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Home My WebLink About2003-P06648 - plumbing PERMIT C [TY OF O RO N O Permit Number: 2750 Kelley Parkway- PO Box 66 P06648 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 8/12/2003 SITE ADDRESS: 4753 North Shore Dr Mound,MN 55364 PID: 07-117-23-32-0020 DESCRIPTION: Proposed Use: xesidential 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: $ 100.00 Valuation: $ 8,000.00 State Surcharge Fee: $ 4.00 Misc.Fee: $ 1.50 TOTAL FEE: $ 105.50 APPLICANT: South Mechanical Contraors (See Commet OWNER: Steve Sexton 21005 Langford Ave.SW 4753 North Shore Dr Jorden,MN 55372 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. Gup APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE Conies: 1-File(Sirtnitures Reauired),1-Annlicant,l-Monthly Rev".1-Assessing. 1-Finance Page 1 CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 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. 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 building permit must be obtained. 5. All work must be done in accordance with the State Code requirements. 6. All work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice required. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. Please check one: New Addition Repair Replace Residential / Commercial JOB SITE: �f� � ��r � ��1or� �r�� Zip: Owner's Name: J57c Telephone Number: Mailing Address: City: Zip: Contractor's Name: ,- ou-"L Telephone Number: Mailing Address: 2-1065" Lam=��y '�-�! r City: T�- 0. �_ Zip: 5535 PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet < Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower I Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Misc (list) PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) '8% CZcu . cT; x .0125 $ (contract price) 2. State Surcharize. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ Sc� (contract price) or $.50, whichever is greater 3. Postage and Handling (Only 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 installation 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 Cicy 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 Department of Inspectional Services for the price. 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: I r `''~� ��— �'�'� ' "`'� Date: ��-3 AT TIME CITY OF ORONO CALLED IN �� INSPECTION NO ICE SCHEDULED 1- �-G'3 PERMIT NO. COMPLETED p n ADDRESS (� t S46'_ •a OWNER CONTR. ()L)rA TELEPHONE NO. DESCRIPTION 0(1,b, ea-__ A,/ ,-4 P s f` 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 SEWER HOOK-UP 06 PROGRESS 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 0 PL" RI -L�— _ 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 36 FOUNDATION/REMOVAL OW R/CONTRACT O MEET YOU:'�NO COMMENTS: cc W Q. cc O O cc O U_ W CC Q Uj ti Z W W O d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE Qc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance. (J52) 249-4600 OwnerPContr n site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice C�& ATE TIME CITY OF ORONO CALLED IN INSPECTIONOT E SCHEDULED t PERMIT N0.' COMPLETED ADDRESS OWNER TELEPHONE NO. %�� S �2__1�) DESCRIPTION 01 FOOTING 11 MECHANICAL RI 18 EXC V/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 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 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v10 PLUMBING FINAL 1 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU: ES_NO COMMENTS: cc W a rc O O O UL W — cc Q 1,20 Z W z W O WQC ORK SATISFACTORY:PROCEED 11 PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 11STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contract i : Inspector. White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED ra� INSPECTION E pp SCHEDULED? PERMIT NO �0' COMPLETEDc ADDRESS tf _S OWNER CONTR. 9�n 2 TELEPHONE NO. DESCRIPTION 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS CO03 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 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC F AL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YO YES_NO COMMENTS: j o W cc Q 2 W Z W CC O Wj ❑WORK SATISFACTORY.PROCEED ElPROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor, Inspector. White Copylinspector's File Canary Copy/Site Notice