HomeMy WebLinkAbout2004-P07569 - plumbing CITY OF ORONO PERMIT
�i'S0 Kelley Parkway- PO Box 66 Permit Number: Po�s69
Crystal Bay, Minnesota 55323 Permit Type: FiX�es
(952) 249-4600 Date Issued: 6/3/2004
SITE ADDRESS: 1435 Park Dr
Mound,MN 55364
PID: 07-117-23-42-0020
DESCRIPTION:
Proposed Use: Kesidenriai
Permit Class: Plumbing
Permit Type: Fixhues Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernrits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 212.50 Valuation• $ 17,000.00
State Surcharge Fee: $ 8.50
TOTAL FEE: $ 221.00
APPLICANT: Plymouth Plumbing&Heating OWNER: James Martinson
12270 43rd Street NE 1435 Park Dr
St.Micheal,MN 55376 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 UILDING CODE REQUIREMENTS.
� � �c� ��
APPLICANT PERMITEE SIGNATURE IS D BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Aunlicant 1-Monthlv Renorts, 1-A�essin¢, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal 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 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 pemut 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 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 249-4600.
Please check one: �New Addition Repair Replace
�Residential Commercial
JOB SITE: �GJ ��L- �� Zip:
�wner's Name: (� � Telephone Number:
�Iailing Address: City: Zip:
Contractor's Name: � (�/���-�� ( 7(', __ Telephone Number: 7�, 3 4�4� ��/�� �
Mailing Address: ! �-�`�� -�'� �� City:S� G ic.�z.�u�l Zip: 5�.3"7�,
PLUMBING FIXTURE SCHEDULE
>r
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet j� � F?oor Drains
Lavatory �� � Sewer Ejector
Bathtub � Laundry Tray f
Shower � � Washer
Kitchen Sink � Water Heater l
Disposal Water Softener �
Dishwasher � Wet Bar �
Sillcocks � Misc (list) � �
PERMIT I�EE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
f'�,�j���� x .0125 $
(contract price)
2. State Surcha� ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta e and Handling (Only 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 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, laUor, or iiistallation 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 on the amount of the job cost,
the Ciry 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 Jnspectional 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.
c/ �
Applicant's Signa Date: (Q — 3 ` T
DATE `� TIME �
ITY F R N �N � ���
C O O O O CALLEDI � T
INSPECTION NOTICE SCHEDULED -1-,c�=,�c�Y �
PERMIT NO. .J���`� � COMPLETED
ADDRESS ��.�� �41��- �j�„AE� .
OWNER CONTR. -
TELEPHONE NO. ��J? a �C� ' �� '� '1 p���h
� DESCRIPTION / -� /�-�--
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YO�YES_NO
� COMMENTS:
�
W
� %
�
�
O
�
�
O
�
W
k
Q
�
Z
W
�
W
�
�
d
W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next nspection 24 hours in advance. (J52� 249-4600
OwnerlContr c on i :
�
Inspector. �
White Copyllnspector's Fil Canary CopylSite Notice
� � �� DAT TIME �
CITY OF ORONO CALLED IN ' —f� �'�
INSPECTION NOTICE SCHEDULED � ��4 'OS � :13L�
PERMIT NO. f�`i`75[�:�j" COMPLETED
ADDRESS l� �� /�� �� %J�2
OWNER CONTR. �J/�a�'Y�O�,tf� �ivY;
TELEPHONE NO. �� 3 �g��' T.��3
� DESCRIPTION ��Q � — ���'t-z' � !�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
a �0.V�,0 � ��
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
a
W WORKSATISFACTORY:PROCEED f7 PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
W
p ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
Owner/Contrac r o site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice