HomeMy WebLinkAbout2003-P06412 - plumbing CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: P06412
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 6/11/2003
SITE ADDRESS: 1120 North Shore Dr W
Mound,MN 55364
PID: 07-117-23-23-0005
DESCRIPTION:
Proposed Use: Residential
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: $ 35.00 Valuation: $ 2,500.00
State Surcharge Fee: $ 1.25
TOTAL FEE: $ 36.25
APPLICANT: Bergman Plumbing Inc. OWNER: Jay A Lezer
21181 Xeon 1120 North Shore Dr. W.
Jordan,MN 55352 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
MIWSOTA BUILDING DE REQUIREMENTS.
I"PLICANT PERMITEE I
GNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Month1y Reports, 1-Assessin2, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR PI umiBING PEItmrr
Boz 66 (2750 Kelley Parkway)
Crystal Bay, M(N 55323
GENERAL�N1F'+DR:MATION
L 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 areview 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 beobtained.
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 cheek one: New Addition Repair Replace
Residential Commereial,
JOE SITE: P D C7 zip:
Owner's Names Telephone Number
Mailing Address: City: Zip:
Contractor's Name: A_ elephone Number:
Mailing Address � City:-ab,.,` Zip:
PI. . .ING EKE= SCIIEmax
FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT 1ST' 2ND OTHER
TYPE FL FL TYPE FL Ft
Water Closet Floor_ Drains
Lavato Sewer E'lector
Bathtub lAundry Tra
Shower Washer
Kitchen Sink Nater TIeater
sal Water Softener
Dishwasher Wet Bar
Sillcocks Misc(list)
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DATE TIME
CITY OF ORONO CALLED IN ®�
INSPECTION NOT C SCHEDULED
PERMIT NO. COMPLETED y� I
ADDRESS Z_/�� A)6�� I c o/e 4ox
OWNER +CONTR.�9V1-1J11/Ld.Ao-
TELEPHONE NO. r2 ?V�
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
U.
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
C 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
0ING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v RING FINAL 36 FOUNDATION/REMOVAL
Z OWNER(CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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WO RKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
10
W ❑CORRECT WORKS PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (952) 249-4600
Owner/Contra r ite:
Inspector.
White Copy/InspectoPs Fie Canary Copy/Site Notice