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Home My WebLink About2003-P06946 - plumbing CIT'� OF R N PERMIT � � � Permit Number: 275,Q Kelley Parkway- PO Box 66 P06946 Crystal Bay, Minnesota 55323 Permit Type: Fix�es (952) 249-4600 Date Issued: io�28�2003 SITE ADDRESS: 655 Sandstone Cr Long Lake,MN 55356 P I D: 33-118-23-11-9929 DESCRIPTION: Proposed Use: Kesidenriai Permit Class: Plumbing Pernrit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 70.00 Valuation• $ 5,600.00 State Surcharge Fee: $ 2.80 TOTAL F'EE: S 72.80 APPLICANT: Thoen Plumbing Service,Inc. QWNER: Dahlstrom Development LLC 2605 Carnpus 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 STATE OF MINI�SOTA BUILDING CODE REQUIREMENTS. ICANT PERMITEE SIGNATURE SSUED BY SIGNATURE Couies: 1-File(SiQnitures Required). 1-Avnlicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 . � CITY OF ORONO APPLICATION FOR PLiTl�iBING 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 PER�fIT 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 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: � � �'l�• �[� 2 Zip: Owner's Name: s�n � Telephone Number: Mailing Address: City: Zip: Contractor's Name: - ��L ��..b�-. Tele hone number: Cj`�2-��f� S��I f MailingAddress: 2�� ".-�yl P2 City: ; Zip: � PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS�iT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains r Lavato � Sewer E'ector Bathtub ' Laund Tra Shower I Washer Kitchen Sink � Water Heater � Dis osal Water Softener . � : Dishwasher � Wet Bar ` Sillcocks Misc (list) . � 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 �iail 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) _��, � 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 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 escimated dollar amount charged for the permitted work including materials, labor, profit, and other fixed cosu. It is the amount to be charged to the customer for the work done. If any material, equipment, labor, or installarion 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 Cit�may request the submission of a signed copy of the actual contract. ** The STATE SURCHARGE is .0005 of the contract price under 51,000,000 or �.50 - whichever is �rreater. 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 e: Date: d �� U� � � � � DAT� TIME � CITY OF ORONO CALLED IN �� ! `-' INSPECTION �I E SCHEDULED <2-/Z-43 ��,?=DG� PERMIT N0. COMPLETED ADDRESS �5 S��^P C.C-- OWNER CONTR.'JD�-s: TQi� TELEPHONENO. �/�Z ?'J' �3 � Z� �P � DESCRIPTION � P � � 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 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT � 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 � OWNERICONTFiACTOR TO MEET YOU:_YES_NO � COMMENTS: W a ��. � � O >. � O � W � Q � Z W � W � � � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN O STOP OROER POSTED.CAIL�NSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARFIANGE ACCESS. Call for the ne t inspection 24 hours in advance. (g52) 249-4600 OwnedConU o te: Inspector. White Copy/lnspector's F le Canary CopylSite Notfce