HomeMy WebLinkAbout2006-P10334 - plumbing � PERMIT
CITY OF ORONO Permit Number:
� 2750 Kelley Parkway- PO Box 66 P10334
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued: 9/18/2006
SITE ADDRESS: 345 North Arm La Uait#
Mound,MN 55364
P��� 06-117-23-24-0015
DESCRIPTION:
Proposed Use: Residential
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: $ 112.44 Valuation: $ 8,995.00
State Surcharge Fee: $ 4.50
TOTAL FEE: $ 116.94
APPLICANT: Westonka Mechanical Inc OWNER: David&Carla Sipprell
6501 County Rd 15 345 North Arm La
Mound,MN 55364 Mound,NIN 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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APPLICANT MITEE SIGNATURE [SSUED BY SIGNATURE
Copies: l-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
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CiTY OF ORONO APPL[CATION FOR PLUMBING PERM[T .
Box 66 (2750 Kelley Parkway) �
Crystal Bay, MN 55323
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GENERAL INFORMATION
1. You may apply For plumbing permits by mail or in person ai the City offices.
2. Permit cards will be sent by return mail after a review is completed. PERMiTS ARE NOT VALID UNTIL YOU
RECElVE A PERM(T. WORK MUST NOT BEGW UNT1L THE PERM[T CARD 15 POSTED ON THE JOB
SITE. '
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners r:siding in the
dwelling.
4. When any new construction or remodeling is involved, a separate buiiding 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 nc tice required.
Instructions Complete al( items on this application. Compute the permit fee. Sign a��d date the
certification. INCOMPLETE APPL[CATIONS WILL NOT BE PROCESSED. If you hav�� questions,
cal( (952} 249-4600.
Please check one: New � Addition Repair Replace
� Residential" Commercial
JOB SITE: ��5 �•�c-� �• p�c ri. \...�<•� Zip•
- Owner's Name: S� � �r e.�� Telephone Number:
Mailing Address: City: Zip:
Contractor's i�ame:�w-���..�.�, ��,�.��.A�..C�\ Telephone IVumber:�=��-a�s�as�
Mailing Address: los�� C'_G�.�>,�� ��; w�- City: ��..��-� Zip: s���.�{ _
PLUMBING FIXTURE SCHEDULE
FIXTURE $SMT 1 ST 2ND OTHER FIXTURE BSNS 1 S 2ND O'i HER
TYPE FL PL TYPE T T FL
FL
Water�loset ( Floor Drains
Lavato 1 Sewer E'ector
Bathtub Laund Tra
Shower �-- Washer
Kitchen Sink Water Heater
Dis osal Water Softener
Dishwasher Wet Bar `
Sillcocks Misc tist
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PERMIT F£E CALCULAT[ON(Sl �
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2002 State Statute ❑ Yes, 7'his Section Applies
, : The replacemen# of a �Zesidential fixture or a�pliance`that meets 'all three af the f�i[owing requirements:
1) Does not ret{uire modification to electrical or gas service.
2) Has a total cost of $500.00 ar less; Excluding the cost af the fixture or a ppliance: and
3) Is impcoved, instalied or replaced by the homeowner or licenced;cantractor.
Skip nexf'section; Cost of Permit $ 15.40 _ ,
State Surcharge $ .5Q
Mail In Fee $ 1.50
If above does not appiy,follaw guidelines below: -
1. Con#ract Price* is .0125 9& of jab with a Minimum Fee of ($35.00� �
,
_ ����� :� c c1 x .0125 $ \ ``� `�c'3
(contt�act price)" (minimum$35.00 i -; °�
2. 5tate Surcharge. **Add the State Buiiding Code Division' a (Minimum Fe: of$ .54)
�S�ti���'�� �=1 v x .0005 $ �-�.�-1 �1
(contract price) _ (minimu�$ .5fl)
3. Postage and Handting (Onfymai}-in applications) $ 1,50
4. TOTAL PER�VLIT FEE (Add lines 1-3 above) � ` ' $ \�c �``t�-
* CONTRACT PRtCE or JOB COST means the actual or estimated dollar amount charged for the permitted work
including materials, labor, pro�it, and other fixed costs. It is the amount to be chargerl to the custor ter For the work
done. li any material, equipment, labor, or installation are Furnished by the owner, tenant or an� other party the
reasonable market value of such items must be added to the estimated 'cost or contract price for permit fee
pur{aoses. In the event that there is a dispute on the amount of the job cost, the City may reques the submission
of a signed eopy of the actual contract.
** The STATE SURCHAFZGE is .0005 of the contract price under $1;000,000 or $.�0-whic iever is greater.
, For valuations over$1,000,000 call the Depar#ment of lnspection Services for the price.
Th� undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees t�� do all work .
_ irr strict accordance with the a�dinances of the City and the regulations of the State of N1 innesota, ar�d
certifies that all statements made on #his applicatian are complete, true and correct.
App(icant's Signature: � `�� -.. ��'� � ��} -� �,,,. � Date: �1 I g�G�' _
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�� DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED R' /� �`"3[�TP�li1
PERMIT NO. �/U���-( COMPLETED
ADDRESS .��� Of'F'f'1 � L�.�
OWNER CONTR. W�.��n��� ���,
TELEPHONE NO. �,� � � �7� �{�1 S �( - �ol� �C� -2�,I�
� DESCRIPTION 9�"�v� v�'�� l�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
2
Q OS 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
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9 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
L 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (J52� 249-4600
OwnerlCon o ite:
Inspector.
White Copyllnspector's Fi Canary Copy/Site Notice
�� DATE TIME �"
CITY OF ORONO CALLED W ��Y"
INSPECTION NO CE ' I SCHEDULED �� i�b
PERMIT NO. �� U3�`1 COMPLETED
ADDRESS ��{S �C)��-G1 �9('1�1'1 LGt�1.Q�
OWNER CONTR. ��S(z� IC Cti /i/�1r�i � G�.
TELEPHONE NO. �1 0.� ��.5 � �( "�� U j� `'J
� DESCRIPTION_�I( S U�✓� �" Y�d�.4titb�X
� 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 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
? 09 PLUM 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J Y�CJ'PLUMBING 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WiTHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR J CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (J52� 24J-4600
OwnerlCont o 'te:
inspector.
White Copyllnspector's File Canary Copy/Site Notice