HomeMy WebLinkAbout2008-P11911 - plumbing PERMIT
�!TY�OF ORONO permit Number:
2750 Kelley Parkway- PO Box 66 P11911
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
3/10/2008
SITE ADDRESS: 1399 Park Dr Unit#
Mound,MN 55364
P��� 07-117-23-42-0012
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: Pernut Fee: $ 106.25 valuation: $ 8,500.00
State Surcharge Fee: $ 4.25
Misc.Fee: $ 1.50
TOTAL FEE: $ 112.00
APPLICANT: Thompson Plumbing OWNER: Steven&Sheila Sigel
15001 Minnetonka Ind.Rd. 1399 Park Dr
Minnetonka,MN 55345 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.
�_��V�.�C�L �v
APPL CANT PERMITEE SIGNATURE I ED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CIT�'USE ONL�
� — O���O City of Orono
P.O.Bos 66 Date Received: Permit�?
2750 I�elley Yarl.�a��
.+ `- � Crystal Ra}',M\55:23 Approvcd By: .ltnoun[S:- -----
fe� c` (952)249-d600 _— __
4+�rt.,noPd
CITY OF ORONO-PLUMBING PERMIT
(:lll Commercial permits must bc approved by thc Building Qtfcial or Inspeclvr)
GENERAL INFORMATION
1. You may apply Yor plumbing pcnuits by mail or in person at the City oflices. Applications wili be
revie���ed and a perniit t�711 be issued��ithin t��o���orking davs.
2. Pennit cards will be sent bv re;tum mail after a rcvie�v is completcd. PLRMII'S AKL NOT
V�1LIll UNTIL YOU ItL'CEIVE A YLRMI"1'. WORK MUST NOT BEGIN UNT1L THE
PERMIT CARD IS POSTED ON THE JOB STI'E.
3. Ylwnbing perniits ma� be issucd ONLY to licensed plumbing conlractors and to properiy o�vners
residing in the dwclling.
4. When any new construction or remodeling is involved;a separate building pernlit must be
obtained.
5. �111���ork must be done in accorciance���ith State Code reqLurements.
6. All work must be in�pected and air tested before it is cocered. Call(9�2)249-�6(X).
(24-48 hour notice required)
TYPE OF PERMIT
(Check All That A lv)
�Residential ❑Commercial(Approval Required)
/�
❑New ❑1lciciitional ❑Repairs �Replacc
❑ In Accessorv Structure7
*You will need nrior annroval and may need Ci_I'.(T'er(�rono Crn�C'ode,Chapter 78,Article IV)
Job Site/O�vner Informaiion:
�
Site Address: �3�9
O���ner: � � Mailing Address: i�%����
City: Zip:
Home Phone: Alternate Phone:
Contractor Information: �
Contractor: T p ; Contact Person: �-
15001 MINNETONKA IND. RD. ��799 � ''-7
Address: MINNETONKA, MN 55345 State Bond#: 1
Cit��: � Zip: E�piraiion Date: �- /~��
Phone: ��a-�I3-3-7 7I7 Altemate Phone:
[�. Insurance-Current:
1
i �
PI.UMBING FIXTURES BEING INSTALLED
FIXTtJRE BSMT 1 2 OTHER FIXTIJRE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory / Sewer Ejector
Bathroom / Laundry Tray /
Shower / Washer
Kitchen Sink / Water Heater
Disposal / Water Soflener
Dishwasher / Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATION(S) '
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 modificxtion to electrical or gas service.
2. Has a total cost of$500.�or less;excludine the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next secrion,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
4 ,
PERMIT FEE'CALCULATIUN(S ;-JQBS OYER$SOO.C�.1
If above does not apply,follow guidelines below:
1. CONTRACT PRICE 'is 1.25%of contract price with a(Minimum Fee of$35.00)
��00°�' x.o�2s$ /Dlo.aa—
(conttact price) (minimum 535.00)
2. STATE SURCHARGE •°Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
�� 2S
��J' QD x.0005 $ •
(contract price) (minimum$ .50)
3. POSTAGE&f�ANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��2 �D
■ * 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
estirnated 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 Building Department at(952)249-4600 for the price.
PLUMBING PERMIT APPLICATIUN AC'rREE1VIENT
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 regularions of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct. 1
A licant's Si atur . Date: � � Z O D�
PP �
R+eset Ft��rn
3
�� Cd"- ► AT TIME �
CITY OF ORONO CALLED IN ��
INSPECTION NOT�I f/ SCHEDULED ,��� ���
PERMIT NO. / � r��/ COMPLETED
ADDRESS ���J� �� �'C�
OWNER CONTR.
TELEPHONE NO. ✓�.5� 9�7 Z 2.lS �'�Z-
� DESCRIPTION O` ��� /`�—�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�n COMMENTS:
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W�`WO� RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 O CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORE CO�/ERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. �d� ��S
White Copyllnspector's File Canary Copy/Site Notice
D TIME v
CITY OF ORONO CALLED IN �''�
INSPECTION NO �C,�! ' SCHEDULED � �;�
PERMIT NO. � COMPLETED
ADDRESS I 39g P��- �'l�
OWNER CONTR. �� `�/�.OrD/77'`z�
TELEPHONE N0. qJ�Z 933 77/ � ��
� DESCRIPTION �`u�d���I ��
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑:HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
W O CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (g52) 249-4600
OwnerlContractor on 't� e: _
Inspector. � <<
White Copyllnspector's File Canary Copy/Site Notfce