HomeMy WebLinkAbout2003-P06945 - plumbing PERMIT
CI�"Y OF ORONO Permit Number:
27�'0 Kelley Parkway- PO Box 66 P06945
Crystal Bay, Minnesota 55323 Permit Type: FiXcures
(952) 249-4600 Date Issued: ioi2si2oo3
SITE ADDRESS: 651 Sandstone Cr
L.ong Lake,MN 55356
PID: 33-118-23-11-9927
DESCRIPTION:
Proposed Use: Kesicientiai
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixhues
DETAILS:
Approved per resolution#:
Sepazate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 70.00 Valuation: $ 5,600.00
State Surcharge Fee: $ 2.80
TOTAL FEE: $ 72.80
APPLICANT' Thoen Plumbing Service,�nc. OWNER: Dahlstrom Development LLC
� 2605 Campus Drive 7745 Polaris Lane
Plymouth,MN 55441 Maple Grove,MN 55311
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 SfATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
APPL T PERMITEE SIGNATURE ISSUED BY SIGNATURE
Couies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthlv Revorts, 1-Assessin¢, 1-Finance Page 1
,
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORl11ATION
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 permiu 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: � New Addition Repair Replace
Residential Commercial
JOB SITE: � 1 ��'l C►S t ��rc-�-C Zip:
Owner's Name: o � f�rv�ncr �6..►��� Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: Lsc,� ���.,,,,b,�g Telephone Number: � Z-��Y r1�5
Mailing Address: 7�c� C4;f,,,A,s �►'Z City: -., Zip: -�cf�/
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � 7i Floor Drains �
Lavato � Sewer E'ector
s
Bathtub Laund Tra
Shower � Washer
Kitchen Sink 1 Water Heater
Dis osal � Water Softener . �
.:`
Dishwasher I Wet Bar
Sillcocks � Misc (list)
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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; excludin� 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 ($35.00)
�� e�
�, 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 Handlin� (Only mail-in applications) $ 1.50 �
k
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, 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 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 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 Signa re: '`��--_ Date: �Q'20 U3
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED a' ' ��
PERMIT NO. COMPLEfED �� `�
ADDRESS �o� / v�.�.('D�✓on,�. G!.
OWNER CONTR.�cJ�1 ��vd�.
TELEPHONEN0. �� �� .��03 .���f (
� DESCRIPTION �r/' �-s�
� 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
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 D - INAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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09 PLUM G RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v �N� 36 FOUNDATIOWREMOVAL
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INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (g52) 249-4600
OwnedContract n si .
Inspector
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DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION N TI��g ,/� SCHEDULED - �0
PERMIT NO. �J �r COMPLETED
ADDRESS 1�.�� S�Q�� �
OWN ER CONTR.
TELEPHONE NO. 4s�' - 9�y' S3S9
� 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
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 0 LUMBING Rt 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J10� UMBING FINALD 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO�ET YOU:_YES_NO
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe ext inspection 24 hours in advance. (952� 249-46��
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Inspector. "
White Copyllnspector's Fi Canary CopylSite Notice