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Home My WebLink About2002-P05000 - plumbing LITY OF OR N PERMIT O O Permit Number: 2750 Kelley Parkway - PO Box 66 Pos000 Crystal Bay, Minnesota 55323 Permit Type: FiX�ures (952) 249-4600 Date Issued: a�ii2oo2 SITE ADDRESS: 1160 North Arm Dr Mound,MN 55364 PID: 07-117-23-14-0062 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: $ 35.00 Valuation• $ 1,000.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Owner OWNER: Paul&Kelly Lewis � 1160 North Arm Dr Mound,MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WO IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA Bi�,DID�C E UIREMENTS. f/ �., � • ,� , / � �'` ;; �-�/�L�'�-y�_:';'??, APPLIC NT PER EE SIGNATURE [ D BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 PERMIT FEE CALCULATION(Sl 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; 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) � 00 O.�� 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 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. i: ** 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 Ciry 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: �a�-0� � 4`�� ' �� 'J 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 retum 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 requirernents. 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 Residential Commercial JOB SITE: ,\��Q /►/0��'1� ��,,.� �r�� Zip: Ss,3('�/ ' Owner's Name: Pd,,,,l t ►�lQ,11,, L-�ec�,T�s Telephone Number: u�� u� � MailingAddress: l�(�o No�, !�-•m Q*'�rc City:�hD Zip: 55364 Contractor's Name: $'�� Telephone Number: �– Mailing Address: � 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) � �� DATE TIME CITY OF ORONO � ca,ED IN INSPECTION NOT E SCHEDULED � PERMIT NO. COMPLETED � Y ADDRESS � J < OWNER Cu-�-C l_Q� ��CONTR. TELEPHONENO. _ �Sa '`� �� 7�� I � DESCRIPTION ' � L�� - r� re 10.�,. � Ot FOOTING 11 MECHANICAL RI 18 EXCA�//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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEP C FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W 0. � � O � � O � W � Q � 2 W � W � � � �d''' ��'''"""'''��_ RK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerlContra Inspecto White Copy/inspector's File Canary Copy/Site Notice � 3 � DATE TIME CITY OF ORONO CALLED IN �- INSPECTION N ICE SCHEDULED '7-/(P ��cZ PERMIT N0. C� v COMPLETED ADDRESS OWNER l� CONTR. �G��Lt�Y' TELEPHONE N0. GIJ Z- �7 a2 �//a.-� � DESCRIPTION u�--� � 01 FOOTING 11 MECHANICAL I 18 EXCA�//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 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 i 09 PL ING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMB NG FIN 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � _I/ � � � �_ ,� a� J O � � O � W � Q � 2 W � W � � d W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERINCa PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDEfI POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCE . Ca11 tor the next inspe o n n . 249-4600 Owne n ct n site: . Inspector White Copy/lnspector's File Canary Copy/Site Notice