HomeMy WebLinkAbout2006-P09634 - plumbing � PERMIT
CITY•`OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09634
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952)249-4600 Date Issued:
3/2/2006
SITE ADDRESS: 4203 North Shore Dr Unit#
Mound,MN 55364
P��� 07-117-23-43-0008
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: Plumbing
Permit Type: Fixtures Pemut Sub-type(s): Multiple Fixhues
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 312.50 Valuation: $ 25,000.00
State Surcharge Fee: $ 12.50
TOTAL FEE: $ 325.00
APPLICANT: StewartPlumbing,Inc. OWNER: JeffGustafson
13025 George Weber Dr. Suite#1 4420 Shoreline Dr
Rogers,MN 55374 Spring Pazk,MN 55384
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT OMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREME TS.
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APPLi NT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Sepric, 1-Septic) Page 1
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� , �, �'OR C1TY USE bNLY .
�' �,¢p�,� City of Orono � . ; : ' � ; � ��
P.O.Box 66 Date'Received Pecimt#��
� 2750 Kelley Parkway � , '
� � , �� Crystal Bay,MN 55323 ApprQved,By:, Amount$:
�o� (952)249-4600
CITY OF ORONO-PLUMBING PERMIT
(All Commercial pemrits must be approved by the Building Official or Inspector)
GENERAI;Il�TFOR.1Vl�.TION ,,
1. You ma a 1 for lumbin ermits b mail or in erson at the Ci offices. A lications willrbe
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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 PERNIIT. WORK MUST NOT BEGIN UNTII�THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing conlractors 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)
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, TY`PE OF P�RIVIIT. � "
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[�Residential ❑Commercial(Approval Required)
[�New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need urior approval and may need CIIP.(Per Orono City Code,Chapter 78,Article I�
Job,-Szte,!(�wner Inforinahon: `' '` °
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Site Address: '�i1�ZCJ 3_/ljd��S�a,r�Qr
Owner: SS�-a,r�.w�a� Mailing Address:
City: U' �on� Zip:
Home Phone: Alternate Phone:
.Ccintr,actor',iziforn�ation ' ' "
Contractor: � w � Q���� � Contact Person: ��°�" ��e.w��
Address: ��Inl��r'. Sta.te Bond#:
City: Zip: Expiration Date:
Phone: 763- �/ZSf- 1�3 3 Altemate Phone:
❑ Insurance-Current:
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FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OTI�R
TYPE FL FL TYPE FL FL
Water Closet l � � Floor Drains Z
Lavatory � I 3 Sewer Ejector
Bathtub / � Laundry Tray j r
Shower ! 1 Z Washer � '
I
Kitchen 5ink � Water Heater
Disposal � Water Softener
Dishwasher I Wet Bar �
Sillcocks � Miscellaneous
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❑ Yes,this section applies
The replacement of a Residential fixiure or anpliance 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;excludin¢the cost of the fixture or appliance:and
3. Is ia�roved,installed or replaced by the homeowner or licensed 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 Nezt Page)
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If above does not apply;follow guidelines below: -
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
�� UGU' x.0125$
(contract price) (mmimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.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 estima.ted 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.
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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.
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CITY OF ORONO CALLED IN ��
INSPECTION � ���( SCHEDULED � ��
PERMIT NO. `�' COMPLETED
ADDRESS 7 o�D�� ND7''�"yl S� �V
OWNER CONTR. .�.J1C.t.�J �"f' V'�� ,
TELEPHONE NO. �f�, ��(�
� DESCRIPTION �`—�
� 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
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEViIER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPUUNT
"� 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/COIdTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PRQCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RERJRN ❑CITATION ISSUED
0 STOP ORDER POSTED.CALL IPISPECTOR
OINSPECTIOIdREQUIRED.CAL TOARRANGEACCESS.
Call for the ne i spection 24 hours in advance. (952) 249-4600
OwnerlCon or s
Inspector. �
White Copyll�spector's File Canary Copy/Slte Notice