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Home My WebLink About2002-P05276 - plumbing k�ITY OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: P05276 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 6/10/2002 SITE ADDRESS: 1130 North Shore Dr W Mound,MN 55364 PID: 07-117-23-23-0006 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: $ 187.50 Valuation: $ 15,000.00 State Surcharge Fee: $ 7.50 TOTAL FEE: $ 195.00 APPLICANT: Walter Holzer OWNER: Walter Holzer 1130 North Shore Dr W 1130 North Shore Dr W Mound MN 55364 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 REQUIRE NTS. APPLICANTPERMITS TURE ISS BY SIGNATURE Conies: I-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crgstal 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 pERhGT 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; X New Addition Repair __Replace, Residential Commercial JOB SITES Jc 71P� Owner's Name: w, L7'eC Telephone Number: U 2- (472-Gf 4473- Mailing Address: a City:= Zip; Contractor's Name: U1617eA rJp Telephone Number: ,y,e Abiling Address: udCity Zip: PLUMBING FIXTURE SCHEDULE FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT IST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet r Floor Drains Lavatory / Sewer Ejector Bathtub Laundry Tray Shower J Washer Kitchen Sink Water Heater Disposal. l Water Softener Dishwasher Wet Bar SMcocks 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(�35A0) 16'oc0 x .0125 $ (contract price) (minimum$35.00) 2. State Surcharge. Add the State Building Code Division;a (Minimum Fee.of$ .50) x .0005 (contract price) (minimum$ .50) 3 Postage and Handlinu (Only mail-in applications} 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 chaged 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 ion 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$19000,000 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 on this application are complete, true and correct. Applicant's Signature: Date: DATE TIME CITY OF ORONO CALLED IN INSPECTION N TICSSCHEDULED PERMIT NO. _ COMPLET ADDRESS 3 O /VS' h�- (C/• OWNER CONTR. YnZ:Lf&Q�� TELEPHONE NO. �J DESCRIPTION 1 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 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�11 15 SEPTIC INSTALL. 22 FOLLOW-UP 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10L 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W Q_ W J cc O W W CC Q ti 2 W W QC W ORK SATISFACTORY.PROCEED 11PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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 next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector -Qt,..��' White CopylInspector's File Canary Copy/Site Notice ATE ] TIME CITY OF ORONO CALLED IN 7— / INSPECTION NOTICE SCHEDULED PERMIT NO. .So COMPLETED ►y/�� ADDRESS 3 U S r/ OWNER ``-- ONTR. TELEPHON E NO. -S DESCRIPTION P 1 ti sT- 1 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 W09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL y 10 PL 36 FOUNDATION/REMOVAL NE CONTRACTOR TO MEET YOU: YES—NO r PL; CC cpwW C J O O W cc Q 2 W z W O` O UjORK SATISFACTORY:PROCEED El PROJECT COMPLETE W cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY rO 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 n in ecion 24 hours in advance. (952) 249-4600 Owner/Contrac site: Inspector. White Copylinspectoes File Canary Copy/Site Notice