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Home My WebLink About2004-07703 - plumbing CITY OF ORONO PERMIT NO.: 2004-07703 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/13/2004 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 PERMIT FEE SCHEDULE 62.50 GENZ-RYAN PLUMBING&HEAT MISC FEE 1.50 2200 W HIGHWAY 13 BURNSVILLE,MN 55337 STATE SURCHARGE(VALUATION) 2.50 TOTAL 66.50 OWNER TASTAD,JOHN M&KIMBERLEY 210 NORTH SHORE DR W MOUND,MN 55364- AGREEMENT 5364AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to h the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does 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 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. CITE OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: P07703 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 �(� Date Issued: 7/13/2004 SITE ADDRESS: ��2 North Shore Dr W Mound,MN 55364 PID: 06-117-23-23-0018 DESCRIPTION: Proposed Use: 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: $ 62.50 Valuation: $ 5,000.00 State Surcharge Fee: $ 2.50 Misc.Fee: $ 1.50 TOTAL FEE: $ 66.50 APPLICANT: 90-rzOWNER: Lundgren Brothers Const. lr� Wayzata, Indian Mound Wayzz ata,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. APPLICANT PERMITEE SIGNATUREISSUED BY SIGNATURE Conies: 1-File(Sienitures Reauirad).1-Awlicant.I-Monthly Revorts.l-Assessine-l-Finance Page 1 � V�e 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 (952) 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 (952) 249-4600. Please check one: New Addition Repair Replace In Residential Commercial JOB SITE: V l� J Zip: L-3 Owner's Name: d Id rj FA2DG. ' VA*ffLlephone Number: 2145-3-473- 1231 Mailing Address: 06iNaum PAW City: Q -0tV1 Zip: O)iG Contractor's Name: Q am Telep one Number: UP)/- S`T 4 Mailing Address: 11-11'4q& �jCity: Zip: jU PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSM is 2ND OTHER TYPE FL FL TYPE T T FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Misc (list) - - PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes, This Section Applies The replacement of a Residential fixture or appliance 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 ($35.00) 1�56no. 00 x .0125 $ *A (contract price) (minimum $35.00) 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of $ .50) W x .0005 $ (contract price) (minimum$.50) 3. Postage and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ M * 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 de on sap on are plete, true and correct. �J Applicant's Signature: Date: Reset Form DATE TIME CITY OF ORONO CALLED IN 7-2,D INSPECTION NGTIC SCHEDULED 7-22-0 30 PERMIT NO. 3 COMPLETED ADDRESS 7�w ZkI 1 6AZnz ' OWNER CONTR. p4--1 ZG� TELEPHONE NO. DESCRIPTION )P-� V V i� Nbt rKh-" lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti Q 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 U, 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES NO COMMENTS: LU cc J O a O W cc Q Z W W j d W WORKSATISFACTORY:PROCEED I" PROJECT COMPLETE Uj W ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY O ❑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/Contras"- e: Inspector. ` White Copy/Inspector's File Canary Copy/Site Notice