HomeMy WebLinkAbout2003-P06947 - plumbing ' PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P06947
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249,4600 Date Issued: io�2s�2oo3
SITE ADDRESS: 653 Sandstone Cr
Long Lake,MN 55356
PID: 33-118-23-11-9928
DESCRIPTION:
Proposed Use: Kesidential
Perxnit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 70.00 Valuation: $ 5,600.00
State Surcharge Fee: $ 2.80
TOTAL FEE: $ 72.80
APPLICANT' Thoen Plumbing Service,Inc. QWNER: 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 Sf RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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CANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Covies: 1-File(SiQnitures Required),1-Anolicant, 1-Monthlv Renorts, 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 k
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the Ciry offices.
2. Permit cards will be sent by retum 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 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 Y
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: �S �un b t �� Zip:
Owner's Name: ��h 'T�.,�„sP ��,,.,�� Telephone Number:
Mailing Address• City: Zip:
Contractor's Name: �, P�„,.,,,(n, ,�� Telephone Number: �1_�fr—��j� `
Mailing Address: 'Z(�a'� (?��.�,D„> Q!� City: Zip: �S
PLLTVIBING FIXTURE SCHEDULE :
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavato l Sewer E�ector
Bathtub f Laund Tra�•
Shower � Washer
Kitchen Sink Water Heater
Dis osal � Water Softener . r
...
Dishwasher Wet Bar
Sillcocks � Misc (list)
PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes, This Section Applies
The replacement of a Residential fixture or ap�liance 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 S 15.00
State Surcharge S .50
Mail In Fee S 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($3�.00)
�o G (7' G� x .0125 S �
(contract price) (minimum $35.00)
2. State Surcharge. ** Add the State Building Code Division a (1�luuinum Fee of$ .50)
x .0005 S
(contract price) (m;n;mum$ .50)
3. Postage and Handling (Only mail-in applications) S 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) S
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charsed for the permitted
work including materials, labor,profit, and other fixed costs. It is the amount to be charQed to the customer
for the work done. If any material, equipment, labor, or installation are furnished by che owner, tenant or
any other party the reasonable market value of such items must be added to the estimaied 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 S.50 - �i-hichever 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, aQrees 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 Date: � �2��� ��
;
i� � J
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED � -� .3=6UU
PERMIT N0. COMPLETED
ADDRESS 6J'�.3 S�i�VQ=�K� C�L�
OWNER CONTR. v0�rt TC%�'�C�G,t�C�7rt9--
TELEPHONE NO.
� DESCRIPTION /
� 01 FOOTING 11 MECHANICAL I 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WO00 BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATEii HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
Q O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-46��
OwnerlContrac n te:
Inspector. �-�
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