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Home My WebLink About2003-P07139 - plumbing ' �' PERMIT C I TY O F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 Po�139 Crystal Bay, Minnesota 55323 Permit Type: Fixcures (952) 249-4600 Date Issued: 12�3ti2oo3 SITE ADDRESS: 657 Sandstone Cr I.ong L.ake,MN 55356 PID: 33-118-23-11-9930 DESCRIPTION: Proposed Use: Kesidential Pernut Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Mulriple 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 FEE: $ '72,gp APPLICANT: Thoen Plumbing Service, Inc. 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 STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ' �� C�� 7�G '--�. . �� APPL[CANT PERMITEE SIGNATURE ISS D BY SIGNATURE Copies: 1-File(SiQnitures ReAuired), 1-Apnlicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1 r ,. - � y Fc 7� _: j CITY OF ORONO APPLIC:�TION FOR PLIJMBING PERl�IIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at-We City offices. 2. Permit cards will be sent by retum mail after a review is comp:e[ed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN L�'TIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbin�contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved, a sep�-ate building permit must be obtained. 5. All work must be done in accordance with the State Code rec-:irements. 6. All work must be inspected and air tested before it is co��e:ed. Call (952) 249�600. 24-hour notice required. Instructions Complete all items on this application. ComFute the pernut fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL I�OT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: New Addition Repair Replace Residential Commerial JOB SITE: �C.'� -� �:,��c � i� c (-� Zip; Owner's Name: Jok� "T-�� f/�� Telephone Number: Mailing Address: Cit�: Zip: Contractor'sName: Jh��'� P��-.u�� TelephoneNumber: Gj�Z- 5yy-S35 j Mailing Address: 2��; CTc�•..��,,s �2 Cit�-: � ,�,.,� Zip• ��E�� Y PLUMBING FIXTURE SCAEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drz�ins ( Lavato Sewer E=ector Bathtub Laundr��Tra � � Shower Washer � / Kitchen Sink � Water H:ater I Dis osal / Water Se:tener . . Dishwasher Wet Bar Sillcocks � Misc (1L:� . r y 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 ($35.001 �oUv . `� x .o12s $ (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50) ��C/�- � 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 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 parry the reasonable market value of such items must be added to the estimated cost or cantract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the Cin-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 Plumbin; 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� �' 1--- Date: �� 3 i - 0"3 \ �-`� DATE TIME " CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �Z3-O �3:o c� PERMIT N0. p 0�� I COMPIETED ADDRESS �57 ��"�DY�-� OWNER CONTR. •�toP,,. TELEPHONE N0. _ ��Z -3�� S�`�� DESCRIPTION ° — r`—� � 01 FOOTING 11 MECHANICAL I 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE 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 ❑CITATION ISSUED ❑STOP OFIDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe xt inspection 24 hours in advance. (952� 249-46�� OwnerlContra n site: inspector. White Copyllnspector's File Canary Copy/Site NoNce DATE TIME " CITY OF ORONO CALLED IN INSPECTION NOTICE �y SCHEDULED / t v 0 PERMIT NO. �CJ�I�-f COMPLETED ADDRESS �/'. OWNER CONTR. TELEPHONE NO. l.C� (a �CQ � � Z`-1 y � DESCRIPTION _ Il��.w Cc�-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 Z04 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = G RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O , ti � Q � Z W � W � � d � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next ins tion 24 hours in advance. (952) 249-460� OwnerlContractor Inspector. White Copyll pector's File Canary CopylSite Notice