HomeMy WebLinkAbout2007-P10792 - plumbing PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10792
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 2/26/2007
SITE ADDRESS: 4017 North Shore Dr Unit#
Mound,MN 55364
PID: 07-117-23-44-0005
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: $ 375.00 Valuation: $ 30,000.00
State Surcharge Fee: $ 15.00
TOTAL FEE: $ 390.00
APPLICANT: Tonka Plumbing Heating&Cooling Inc. OWNER: Fred Johnson
265 Cty Rd 110 North 4017 North Shore Dr.
Mound,MN 55364 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 BUILDING CODE REQUIREMENTS.
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APPLIC•64'ERMIT. ,ATURE 64'ID BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
ti
FOR CITY USE ONLY
City of Orono
r7Q73-04t
��0 P.O.Box 66 Date Received: Permit#
,„, 2750 Kelley Parkway
t Crystal Bay,MN 55323 Approved By: Amount$:
3o4, (952)249-4600
CITY OF ORONO-PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
(Check All That Apply)
Residential 0 Commercial(Approval Required)
i&New 0 Additional ❑Repairs 0 Replace
0 In Accessory Structure?
*You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: 14 O l kar-L b✓i v2
Owner: -Fv 2 d \O\nY\S 0(1- Mailing Address: S3S C-1i f2.40 144
City: Mitthv e- S}yam. Zip: g5 (o
Home Phone: 7Id5-7$D-5OQi) Alternate Phone: 01Q- 70IrSI4
Contractor Information:
Contractor: "T'D1Nt(A.-0 tin 4-6 l ontact Person: cSto* IN�/c�✓�
Address: ZGS C1?ai ILO N State Bond#:
City: R6�- 6( �J- Zip:Ss:3(oLi Expiration Date: 114O7
Phone: CISZ-1-1x1 a-12.0'0 Alternate Phone: q SZ 7 -12/
❑ Insurance-Current: Lte5.
1
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet I 2 Floor Drains I
Lavatory Sewer Ejector
Bathceo ir+47 ^ 3 Laundry Tray I
Shower p I Washer I I
Kitchen Sink Water Heater
Disposal I Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
Via% aw _. ._-4.-s.mir-M9. - r. • IVAP.? D W
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
❑ 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;excluding the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or Iicensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
PERMIT FEE CALCULATIONS) JOBS OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of coact price with a(Minimum Fee of$35.00)
}1 ..y
�') /►r>•�i�' iy' x.0125$
ritract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on 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 installations 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.
■ ** 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 Building Department at(952)249-4600 for the price.
PLUMBING PERMIT APPLICATION AGREEMENT
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: An .Q,C6(0 . i`ij-k Date: 247-WF-11
Reset Form
3
CITY OFDATE TIME
ORONO CALLED IN (P Lf Ui .4K)AW1
INSPECTION NOTICE, SCHEDULED lk`"LI-(Sl 2 .30 QM
PERMIT NO. t0i 9 L COMPLETED �
ADDRESS `'i'O(1 NO S fr,, ��'C- .
OWNER (� CONTR.-T rQL P(.(, tribif
TELEPHONE NO. f C15 — 200 - q 5 ` 4+)
DESCRIPTION lc ,1 a) ✓ Jl�l(9��
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
• 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ra) 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 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
v 07 DEMO--FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
41 09 PLUMBING 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
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WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
0C «<❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor or
Inspector. ‘JatAl
White Copy/Inspector's File Canary Copy/Site Notice