HomeMy WebLinkAbout2007-P11073 - plumbing PERMIT
�lTY'OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11073
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
6/5/2007
SITE ADDRESS: 1359 Park Dr Unit#
Mound,MN 55364
P��� 07-117-23-41-0082
DESCRIPTION:
Proposed Use: Residential
Pernut 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 va►uation: $ 5,000.00
State Surcharge Fee: $ 2.50
TOTAL FEE: $ 65.00
APPLICANT: RS Mechanical Services,Inc. OWNER: Robert&Susan Eastman
475 Lake Drive 1359 Park Dr
Winsted,MN 55395 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 REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CIT1' C5E U\LY �
� � City of Orono
• ¢�'� P.O.Box 66 Date Received: Permit#
��,;;t,,, � 2750 Kelley Parkway
a �js`'�,�'.' � Crystal Bay,MN 5�323 Approved By: Amount$:
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Suilding Official or Inspecror)
GENERAL INFORMATION
1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Pernut 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 pernuts may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new consh-uction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All wark must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
(Check All That Apply)
,�Residential ❑ Commercial(Approval Required)
❑ New ❑Additional ❑ Repairs �Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
� Job Site/Owner Information:
Site Address: ��S� ��.�IC � ��
Owner: Mailing Address:
City: �)���a Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: 1`� ���"` �r`'��1 `�^ Contact Person: �c�bb�� �t twc.���
Address: ��.� � �� �- State Bond#:
City: 1..�����-cc� Zip:���`'��xpiration Date: 1 2-- �1'��
Phone: �� Z'3��C""� `t`�S Alternate Phone: �3 �C'� � �� � ����
❑ Insurance— Current: ��r�r-�
1
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PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2' OTHER
TYPE FL FT� TYPE FL FL
Water Closet 1 � Floor Drains
Lavatory .� � Sewer Ejector
Bathtub � 1 Laundry Tray
l
Shower W asher
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher - � Wet Bar
Sillcocks Miscellaneous
PEPu,�IT FEE CAI,CULATION;�)
BASED OFF - 2002 STATE STATUE
❑ 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; excludin�the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
�
rERMIT FEE CALCULATI�N S —J�ZS �VER 55��.��
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
� iCi�� x.0125 $
(contract price) (minimum�35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50)
x.0005 $
(cont�•act price) (minimum� .50)
3. POSTAGE&HANDLING(Only on Mail-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 for the
pernutted 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 installations 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 pernut 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 connact price under $1,000,000 or $.50—whichever is
greater. For valuations over$1,000,000 call the Building Department at(952) 249-4600 for the price.
PLUMBING PERMIT APPLICATION AGREEMENT
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: � - S Tv�
3
� � ��'1 DA1� TIME �
CITY OF ORONO �CALLED IN � `� ---�J.g��-
INSPECTION NOT.��iD73 SCHEDULED ��7 L�-.��
PERMIT N0. fJ COMPLETED
ADDRESS
OWNER CO'NTR. ��
TELEPHONE NO. lo�oZ ��� .�� T S ���'���
� DESCRIPTION / �LL/YI��-/2 A��..�
ly 01 FOOTING 11 MECHANICAL RV 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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
� 07 DEMO-FINAI. 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED I ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION � TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN F{OURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 forthe next' spection 24 hours in advance. (952) 249-46�0
OwnedContr���sit :
Inspector. �
White Copyllnspector's File Canary CopylSlte Notice