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HomeMy WebLinkAbout2002-P05619 - plumbing `` PERMIT CrITY�'OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P05619 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952�249-4600 Date Issued: 9il�i2oo2 SITE ADDRESS: 996 North Arm Dr Mound,MN 55364 PID: o�-ii�-23-ii-oot� DESCRIPTION: Proposed Use: Kesidenriai Pernut Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Mulriple Fixtures DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 61.25 Valuation: $ 4,900.00 State Surcharge Fee: $ 2.45 TOTAL FEE: $ 63.70 APPLICANT: B�e Plumbing OWNER: Jon&7eanne Heidom 10561 Palm Street 996 North Arm Dr Coon Rapids,MN 55433 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. -C� �� � AP.LICANT PERMITEE SIGNATURE IS BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Avnlicant 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 r i CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may appiy for plumbing pemuts by mail or in person at the Ciry offices. 2. Permit cazds will be sent by retum mail after a review is completed. BERMTfS 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 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 pernut 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 Residential Commercial JOBSITE: ���—c��� (vtJ�'�'11 �r�� f�� : Zip: Owner`s Name: - Telephone Number: Mailing Address: City: Zip: - Contractor's Name: �� : v� �e a�� Tele hopeNumber: 7�3 7�'7 /q`�� M a i l i n g A d d r e s s: `{` ! �u L✓c� S C i t y: �r1 CYavf.— z i p�.3��f PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSIVIT '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) PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes, This Section Applies The replacement of a Residential fixture or ap�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; 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 $ .SU 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) ���p 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 Handlin� (Only mail-in applications) $ 1:.50 4. TOTAL PERNIIT 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 chazged to the customer for the work done. If any material, equipment, labor, or installation aze 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 ot $.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. 'w~� ��-- ��7��� Applicant's Signature: Date: / �y� � DATE ��iJfIME � CITY OF ORONO CALLED IN � INSPECTION TIC.Fi SCHEDULED -�L=a� PERMIT NO: �' ,.S � COMP� ���?.t.�, ADDRESS � OWNER CONTR. - TELEPHONE NO. �� 3 "' �S 7- l �/� � DESCRIPTION � 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 Z04 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W MBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J�8-PL�i)1v181NG FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � � a � J O �. � O � W k Q ti Z W � W � � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETUFN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUfRED.CALLTOARRANGEACCESS. Call for the ext inspection 24 hours in advance. (952� 249-46�� OwnedC r n site: Inspector.� White Copyllnspector fle Canary Copy/Site Notice DATE TIM CITY OF ORONO CALLED IN INSPECTION NO CE SCHEDULED 1��'(� �UZ ' t,� PERMIT NO. �' COMPLETED ADDRESS ���� ,�Ul'i i/ f-�,�r.'_�-�l �i� . OWNER CONTR.��� ��U�'�'�-l�- TELEPHONE NO. 7C�"' �� �S � �j�7 f " � DESCRIPTION �t"�/Gr vz�f � 01 FOOTING 1/ 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 Z04 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 `� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 P iN�_RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 0 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � CTOR TO MEET YOU:_YES_NO � COMMENTS: � ���� � a � � O a � O � W � Q � 2 W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlCon o site: � Inspector. White Copy/lnspecto s File Canary Copy/Site Notice