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Home My WebLink About2007-P11682 - plumbing .- PERMIT CIT� OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P11682 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 11/15/2007 SITE ADDRESS: 4140 North Shore Dr Unit# Mound,MN 55364 PID: 07-117-23-44-0052 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Pcrmit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 900.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Owner/Self OWNER: Ted&Carrie Woychick � 4140 North Shore Dr Mound, MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL 1MPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. n � . � /� / .- , �'� ti �� , ��'�� C,i� �'�"� �� ,` A 1. A ERMITGE IGNATURE ' ISSUED BY SIGNATURE �_�; _...._. _..__ .__'___... , � /� Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page ] / FOR CITY USE ONLY �� /,¢(�� City of Orono � P.O.Box 66 Date Recerved: Perniit# ��,�n�.� � � 2750 Kelley Parkway � �� "� �-�` �� Crystal Bay,MN 55323 Approved By:.; `-1��ount$: '�� ,��a�� (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 bui�'ding 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 A 1 �Residentiai ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need arior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: "7�`�` �Q �i�'�y�, ��/'-�, ' ,�/Y•-� �— i Owner: .,Cf ��ling Address: City: ��d Zip: Home Phone: �� ,Z`��-9� Alternate Phone: �� j '7`, ,g�p93 Contractor Information: :-� /�/ � Contractor: tact erson: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 ♦ � � . �,t , 5_ P�'�TI�` ��'x�I ..�i'�JI�E� �' ';' �''��.��..�'�7 '°� `-� ;�: � �x � �,`" FIXTURE BSMT 1 Z OTI�R FIXTURE BSATT 1 2 OTI�R TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathroom Laundry Tray Shower Washer Kitchen Sink , / Water Heater i� Disposal V/ Water Softener Dishwasher � Wet Baz Sillcocks Miscellaneous � ,� �� '�R:�'��E�,�t�.,�'UL�'��C1�1��.., � �; . � .� �:� $�.��D�'1�F'-��142�`�'A'�.��'UE . _ � ❑ Yes,this section applies The replacement of a Residential fixture or apuliance that meets a11 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;excludine the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ I5.00 State Surchazge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fecs Coatinued On Negt Page) 2 �' , + . F�.`.� ��,: ��L��'�F _�.�. .�-��4Y��S�t`l�� `�'�� , If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) � x.0125$ • (co tra t p ce)I (mimmum$35.00) 2. STATE SURCHARGE *"'Add the State Bldg Code Div. Surchazge(Minimnm Fee of$.50) x.0005 $ (contract price) (minunum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applicaxions) $ 1.50 4. TOTAL PE1tMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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 installations aze furnished by the owner,tenant or any other pariy,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 ca11 the Building Department at(952)249-4600 for the price. � �?��'��N�,��C�'�',�'`�� ,�� i� , � .,� � �� . ' 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 staxements made on this application are complete, true and correct. � Applicant's Signature: Da�; f . �� N ��r�� ,< � �� ' 3 i `%� �-'7 �-r ��c� D E TIME CITY OF ORONO CALLED I`N'�. � INSPECTION TICE SCHEDUt�vI07 �'_��.°� PERMIT NO. � COMPLETED ADDRESS D�/�"L ��- 6. OWNER �� CONTR. TELEPHONE NC�� - �� ^ `�1�� /�; � DESCRIPTION � �-� `--�� ❑ FOOTING MECHANICAL RI ❑ EXCAV/GRADING ILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION � ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ �PCUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL WNE ONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: d " � l r✓ � � W C � O o Cp��r� � � 0 � w � Q � z W � W � � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED ❑ INSPECTIOIV REQUIRED.CALLTO ARRANGE ACCESS. Call for the next"nspection 24 hours in advance. �952� 249-46QQ Owner/Con�etaY s t : Inspector. . � l-� White Copyllnspector's File Canary CopylSite Notice