HomeMy WebLinkAbout2005-P08710 - plumbing ' ' PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Pos�io
Crystal Bay, Minnesota 55323 Permit Type: FiXtureS
(952) 249-4600 Date Issued: s�iii2oos
SITE ADDRESS: 3970 North Shore Dr
Mound,MN 55364
P I D: 08-117-23-3 3-0068
DESCRIPTION:
Proposed Use: Kesidential
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 106.25 Valuation: $ 8,500.00
State Surcharge Fee: $ 4.25
TOTAL FEE: $ 110.50
APPLICANT: Master Plumbing, Inc. OWNER: Timothy Zwart
22629 Zion Parkway NW 3970 North Shore Dr
Oak Grove,MN 55005 Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-�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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APPLICA T PERMITEE I ATURE ISSUED BY SIGNATURE
Conies: 1-File(Si�nitures Required), 1-Anplicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
I ! 'FOR Cix'Y�JS�;ONLY �
�h �,O ` City of Orono
� ' P.O.Box66 Date-Receivedi Permit#
� 2750 Kelley Parkway I �
� Crystal Bay,MN 55323 App�ved By:' �Athount�
(952)249-4600
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CITY OF ORONO--PLUMBING PERMIT
; (All Commercial permits must be approved by the Building Official or Inspector)
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GENE ' � 0�2MATION ,
1. Y ' � y apply for plumbing permits by mail or inperson at the City offices. Applications will be
re "e ed and a pennit will be issued within two worlting;days.
2. P� t cards will be sent by retum mail after a review is cornpleted: PERMTTS ARE NOT
V L UNTIL YOU RECEIVE A PERIVIIT. WORK MUST NOT BEGIN UNTIL THE
P T CARD IS POSTED ON,THE JOB SITE.
3. P ` ing pernuts may be issued ONLY to:licensed plumbing contractors and to property owners
r� ' ' g in the dwelling.
4. � e any new construction or remodeling is involved,a separate building permit must be
ob ' ed.
5. .A� rk must be done in accordance with State Code requirements.
6. rk must be inspected and air tested before it is covered. Call(952)249-4600. ,
. (2 4 hour notice required)
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' `TYPE OF PER�V�`IT
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�he�k�il�'�'hat A ,l j-
�Reside ti 1 ❑Commercial(Approval Requued)
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(�New } ❑Additional ❑Repairs [�Replace
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❑ In A� .s ory Striicture? � ` '
*You� i I n ed 'rior a roval and xnay nee�CUP.,(Per Orono City,Code,Cliapter 78,Arkicle IV)
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''Job Site er'InfQrmatlon: ; �
Site Add� ,s .3.1�'7 0 ��r� S�ere. 'c�,*d�
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Owner: r Maili�g Address.
City: Zip:
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Home Pl� : ' ' Alter-nate Phone:
Contractc� : ormat�ori:,; , ; � ' _
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Address. ��b�9 Z�b�-, t�w��K�`�St�te Bond#�: �S s'`�y.7 6 7
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Phone: ' � . Alternate Phone: ;
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FIXTUR� ; BSMT 1 2 OTHER FIXTURE �SMT i 2 OTHER
TYPE FL FL TYPE FL FL
Water Clo t' �j/_ � � F1oar Drains
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Lavatory � j �2 � Sewer Ejector
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Bathtub ; Laundry Tray
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Shower � Washer
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Kitchen S" Water Heater
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Disposal , Water Softener
Dishwash ` Wet Bar: :
Sillcocks , ; Ivlisceilaneous
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❑ Yes tl�is section applies
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The replace en�of.a R�sidential fixture or appli�nce tbat meets all three of the following iequi�rements:
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' 1. _, es not require modification to electrical or gas seryice.
2. , a tota_ l�ost of$500.00 or less;exctudine the cost of the fixture or appliance:and
3. ; 's roved,installed or replacedby the homeowner or licens�d.contaacior. :
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' ; p next secrion,if this applies; Cost of Permit . $ 15.00
{ i � State 6urcharge $ ,Sp
. .. . __ . _.._._ .__ '.. ...,...: ._, ,..._ .__. ..__ ___ �;..-- -- -�v1a�:InFee(I€Appli�able).__ .--- _$.: . --T:50 ____-- –
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(Permit Fees o�ntinued On Next Page)
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If above o�s not apply;follow guidelines below:
. `: CONTRACT PRICE *is 1.25%of contract price with a(1VIinimum Fee of$35.00)
' �S�� x.0125$
� (contract price) (minimum 535.00)
. � STATE SURCIiARGE **Add the State B1dg Code Div.Surcharge(Minimum Fee of 5.50)
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; x.0005 $
(contract price) (minimum$`,50)
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. �'OSTAGE&HANDLING(Only on Mail-In Applications) $_ _ 1.50
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. 1fOTAL PERMIT FEE(Add Lines 1-3 Above) S
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■ * C , �'RACT PRICE or JOB COST means the actual or estimated dollar amaunt charged far the
pe �d work including materials, labor,profit,and oth�r fixed costs. It is the amount to be charged
to ttr ci�stomer for the work done. If:any material, equiprnent, labor or installations are furnished by
the b r,tenant or any other party,the reasonable market value of such items must be added to the
es ' � t cost or contract price for permit fee pu�poses. In the event that there is a dispute on the
amo! t f the job cost,the City may request the submission of a signed copy of the actual contract.
• ** TATE SURCHARGE is .0005 of the contract.price under$1,000,000 or$.50-whichever is
grea� . For valuarions over$1,000,000 call the Building Deparhnent;at(952)249-4600 fbr the price.
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The und� 's ed h�reby applies to the City for issuance of a Plurnbing Permit,,agrees to do all
work in y ct �ccordance with-the ordinances of the City and the regulations of the State of
�
Minnesq , and certifies that all.statements made on this 'application are complete, true and
correct. .
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Applica,r� ,s ignature: r Date: ����/�Q'�
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G� DATE TIME �
CITY OF ORONO CALLED IN S- I�"O�
INSPECTION NO�ICE SCHEDULED S-� Z--c� '� `�a�'PM
PERMIT NO. . � ��U , COMPLETED
ADDRESS �L7 O IUC:�� 5��2 \J� .
OWNER CONTR. �.'��::S-�� ��Ur�.�
TELEPHONENO. 7Cl1 �J z S�o I �n�-( Z.
�- DESCRIPTION �c��^r�� �L
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� 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
J 07 DEMO-F 15 SEPTIC INSTALL. 22 FOLLOW-UP
? Lld 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE
W ❑COFRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED
❑ INSPECTfON REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (952� 249-4600
Owner/Contr o o site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
�� DATE TIME
CITY�F�R�N� CALLE�iN �ag-o
INSPECTION NOTICE SCHEDULED %�.:���-c�.� � =v(�
PERMIT NO. ���57!D COMPLETED
ADDRESS ���� ,/�/o�T� �`1G/� ��✓�' .
OWNER CONTR. �� � �fr��•..�s.�
TELEPHONE N0. L� (a v2 �� �3 � .�
� DESCRIPTION �/c�.c,� �c�1�5� -
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 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
Z
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 P I 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FIN 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED 129CPROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED �C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W{LL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46QQ
OwnerlContract r on it •
Inspector. � " ' �
White Copyllnspector's File Canary CopylSite Notice