HomeMy WebLinkAbout2007-P10742 - plumbing _ PERMIT
CITY.,OF ORONO Permit ►vumber:
2�50 Kelley Parkway- PO Box 66 P10742
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952)249-4600 Date Issued: 2/1/2007
SITE ADDRESS: 4209 North Shore Dr Unit#
Mound,MN 55364
P��� 07-117-23-43-0005
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: Plumbing
Permit Type: Fixtures Pernvt Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pemuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 160.00 valuation: $ 12,800.00
State Surcharge Fee: $ 6.40
TOTAL FEE: $ 166.40
APPLICANT: MNgi Plumbing OWNER: William&Mary Titler
3060 62nd Street 2184 Shadywood Rd
Waverly,MN 55390 Wayzata,MN.,55391
THE UNDERSIGNED HEREBY REQUEST5 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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APPLICANT PERMITEE SIGNATURE UED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Sepric) Page 1
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f �: FOR CITY[JSE ONLY
� . O,¢D�O City of Orono
P.O.Box 66 Data Received: Permit#
2750 Kelley Parkway
� , � Crystal Bay,MN 55323 Approved By: AmounC$:
�� (952)249-4600
CITY OF ORONO—PLUMBING PERMIT
(All Commercial pernuts must be approved by the Building Official or Inspector)
GE�TERAL INFORMATIOI�T , �'
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a pernrit 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 UNTTL 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_PT�.MIT . , s � ,
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eside ' i v
ntial Commerc al A ro a1 Re uired
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❑ New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need nrior aunroval and may need CUP.(Per Orono City Code,Chapter 78,Article I�
JolikSite,/0�vtie'r Infoim�tion " ° ` ,� E
Site Address: ��� `� �d� �-h i 1,c;s� � e ` "L,
Owner: d►�1 Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Gontractor Information:
Contractor: �M 1� Q��� ����^� Contact Person: h��.��- l� w hc� � .
Address: �3D �G� ���` S�- S�' State Bond#: G� `� � y �� `��
City: ����°� Zip:SS 3`!v Expiration Date: �C�D 1�
Phone: (z.� i - �� 3� c��s� Alternate Phone: ���° C�s �' 7G��
❑ Insurance—Current:
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet 1 � � Floor Drains
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Lavatory °� Sewer Ejector
Bathtub � 3 La.undry Tray
Shower ` Washer M
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Kitchen Sink � � Water Heater I
Disposal ( Water Softener
Dishwasher I Wet Bar
Sillcocks �� Miscellaneous
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❑ 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;excludinQ 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 Pemut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of conlract price with a(Minimum Fee of 535.00)
� r'x.0125$
(contra t 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 fumished 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 putposes. In the event thax 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 valua.tions over$1,000,000 call the Building Department at(952)249-4600 for the price.
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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: }�c�.f1� �l�- Date: �' �- � � ��
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�� a'C/l DATE TIME �
CITY OF ORONO UCALLED IN �` /
INSPECTION N ICE SCHEDULED A7�'-07 0?,'�O
PERMIT NO. L D7 �COMPLETED
ADDRESS J���,�` N�� "�-�Lr/ �
OWNER CONTR. �
TELEPHONE N0. ��2- 36 3 � g��
� DESCRIPTION �C1�'� �"� �
lL 01 FOOTING 11 MECHANICAL 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
Q 05 FINAL 14 SEWER HOOK-UP O6 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 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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0 ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �; pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �'CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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T/ �,�n TIME �
C TY OF ORONO ALL D IN ., ��� � : �%�',.
INSPECTION NO ICE SCHEDULE�II �. -�,;�
PERMIT NO. COMPLETED
ADDRESS __ ��U� ��� ��L�ZQ l`�� :
OWNER CONTR. /�J��� •
TELEPHONE NO. C�l� - J�G' .� � � ���
� DESCRIPTION --- / `�-`�`�'t� . y�yr�-�-
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 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 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W ❑CORRECT WORK&PROCEED �'-! ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. G PHOTOTAKEN
INSPECTOR WILL RETURN
=�CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (J52� 24J-46��
OwnerlContr r s e:
Inspector. -
White Copyllnspector's File Canary Copy/Site Notice
�� � D T TIME ✓
/CITY OF ORONO CALLED�N � I�I��
/ INSPECTION NO ICnE SCHEDULED J 7 �
PERMIT NO. f�-J� � COMPLETED
ADDRESS TaD� /�/. �f 1G�R� ��Z
OWNER CONTR. ,{��J� ��Llh1,C, •
TELEPHONE NO. � �� � ���� ` �d 11 �
� DESCRIPTION r`"�"L`�� �
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINA� 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FQUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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O ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. i`, pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�' GTATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex spection 24 hours in advance. (952� 249-46��
Owner/Contra t
Inspector.
White Copyllnspector's File Canary CopylSite Notice
���1 ��.1"' �� ��
,_D—AT/E�_r'� T2IME
ITY OF ORONO CALLED IN �� ✓C' �
INSPECTION N TIC SCHEDULED �G'8�'G7 Ie.CC 9�
PERMIT NO. O �'Z. COMPLETED
ADDRESS � "l �O►�"' ' �V'`�
OWNER CONTR.
TELEPHONE N0. l�� ��' ��U�J3 — ll� 0 �0
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� DESCRIPTION �
� 01 FOOTING 11 MEC A CAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 MEC ICAL 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 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 10 LUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (952� 249-46��
OwnerlContra s e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice