HomeMy WebLinkAbout2002-P05363 - laundry tray � PERMIT
C�,�a0 F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P05363
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 6�2��2002
SITE ADDRESS: 4064 North Shore Dr
Mound,NIN 55364
PID: o�-ii�-23-aa-ooas
DESCRIPTION:
Proposed Use: Kesiclentiai
Pemut Class: Pluinbing°
Permit Type: Fixtures P�it Sub-type(s): ��ary Tray
DETAILS:
Approved per resolurion#:
Separate permits required: ,
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.85
TOTAL FEE: $ 37.35
APPLICANT• Al's Master Plumbing OWNER' David Jones
� 3041 Aldrich Ave S � 4064 North Shore Dr
Minneapolis,MN 55408 Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IlVIPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND S"I'ATE OF
NIINrIESOTA BUII.,DING CODE REQUIREMQ�iTS.
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AP LICANT PERMTI'EE SIGNATURE ISSUE B GNATURE
Copies: 1-File(Signitures Repuired),1-Auplicant 1-Monthlv Reports,1-A�essine, 1-Finance Page 1
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�l'�"Y Q�° t)I�.C7NU AYPLYCATI()N FU�t pLU17BINf,�p��t,l1��T
�nY l�b (27�0 Ke114y Parkway)
Cry;tal �ay, �SN 55323
�F.NERAt. INFf3�ZhiAT�l�'
1. Yau may apply fpr p►umbing permi[s by m�ail or in persou at the City offices.
2. P�rmti �xrds will be sent by retu�n inr�il �fter a revicw is completed. 'p�RMITS ARE NOT VAL.ID
UNT'Ii� YC3U RECEIV� A PERMIT. W'OR� �t�.US'T �VO'�;,$FC��N 4�NTIL.��'��I�MI7' C�.1�S
�OS�',�3 QN�-jF JOS IT�,;.
3. Plumbing perrnits may bc issu�d O1VI.Y to licensed plunibing contractors &aid to property owners residin�
in the dwelling.
4. 1Vhen any new cnnstructiot� or rcatodCling IS invOlved, a sepazate building p�rmit must be abtained.
S. All w�rk u�ust t�e danc in accurdanc� with the Sta�e Code requirerr�ents,
6, All work must be ixtspGct�d and �ir tcsteci before it is cavered. Call 473-735?. 2A-hour nodce required.
ns���c�i��►�� C;o;n��le:�te ali item� an this applicatian. Compuke thc� permit fe�. Sign and date
ch� c:ertit'icatioit. INCO�TP�,�.TI? APPLtCATI�NS WII.L NOT BE PRUCF:SSfT�, Tf yau have
questions, ca(1 �73-7357. ��,-��l��
c�;a�
Please ch�ck one: _' _ New _ �ddition Re�air _I/ R�place
_._���sidentidi Commercial
Joa s�r�:_..�.�.�.�t�..�_____`�`�I�-���{- _z�F�_..,.ss���;____
Owner'sltiame:_��d`,-_,_�,�.�,��..._.r..���_..TelephoneN�:mber: �52.-4��•�0�3
�1�iU�ng Adc�ress; ._...���- _�.�.....�......City: _ Zip: --
Contract�:�r's�'ame: 1�}1�5 H�li�,�P� TelephaneNumber:��L2-SZ�'�
�Iuilingr�l ddress:� �4\ 1�_�s_..__�L.._�....�t��._�City:._.�I,.��S._..._._..�fP��z;��..�_
PLt1�1B�NC� �+"XX�, 2�,,E S�'_��UI.,�
f�IXT[1RF, �S'�1T 1ST 2ND Q7H�R �1?CTU�� BSMT 1ST 2ND QTHER
'1'YP�. FL. Fi. 'TY.PE �'I. FT�.
Water Closct �Ioo� Dr�ins
[.ad•atory Sewer Ejectar
Bathrut� r�aundry Tray
Shdwer WaSher
Kitchen Sink Water Heatcr
UispQ�at Water Softenec
T.�ishw;ghcr � ��ct l�ar
Sillcacks Misc (list)
.
' � ���tl��il'�' ' �F S��7'I.�.,...�..�.QN
1, �.25�'� of�„o..r�,,�t,�r�,�* ar ��, w F� ( O)
t tP°t(� -- - -- x .0125 $ �,�
(coz�traCt price)
?. St�te Sur�har�e, *�" Ad� the State Build�ng Cad� Uivision ,.
Surcharge t� each �ermit. �10�2 0 � x ,pt�5 $ �'�5
(cantracc p�ics) � - - --�`
�r $.50, whichever is greater
3. I'c�stage_anci_I a dli (C?nly mail-in applications) $ _ _ 1,�0_ ____
4. TdTAI. Pk,KMIT FEE (Add li.�es 1-3 above) $ �'�,3�_^_
" G!'JNTRA�'T PEtl�E or JOB COS'I'meuns the a�tual or esttm�.tcd dpltar�rnount chargcd fOr the permittcd
�vork incltxiing matanals, labor, proUt, a.nd otlte� ��ccd costs. It is the amount iu bc charged to the
cussomer f�►r thC work dene. If any material, tc�ulpmcnt, lAbor, ar iastallation arc futnlshed by tlie owncr.
tCaarit ar any other party the reaspnabl� market value c�f such items niust bt addtd ro the estitnaied cost
or eontract,price for ptrmit fee purposes. In tht cvcnt that thcrc is a disputc on the a�nount ak'the job cast,
tha City mey c�equest the subrt�issian o[a s[gned copy of the actuaf cc�ntr�ct.
*"' Thc STATE SURC:HARG� is .()UQS of the contraet pric� under $1,000,000 or $.SO - whichavar is
$rcafeC. FOr v�luation� aver $1,(}p0,Q00 tall the Department af lnspectiona�l S�rvices fur thc price.
The undersigned hercby �pplies to th� City for issuance of a Plumbing Permit, a�r�es to d� aIl
w�rk in strict accardance with the arciinance5 of the City and th� r�gulations of the State of
Minne�ota, �nd cenifies �tjat aI! statem�nts mad� on this application �re eomplet�, krue and
GOfTCCt.
Applicant'sSigs�ature. _ _ _� l�ate� _(,Q '2� t�_7i
DATE TIME
CITY OF ORONO CALL�D IN
INSPECTION � TlICF, �, SCFYEDULED � - � �
PERMIT NO. � v�}--��� MPLETED
ADDRESS ��d�� � ��"�'�� �j�
OWNER CONTR. �-�,�5 1L��S��'� /����
TELEPHONE NO. �� `� �1 �.� ��� I��
`
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 0 PL_��NG FIN � � h C✓�� 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:V YES_NO ��'^Q>'
� COMMENT •
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W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
�STOP OROER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next ins ion 24 hours in advance. (952� 249-4600
Ow Ee ractor on site: � 7"'�
Inspector. �
e C yllnspector's File Canary C ylSite Notice