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Home My WebLink About2003-P06281 - plumbing � , PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Po628i Crystal Bay, Minnesota 55323 Permit Type: FiXcures (952) 249-4600 Date Issued: s��2o03 SITE ADDRESS: 4330 North Shore Dr Mound,MN 55364 P I D: 07-117-23-42-0024 DESCRIPTION: Proposed Use: Kesidential Pernut Class: Plumbing Permit Type: Fixtures Pernut Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 100.00 Valuation: $ 8,000.00 State Surcharge Fee: $ 4.00 TOTAL FEE: $ 104.00 APPLICANT: J.NORDSTROM PLUMBING OWNER: Eric Lopez 4820 69TH AVENUE NORTH 4330 North Shore Dr BROOKLYN CENTER,MN 55429 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 REQU RE TS. ' F' L'"/1'L�I�!'j APPLICANT ERMIT SIGNATURE � ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports. 1-Assessine, 1-Finance Page 1 �� - - �- � �� -� i � ,� �� ,�.�� - F:��'��, �`�, C�OF OI�OI�T� �PI.IC.��O�l1�'�1�PY. IIiTG PE - �o� 66 (2750 I�elley Pazlcway) Crys�al �aY� 1� 55323 � G IlvF0�1�YI6�N � � � 1. You may apply for plumbing permits by mail or in person at the City offices. 2. Permit cards will be sent by return mail after a review is completed. FERMITS ARE NOT VALID iJI+TTIL YOU RECEIVE A PERMIT, WORK MUST 1�TOT BEGIN�JNTII.,THE PERIVIIT CARD IS POST'�D ON THE JOB SITE. 3. Plumbing perauts may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. VVhen any new construction or remodeling is involved,a separate building germit must be obtained. 5. All work must 1�done in accordanee with the State Code requirements. 6. All work must be inspected and air tested hEfore it is covered. Call (952) 249-46�. 24-houi notice required. �ctions Complete all items on this application. Compute the permit fee. Sign and date the , certi�cation. �ATCO�L�TE A�'PI,ICATTONS WII,L 1VOT �E P1Z.00ESSED. If you have questions, call (952) 249-4600, : Please eheck one: �New � � 1�ddition lt�air I�eplace ��tesidential Commercial , ` . �o�s�. �3�O �� 5�� '� � z��: . �er's l��ae: �� elepl�one l��bere _ . 1Vlailing Aeldress: �ityo Zip: Co�#�aetor°s l�Taffie. �� , Tel� honeN�ber: 7��S'Lf��- ��'�Cd 1l�Ia�ng�cidresss � t� f� � City: . �,� �ip; �- CE�7�t°' YD�L INQ�- SC�+I)Z7I.�+ FIXTURE BSIVIT' 13T 2ND OTHER FIX1'URE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FI, FL Water Closet �� Flaor Drains -- - - - - ___ _ __ _ _ _ _ - - _ __ - - ._ - -- ---- Lavato � ___ _ Sewer E'ector . � �athtub �� L,aun Tra � Shower C�� 'Washer Kitchen Sink iNater Heater D' osal i�Jater Softenex Dishwasher �Vet Bar 3illcocks ft�iisc ' t) � . PERMIT FEE C�iI.CULATION(S) 2002 State Statute ❑ Yes, This Section Applies ' The replacement of a Residential fixture or an ln iance tha.t 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 licenced contractor. Skip next section; Cost of Permif $ 15.00 Sta:te Surcharge $ .50 Mail In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price°� is .0125 % of job with a Minimum Fee of($35.00) �DDD, � l7 x .0125 $ . (contract price) (minimum$35.00) 2. State Surcharge. '�� Add the State Building Code Division a (Minimuffi Fe� of$ .50) � x .0005 $ (contract price) (minimum$ .SU) 3. Posta�e and Handlin� (Only mail-in applicaxions) $ 1.50 4. TOTAL PERNIIT 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 installation aze 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.Q005 of the contract price under$1,000,�or $.SU-whichever is greater. For valuations over$1,000,�0 call the Department of Inspection Services for the price. The undersigned hereby applies to the City for issuance of a Plumbing P�rnait, 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: Date: � �� 1 v DA TIME CITY OF ORONO CALLED IN s' �� " INSPECTION N ICE SCHEDULED — %j 'r� �c� M PERMIT N0. COMPLETED ADDRESS L/`;=SL�-% �� %2 r f l �. fl��c i�� . OWNER CONTR._,�' .�% ;c(st��t;�. f�l, ,��G, TELEPHON E N0. 7CD� �� 3�' I `� � DESCRIPTION � Oi FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FFiAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOO 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 W� 0�7�D-E--M.�-O•---FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 99 PLUMBING_PI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J �i5 Pttl�1R�Bl � ' / 36 FOUNDATION/REMOVAL � OWNER/CONTRACT O MEET YOU:v YES_NO � COMMENTS: W ` a � J O � � O � W � Q � 2 W � W � � � a W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the n inspection 24 hours in advance. (g52) 249-4600 OwnerlCon c r te: Inspector. White Copylinspector's Fil Canary Copy/Site Notice �S�t� ,� -7DAT� TIME CITY(�F ORONO CALLED IN / ``� * INSPECTION N C p SCHEDULED �= �= � �� PERMIT NO. O � connP�ErEo " ---�--_� ADDRESS 1�� OWNER CONTR. tJ• ��J�? ��. TELEPHONE NO. ��3 —' �� r'�2�'f" � DESCRIPTION L !i�-� l� Ot FOOTING i t MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 FI L 35 HARD COVER REMOVAL v 0 P UMBING FINAL 36 FOUNDATION/REMOVAL � ER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d W WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTiFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVEflING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe xt inspection 24 hours in advance. (952� 249-4600 OwnerlCo site: Inspector. White Copy/lnspector's F e Canary CopylSfte Notice