HomeMy WebLinkAbout2002-P05852 - plumbing PERMIT
C I TY O F O RO N O Permit ►vumber:
��'�0 Kelley Parkway - PO Box 66 Posss2
� Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: iiiisi2ooa
SITE ADDRESS: 980 North Arm Dr
Mound,MN 55364
P I D: 07-117-2 3-11-0016
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 43.75 Valuation: $ 3,500.00
State Surcharge Fee: $ 1.75
TOTAL FEE: $ 45.50
APPLICANT: West Side Plumbing,Inc. OWNER: Mr. &Mrs. Bicknell
9735 Shady Oak Drive 980 Narth Arm Dr
Chaska,MN 55318 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 REQUIREMENTS.
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PLICANTP RMITEESIGNATURE SSUEDBYSIGNATURE
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Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
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PERMIT FEE CALCULATION(Sl
. 2002 State Statute ❑ Yes, This Section Applies
The replacement of a Residential fixture or anpliance 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 1ess; excluding 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
, Mai1 In Fee $ T.50 �
If above�does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of($35.00)
�3:Sr�D � x .oi2s $
(�ontract price) (minimum$35.00) '
2. State Surcharg� ** Add the Sta.te Building Co�le Division a(Minunum Fee of$ .50)
: �:I S'D D �� x .0005 $
(conttact price) (minimum$ .SOj
3. P�stage and Handling ;(Only,mail-in applications) $ 1.50,
4. T+OTAL PERMIT FEE (Add�lines 1-3 above) $
* CQNTRACT PRICE or JOB COST means the actual or estimated dollar amourit chazged for the permitted
work including materials,labor,profit,and other fixed costs: It is the amount to be'chazged:co 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 permif fee purposes. In the event that there is a dispute on the amount of tfie 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,OU0,000 or $.SO-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, �grees 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: //—/�'(��_
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 cards will be sent by return mail after a review is completed. PERMITS ARE NQT 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 properry owners residing
in the dwelling:_ `
4. When any new construction or remodeling is involved, a separate building permit tnust 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.
Instrnctions Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCFSSED. if yot� have
questions, call (952) 249-4600.
Please check one: New �Addidon Repair Replace
Residential Commercial
JOB SITEs �'�� //D2Tfi� ✓7�/z�'I '�� Zip:
Owner's Name: Telephone Number•
Mailing Address: City: . Zip:
Contractor's Name: (I� �� �C G. /�JC� Telephone Number; S�-yl/ �0?l0�
Mailing Address:9�3 s�./�Ay :�A� z�lti�1�' , citys C,N�9S.�4 Zip: �5��
PLUMBING FIXT�RE 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 _ � `Laun Tra
Shower Washer
Kitchen Sink Water Heater
Dis sal Water Softener
Dishwasher Wet Bar
Sillcocks Misc(list).
� DATE TI
CITY OF ORONO LLED IN
INSPECTION NOTICE SCHEDULED /� C�� --
PERMIT NO. ��i��'� COMPLETED
ADDRESS ����,���/�7� '�� �
OWNER CONTR. ` �
TELEPHONE N0. - - � - /
� DESCRIPTION �1��!� '
� Ot FOOTING 11 MECHANIC L 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 05 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 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVER�NG
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
O STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cal1 for the next ins ction 24 hours in advance. (g52) 249-4600
OwnerlContractor
Inspector.
White Copy/lnspector's File Canary Copy/Sfte Notfce
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DATE TIME � %
CITY OF ORONO CALLED IN
INSPECTION NOTICE scHE�u�E� /-:��-G�3 � .�u ��
PERMIT NO. _r�"� 5 8�� COMPLETED
ADDRESS � d��Tf- =fT;'-2�r 7,2
OWNER CONTR._���f�i G�_ �`���iv� �
TELEPHONE NO. �v/;� — ���- .� ����
� DESCRIPTION �-'����'--'�
ll� Ot FOOTING 1i 11 MECHANICALRI 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 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 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMM�ui 23 SEPTIC FINAL 35 HARO COVER REMOVAL
J �UMBING FINAL 36 FOUNDATION/REMOVAL
� NTRACTOR TO MEET YOU:_YES_NO
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORREGT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTIONRE�UIRED.CALLTOARRANGEACCESS_
Call for the next i spection 24 hours in advance. (952) 249-460�
OwnerlContrac s' :
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice