HomeMy WebLinkAbout2000-P02242 - plumbing � w
PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2242
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(612) 249-4600 Date Issued: 3�24�00
SITE ADDRESS: 35o North Arm La
MOUND,MN 55364
PID: 06-117-23-24-0014
DESCRIPTION:
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Permit Class: Plumbing
Permit T e: Fixtures Permit Sub-type(s): Water Closet
YP Lavatory
Bathtub
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DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SU1111MARY: Permit Fee: $ 52.50 Valuation: $ 4,200.00
State Surcharge Fee: $ 2.10
1 Cl 1 AL r��: � 54.60
APPLICANT: LEvaF�rr sRos OWNER: Jorr M PENOLETorr
12700 BASS LAKE RD 350 NORTH ARM LA
MAPLE GROVE,MN 55369 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 BUII,DING CODE REQUIREMENTS.
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APPLI ANTPERMITEE IGNATURE SSUEDBYSIGNATiJRE �� ,�/
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Copies: City,Applicant,Assessor, Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing pemuts 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 NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing pemuts 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 pemut 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 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 249-4600.
Please check one: �1ew ✓ Addition Repair Replace
`,.�Residential Commercial
JOB SI'TE: 3�G' ������ W e t�tti �� -g– Zip:
Owner's Name: ��l` � �-�� C—� Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: ZE � �� ►� �r� Telephone Number: ;t• SS l �'`j'�o
Mailing Address: /,Z7r��� 45 (�G City:J�t�a�� ��Zip: S4 "3 ``y
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory � Sewer Ejector
Bathtub l Laundry Tray
Shower � Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT rEE CALCULATION
1. 1.25% of Contract Price* or M'�n'imum Fee ($35.00)
�,�c�c� x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e 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 chazged 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 mazket 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 Ci�y may request the submission of a signed copy of tbe 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 Inspectional 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
conect.
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Applicant s Signature: �- Date: � � �
DATE TIME
CITY OF ORONO CA�LED IN
INSPECTION N IC� SCHEDULED � -� `1 - 3d
PERMIT NO. C> c�'`��� COMPLETED —2�� D ��Cl
ADDRESS /v���� �
OWNER CONTR. � �.1' 1 �ds •
TELEPHONE NO. �5�� ��� C�
� DESCRIPTION
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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-FINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP
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09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUtvIBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W�NORK SATISFACTORY:PROCEED PROJECT COMPLETE
� C�1�CORRECT WORK 8 PROCEED I ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pH0T0 TAKEN
INSPECTOR WILL RETURN
Cl STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnedContractor on site:
Inspector. ��C��—G l,i'�—��
White Copyllnspector's File Canary CopylSite Notice
,DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED `� �� � �l-�d
PERMIT NO. ���•��-Z COMPLETED 27 � ��,- �
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ADDRESS ��d
OWNER CONTR.
TELEPHONE NO. —�-s/- �'�c�
� DESCRIPTION _���,%Zr�l��
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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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
= LUMBING�F�T`� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTHACTOR TO MEET YOU:_YES_NO
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
inspector. �� !�/C��t/f�
White Copylinspector's File Canary CopylSite Notice
CITY OF ORONO CALLED IN D�E�a �IM� �
INSPECTION NQ;ICE SCHEDULED ��L� a3 �
PERMIT NO. f�d�� ��-COMPLETED t �
ADDRESS .�J O ND• � ��,,,�
OWNER CONTR. �P�►/��- ��
TELEPHONE NO. ��o ?� S �J'—� � `� ��
� DESCRIPTION ��i �
Ly 01 FOOTING 11 MECHANICAL RI 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
NAL 14 SEWER HOOK-UP O6 PROGRESS
� M SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUM 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 BING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN C CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContract it :
Inspector.
White Copyllnspector's File Canary CopylSite Notice