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Home My WebLink About2003-P07045 - plumbing CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Po�o4s Crystal Bay, Minnesota 55323 Permit Type: FiXtures (952; ��9-4600 Date Issued: ii�26i2oo3 SITE ADDRESS: 4s90 North a�DT w Mound,MN 55364 PID: 06-117-23-24-0016 DESCRIPTION: Proposed Use: Kesidentiai Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 62.50 Valuation: $ 5,000.00 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 65.00 APPLICANT: General Plumbing&Heating Inc. OWNER: Barry&Janice Haglund 5541 Highway 12 S.E. 4590 North Arm Dr W Delano,MN 55328 Mound,MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �/ � �� /�'GJ A PLIC T ERMITEE SIGNATURE SUED BY SIGNATURE Cooies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessing. 1-Finance Page 1 CITY OF ORONO APPLICATION FaI�PI..U1fBING 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 o�ces. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE'_�OT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT C.�RD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to prc�serty owners residing in the dwelling. 4. When any new construction or remodeling is involved, a separate building permit m�sst 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-�500. 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. � N� Please check one: New � Addition Repair Replace � Residential Commercial .ros srrE: y�'�o /t��-� �.z� �0� e,�) /Y'�a�� z�p: ��3�y Owner's Name: Telephone Number: Mailing Address: City: Zip: Contractor's Name: ��}��c.� � �rrl� Telephone Numbei-:��,3—7I��l o� Mailing Address:.�S`✓/�.S��lis.�c�G4 �z S� City:�1c-w,� Zip: ,�S3 zl8 PLUMBING FIXTURE SCHEDLTLE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT IST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet � � Floor Drains � Lavato � 02 Sewer E'ector Bathtub � Laund Tra Shower ` Washer Kitchen Sinlc 0 Water Heater f Dis sal � Water Softener . Dishwasher � Wet Bar Sillcocks � Misc (list) "��- �� PERl�iIT �EE CALCULATION(Sl 2002 State Statute ❑ Yes, �'his Section Applies The replacement of a Residential fixture or a�pliance 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 Pernut $ 15.00 State Surcharge $ .50 Mail In Fee $ 1.50 If above does not apply, follow guideiines below: 1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00) R J d Ud ' � x .0125 $ (contract pri e) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50) x .0005 $ (contract price) (minimum$ .50) 3. Postag..e 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 fumished 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: � // v� 1 �%� � �� DATE TIME � CITY OF ORONO CALLED w -�- �� INSPECTION NOTIC �7 t' SCHEDULED � � � PERMIT N0. t? J/ U 7--� COMPLETED ADDRESS � � U 1 �� -, OWNER CONTR. /l.-�'.�-�- / b TELEPHONE N0._ �� - �� 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 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 COMPL4INT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d W� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContr site: Inspector. White Copy/lnspector's ile Canary Copy/Site Notice �� `� AT TIME � CITY OF ORONO CALLED IN �� "G INSPECTION NOT E SCHEDULED 3 �� -� ` ��j PERMIT NO. � i�� COMPLET ADDRESS__'/�7�(�� l.�C�l�T�� /��v � �� OWNER CONTR. �J ril I f�1/��'�:�� TELEPHONE NO. �� ,� �' �' � DESCRIPTION � 01 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 Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 1 LUMBING FINAL 36 FOUNDATION/REMOVAL �� OWNERI�bNTRAL�TOR TO MEET YOU:�YES_NO � COMMENTS: � W a � l�QM.C�IM (� 0 � � 0 � W � Q � 2 W � W � j d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETUAN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REDUIRED.CALLTO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (952� 249-46�� OwnerlConUac n i e: Inspector. � White Copy/lnspector's File Canary Copy/Site Notice