HomeMy WebLinkAbout2003-P06157 - plumbing CIT'Y"5F ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: P06157
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 4/8/2003
SITE ADDRESS: 330 North Shore Dr W
Mound,MN 55364
PID: 06-117-23-23-0004
DESCRIPTION:
Proposed Use: Kesidentiai
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: $ 125.00 Valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 130.00
APPLICANT: PARK PLUMBING OWNER: Kristian Lindeen
P.O.BOX 214 330 North Shore Dr W
MAPLE PLAIN,MN 55359 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 ILDING CODE REQUIRE
C2V
A LICA RMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Siznitures Reauired). 1-Apolicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page I
{ �ZM, � t _ r e x a ,,'_ x' a0. tnn: axe s h�Cje
t _z ri t r ��j —W r i GM i ,r �` r. "'
d FF j s i z a 6v P r .� kx, tid fid#` p , F
wwaP - - ? ^€. 7 .� J" t ��t toi
i t ( 1 k a F r !r' a, va w r la
-6 '. {. r 4" ;a c A z P. a ti t?~>a � a +, " .�
e _ F 1 e yet t, } Ik x �`` "s ; r,S A ,t 4 t 1 i >� t , p6 Q " nE _w
'' n - na, UAW"Whow r�'- .�or �� s'za, 1 .3 Jfj� .
y y 4 .a. s - _
' { t� z it-: 2 t ' k ," a„r �' }*"'� E�i ° t }
n Cp
�'l�i/ � t z, .tj yS��F� t1 I � 4� 7 $ J':' rt'M 4 A
!�,,�-,S�A�� ,
x `hJ.
I &
I I
� � W � P -- y. 1% A r 5 t x q 1 S"'' •7} V d * I
1 P11{, law 01510 n i F a M r A�
% 55 v, �F i� 1� f 11, IS
-_ y� p i Y t t �.
If @ �r k {�e -s - 4 R 9�,
F
I 1.
t
1 _ �*9*1 "k1,l '11Y S^M 1 ��Y�VKi 1 �"�J r i d } 1 �' ',
'fix 14E, C7�,�.- e .~L 1. 1 Y 7,' ;' , ,'
x 1�_,__ i� ;� ,' 4 '1 ti l p� woYl� i "E "
a I u Q ,' s '
Y ;� �V.��y3`, L"��,.V,"(�* ,11�( ' y � ,.+ �1t���,1yi/� ! }�i: 4 Y{w�1E oM 5'f,- A' t f T...
rdR. -ftL kJ�l'b� Jl �iS,{%°1F: ,wY�_p� ` � '� >.7Yw�v'{ }. �}± ,a, ,��(�,� z` ; �',}_,�,,,�"i 1I,, d,-!
MW
+x 5 t I+"L 1 a w r,. `5i
)� ' - } '�
d T o r
�. - 11f_ w a
!!7 \ ,�rN�1..0'41'4�. 'oii'��'. �`��' !� � 1 � } ,4
(. i C�NfP �" � ` � . NES' B FR4 � _;
5 q a P A _ 3 1 _ n '
Y 3 7 C S .1 r l i t„ 5'� ri S ` Y- _—vmm, P1{,.�Y, J A 6.,
a - b a�� s Ac xqi
_ en —
1 q - A C. i to i ` 4
' y 1" .` f 1 `v it ��•
l
� �
A c r
— �
r nL 16
,1
{ t' QST G � tSQ' 2ND? SJ ' ,`,
1 * :t 1 t x5 Y II
1�71 It 00 .w`5 Tj
ANSI, 1$,,,bl
f f - w h
..{�P - 1
yyv!. k � � 961 0 T 4 ♦r VA L d
l p S �i 1 V t 1 Wy � 1
In en
00 .�1 H F-
w _ yy11 - r
1, d ti 4 1 ➢ _ TR i �4 l Y 4.-.
. � - (t 11 . _ G
"l7is�t rter� jL 1.
'VK tpor.
f ~' fit
,
nt I i, ` - ' / r �'' M1r X i j S A
'S11 C�' I 11.1i 4Lt" 3 1 ,� 3
r }. t ,k - too
,y - ir" wiry
1 i 4 1: . i k e
V00
r l r !!!a $.wystl � j
,,,
, , , , , , �,,�,,,,,,-,,;-, , ,
i.
i
PERMIT FEE CALCTILATIONfS)
i
20-02 State Statute ❑ Yes, Th s Section Applies j
The replacement of a Residential fixture ar, an�liance that meets all three of the following
requirements:
1) Des not require modification to electrical or gas service.
2) Has:a xota� l 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 Sucharge $ 50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below;
1. Contract Price` is .0125 % of yob with a 1Vfinmum.Fee of($35.00)
�o
10 ®,e x .0125
(contract price) (minimum$-a5.00)
)
2. State Surcharge. " Add the State Building Code Division a (Muu num Fee of':$ .50)
x .0005 $ 1
(contract Price) (minimum$.50)
3. Postage and Handling (Only snail-,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 fox 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 reasonablemarket 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.
f 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 statements made on this application are complete, true and
correct.
Applicant Signature: Date::
Dy�T� TIME V/
CITY OF ORONO CALLED IN •���
INSPECTION NOTICE SCHEDULED
PERMIT NO. I COMPLETED
ADDRESS
OWNER CONTR. / e:;,r tol u.rbl.,w
TELEPHONE NO. 7(g, y 7 9 b q.3(a f
DESCRIPTION clf-o o'a C:i r T S
01 FOOTING 11 MEC ANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKES HOR E/W ETLAN DS
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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TOMEETYOU:_YES—No
COMMENTS:
cc
C)
J
O
CC
O
W
W
Q
Z
W
W
Z)
d
WCC ORK SATISFACTORY:PROCEED El PROJECTCOMPLETE
W ❑ CORRECT WORK i£PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C) ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
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 next inspection 24 hours in advance. (952) 249-4600
Owner/Contract Ite:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
(5et)
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TI E SCHEDULED �'�- �
PERMIT NO. /6 COMPLETED
ADDRESS 330
OWNER CONTR.
TELEPHONE NO. 76.E"X79-6 Y,3e
DESCRIPTION �'l
01 FOOTING 11 MECHANIC"I 18 EXCAWGRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y0 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
LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
"fev PLUMBING FINAL 36 FOUNDATIOWREMOVAL
OWNERICONTRACTORTOMEET YOU:ZYES_NO
y
COMMENTS-
Q,
OMMENTS:a
jCCU e4r-
0
0
W
cc
Q
W
W
j
d
W WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
'❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED. LL TO ARRANGE ACCESS.
Call f n inspection 24 hours in advance. (952) 249-4600
Owner/Co tr r on
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
(56)
DATE TIME
CITY OF ORONO CALLED IN /_2
INSPECTION NSCHEDULED - 3D-o 5 D'
PERMIT NO. �"CO�M,P�LETEDn�
ADDRESS 3 30 N S/(,!J l.Y is , f, ,
OWNER CONTR.
TELEPHONE NO. �6 3 q79 4P43&
DESCRIPTION k.(-� f'
W 01 FOOTING 11 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 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES—NO
COMMENTS:
oz
W
a
cc
J
O
cc
O
UL
W
Q
Z
W
z
W
QC
O
d
Wcc WORK SATISFACTORY:PROCEED 11PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (952) 249-4600
Owner/Contra
Inspector._T�
White CopylInspector's FL Canary Copy/Site Notice