HomeMy WebLinkAbout2004-07305 - plumbing CITY OF ORONO PERMIT NO.: 2004-07305
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 03/17/2004
952 249-4600 FAX: 952 249-4616
REPRINTED ON 10/14/2010
ADDRESS 270 NORTH SHORE DR W
PIN 06-117-23-23-0019
LEGAL DESC IDYLLVALE FARM
LOT 002 BLOCK 001
PERMIT TYPE PLUMBING PRE 7/01/08
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE FIXTURES-MULTIPLE
APPLICANT MISC FEE 1.50
GENZ-RYAN PLUMBING&HEAT PERMIT FEE SCHEDULE 573.40
2200 W HIGHWAY 13
BURNSVILLE,MN 55337 STATE SURCHARGE(VALUATION) 22.94
TOTAL 597.84
OWNER
TASTAD,JOHN M&KIMBERLEY
210 NORTH SHORE DR W
MOUND,MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does C�
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will Gt/
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: P07305
Crystal ITay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 3/17/2004
0
SITE ADDRESS: North Shore Dr W
Mound,MN 55364
PID: 06-117-23-23-0018
DESCRIPTION:
Proposed Use: Residentiat
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: $ 573.40
Valuation: $ 45,872.00
State Surcharge Fee: $ 22.94
Misc.Fee: $ 1.50
TOTAL FEE: $ 597.84
APPLICANT: Genz-Ryan Plumbing&Heating Co. OWNER: Lundgren Brothers Const.
14745 S.Robert Trail 545 E. Indian Mound
Rosemount,MN 55068 Wayzata,MN 55391
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.
i
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Si¢nitures Required), 1-ADDlicant, 1-Month1y Reports, I-Assessine. 1-Finance Page 1
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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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 RI;C1?IVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT 'ARDISP $]:ED 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 (952) 2494600. 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 (952) 249,-/4600.
Please check one: x New Addition Repair Replace
Residential Commercial
JOB SITE: rc-� Zip: `� l
Owner's Name: ( �j afj)5. f"YK1-kkt l i baelephone Number: �1 -3-473 =l�3
Mailing Address: P a"M+vt ( G . City: �I o :nen zip:
Contractor's Name: -t- (1" Telep one Number: (p 5 I- 1j,2 1(41,q
Mailing Address:l jgC5 S• (2 C x tz2+ T 1ZL _ City:-U k 0 l Na-+ Zip:
PLUMBING FIXTURE $CHEDULL
FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT IST 2ND OTHER
TYPE FL FL TYPE I I FL FL
Water Closet 2�' 3 Floor Drains
Lavatory Sewer Ejector
Bathtub ` Laundry Tra
Shower l I Washer
Kitchen Siuk Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Z"' Misc (list)
£ZO-d 800 00 d 081-1 919V6Vzz96+ ONOdO dO 1110-WOId wdq£:ZO £00Z-9l-UEr
PERMIT k'EE CALCULATIONS)
2002_State
Satute F7 Yes, This Section Applies
The replacement of a Residential fixture or apW ce 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; 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 Permit $ 15.00
State 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 1(
i
�a .00 x .0125 $
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minunum Fee of $ .50)
b x .0005 $
(co tract price) (minimum$ .50)
3. Postage--and Handling (Only mail-in applications) $ 1.50
4. TOTAL PER'MI'T 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 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 Department of Inspection 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 o this application are complete, true and
correct,
Applicant's Signature: I1ate: "
£ZO-d 800/900'd 082-1 919k6kzZ96+ ONOdo d0 Allo-wojd wdq£:ZO £00Z-9l-uEf
DATE TIME
CITY OF ORONO CALLEDIN
INSPECTION NOTICESCHEDULED 1,'3a
PERMIT N0. 120 7 30S COMPLETED
ADDRE!S7�10 N, S h"
OWNER CONTR. (306 Z
TELEPHONE NO.
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/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
v 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- ORKSATISFACTORY:PROCEED L1 PROJECT COMPLETE
W [I CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlCon n i e:
Inspector.
White Copylinspector's File Canary Copy/Site Notice