HomeMy WebLinkAbout2002-P04790 - plumbing ` PERMIT
CI7`Y OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P04790
Crystal Bay, Minnesota 55323 Permit Type: F�XtUres
(952) 249-4600 Date Issued: liia�2oo2
SITE ADDRESS: 4365 North Shore Dr
Mound,MN 55364
P I D: 07-117-23-43-0031
DESCRIPTION:
Proposed Use: xesidentia�
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 218.19 Valuation: $ 17,455.00
State Surcharge Fee: $ 8.73
Misc. Fee: $ 1.50
TOTAL FEE: $ 228.42
APPLICANT: Nowthen Plumbing OWNER: W�lliam& Laura Stoddard
22311 Norris Lake Rd 4365 North Shore Dr
Anoka, MN 55303 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 REQUIREMENTS.
�//° !/ �.
�,����,.� .—�y�•''� - C-.�., �- 7'H-�c-n-' -'�
�
�APPLICANT PERMITEE SIGNATURE , UEDBY SIGNATURE
Cooies: 1-Pile(SiQnitures Reauired). 1-Apolicant, 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1
� :�.��-2�JJ� 1::17om Fram-CITY OF ORONC +an224�40�6 T-461 a.706t�JOB '-707 �� ��
.
� � .
�
CY'I'�Y QF ORO:�IO APPT..TCATIDN FOR PLUI�iBi'1T� �ER�YTI'
Box 66 �275U Kell�y Parka�ay) _
Cr�stal Bay, :VIN' S�323
GEI�TER�,C.Iht]EORI4IA'I�ON
1. ' 1'au may apply.for p;u,-ubing permits by m�ul or in pdrson at the City Offices. '
2. Permit cards wa! be seat by return mail after a review �s com�pleted. ��iTS AR� N�T V���.Tp
UNT'IL Y'�U RECEI'V� A PERMIT. WOii.Cti MUS UN'TIL 't'I�� pERM CARD I5
��'BD ON THE JOB SIT�.
3. Plumbing pe�its may be issuc3 OrYLY�o�iceasecl pluabing ca�uaccors aad to property owrxers residing
fa the dwellirtg.
4. V4'Isen any new cnnstncctfaa or reauodeling�s invoIved� a sepatato 'bui�pding��i� must be obtaiaed.
5: All work must be done in accordance wit:►rhe State Coc3e requireme�ts.
6: �:1 v�ror.k must bG inspect�d nnd air te�t�d beiore it is ctrvered, Call 249�F600. 24-hc►ur nadce requirad.
�nsta�uctions Cumpl�tt atl itezns an this appiicatian. Ca�pute t�ae pern�i,t fee. Sign aud �atc
thc ceraiication. YrTCO�rfP��APFLIC,A.'T�ONS WILL NO'r`BB PR�CE:SED. �f y�� Iiave
quesc'rons, ca112�9-4bQ0.
Pleas� check one: _ N�w Addition _ Repair Replace
_ Rc�i�en�ial ._ Cor�amercial �
�os srz�::: �-/.��,���,,��- � ��r� �.:'���� J.-,,.� -,z�p:
(hmer's Name: �<,i �f-. � � ��hone l�un�ber: J�17 `�7� --�i
Maif�rig Addre�s• (����j I,�1;-�t�l��: RJY J � ;r� � Zipr: �` '��---�-�
Co�ctor's Name: � .`� /� ' � � Te1e/hone N�ber: ��a-�;�.;� )��
Mailin�Adt�ress:��_�i� I.�l��r--�` 1- .z..� t.t.C;ty: c� ,�Yp: ;�;--�_-
�
PLU21�BIi�G FT�'T_U�LE SC�YEDULE
FIKTURE BS1�IT [$`I' 2NL► OTN�:R FI»KTURE aS:�[T IS'T' 2riI) (7TftER
TYPE FL �'� TYPE PL FL
Watar Closot � Floor Drains
I.av�cory � Sewer �jeccor �
Bathneb Laandry Tray
Sho�•er �I I Wasbcr
Kitchen Sink Water F�aassc
DispOsai WatCr 5oftener
Dishwashas � Wet Bar
Sil�cacks ' Misc (lisr) �'
. � � � "1`" '
J�n-OB-20D2 12:18pm Fro�-CITY OF OR0�0 +DB22484616 T-461 P.OD61006 =-76T
� � ` .
