista,MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO D ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUIL NG�ODE REQUIREMENTS.
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APPLICA PE ITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes, 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:
l. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00)
� I�,occ`= x .oi2s $
(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 applicati�ns) $ 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 epartment of Inspection Services for the price. -
The undersigned hereby applies to the Ci for�suance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordina �e of the City and the regulations of the State of
Minnesota, and certifies that all statemen ade on this application are complete, true and
correct. �------_. `
Applicant's Signature: � ',�� �-� Date: �3 lg o�
DATE TIME
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CITY OF ORONO CALLED IN a' -O
INSPECTION NOTICE SCHEDULED fa aa-o3 .3o A�✓V�
PERMIT NO. �''U-7 1�9 COMPLETED �� M
ADDRESS rt" ��•
OWNER CONTR. V`��'a l�-� .
TELEPHONE N0. G�a �t�a y �5�►
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS
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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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PLUMBING 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v F�� � � 36 FOUNDATIOWREMOVAL
2 OWNERICON�CTOR TO MEET YOU:_YES_'� NO
v�, COMMENTS:
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W �RKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE
❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor site:
Inspector.
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White CopyMspecto�'s File Canary CopylSNe Notice
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DATE, l /D�` TIME
CITY OF ORONO CALLED IN �� 1
INSPECTION N TICE SCHEDULED �-/�
PERMIT N0. ' `'�� 14`�' COMPLETED
ADDRESS �C�-�' �� � /�Y�m ��- �
OWNER CONTR. (�'�-�-4--f i�nK-�C..�
TELEPHONE N0. �/`� � � 7� � �`��1 ����
� DESCRIPTION /`--'-- - P�'G�
� 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 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 UMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOFi TO MEET YOU:�ES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the nexl'nspection 24 hours in advance. (952� 249-46�0
OwnerlCon i •
Inspector.
White Copyllnspector's Fil Canary Copy/Site Notice