� - .
P ' f' CiJLATION'
I. 1,259b of Contract Price* or �fn-i�m� .,um Fe� (;6�.'iS.001 .
�.�.L..[,�6 ` � � x .0125 $ � . �
(coacract giice)
�. State Sur�h�'�e. �* Acid tl�e S te Bi�itdi.ng Code Dlv3sion
� Surcuar�e.w e�cch pcm�It. �+a5 `� x .Op05 $ P-
( :uracc�ice) � .
or$.$0, whichever is �reater
3. �stas� and Handl� (ONy mail-i�n appllcations) $ � 1.5
. 4. TQTAId PEI�MIT �EE (Add liaes 1-3 abave) � _��_��
* C4NTRACT PRlGE or dQ�CQS"f mcans the actua!�estis�ated doIlar atuouat eha�'ged for tha ger.�ittcd
work includlag �tetiata� labor, pmfit. and ot3us fuod casts. Ic �S the mmp�unt,to (�e charge� tp, �
tqsoomor f�thc work done. If aay sqaterial� equip�t�l�bo:�or iast�tiaa are fu�istted�y the owner,
tenaat or any other party tbe reasa�eahIe tparicet value Qf such foem.s�tvst be�lded to ihC estimated cast
ar coauaa priee far perm[t�p�uposea. Ia the cvent thaz ch�'ss a disput�on c�e�moQat of tbo job cost,
the Ciry�i'r�cluast the sabmissio�n af a si�ed cogy of t�e actnaF contract,
• ` ,
�'$ The STATE SURCHARGE it .0005 of the coatrar� prlce tmder$Y,Oad,a00 or $.50 - wh:chtver is
great�x. For valu$tious ov�r$I�O�,Q00 call tbc L?epartmcnt oP Inspecuonal Servic�.s fac the pri�.
The undersigne�l hereby�pplies to the City�i�r issuan�e af a Plw�.bir�Perr�it, agrees ta c�o a]1
work in strict �cccordance with the ordinaacus af tha Gity and the regulations of the State of
M�anesota, a�d eertifes that all statements made on th,is application are complete, trc�e a�ad
ct�rr�f. ' .
Applic�nt's Signa'ttYr�: ��������/�' Date:
, ,.�
/
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED -� �,1�
PERMIT NO. � � ��'I O COMPLETED 5��3� � � "
ADDRESS �( �V • L� e ��.
OWNER CONTR. /1��=► t,v�✓I P�lOr�r Ci
TELEPHONE N0. 7�P 7S-� S a I (Q
� DESCRIPTION j��.�-�--�� U�..
� 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
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 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES NO
� COMMENTS: +�S . C.�"i��r1 C ��� � �r^Ce. CC,��►
a 16 0 U 5 ,`�i►� QF r+�. � /1 � C:�r cp O i'i /1 e '�'�n i�c a
�
J
0
� � �C�!/�� c_� � C.Jv! /' � < P_Pv�
a �,
o`,. �C� J
W
Q ���' t c ' �-�� �
�
z
W
�
W
�
j
d
W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
�ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORREC7UNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlCont tor on site:
Inspector.����`"'�-�Czt-��j
White Copy/inspector's File Canary Copy/Site Notice
� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC SCHEDULED �-�'
PERMIT N0. t COMPLETED r"— � -�
ADDRESS � �1
OWNER CONTR. �
TELEPHONE N0._ �LP 3 � �S�" J�I lp
� DESCRIPTION 1 ``� t 1` l��-t N1J�-�7�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAY/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� CO E TS:
� ,, _
a ,
� �
J
p -- �
�.
�
O
�
W
�
Q
�
Z
W
�
W
�
j
a
W �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� � ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlCont on site:
Inspecto L,���/G-���—���C//
White Copy/lnspector's File Canary CopylSite Notice