HomeMy WebLinkAbout2006-P09633 - plumbing PERMIT
CITY OF ORONO Permit Number:
2750 Kelley P�irkway- PO Box 66 Po9633
Crystal Bay, Minnesota 55323 Permit Type:
Fixtures
(952) 249-4600 Date Issued:
3/2/2006
SITE ADDRESS: 665 Sandstone Cir Unit#
Long Lake,MN 55356
PID: 33-118-23-11-0036
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Pernut Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 95.00 Valuation: $ 7,600.00
State Surcharge Fee: $ 3.80
TOTAL FEE: $ 98.80
APPLICANT: Thoen Plumbing Service,Inc. OWNER: O.T.Development,LLC
2605 Campus Drive 10300 lOth Avenue N#101
Plymouth,MN 55441 Plymouth,MN 55441
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.
APP T PERMITEE SIGNATURE UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
/
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' FOR CITY USE ANLY
City of Orono
� 4�� P.O.Box 66 Date Received: Permit#
�� � 2750 Kelley Parkway
a ��a. r Crystal Bay,MN 55323 Approved By: Amount$:
�e���yo��G�� (952)249-4600
CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building O�cial or[nspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a pennit will be issued within two working days.
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 plu►nbing 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 State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYFE OF PERMIT
Check All That A "1 '
`�Residential ❑Commercial(Approval Required)
/
❑ New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need arior anaroval and�nay need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: �/UCC/J 1 �� �`�c � �
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
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Contractor:^_ J N.�'G� �l V�wB(� Contact Person: ��" � vt,t/J J�
Address: ��0� S State Bond#: ZZ� �
City: �l�►�w�._ _ Zip.�� Expiration Date: �
Phone: �J�( 2''3��3�'G !� Alternate Phone:
❑ Insurance—Current:
1
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-.� PLUM�INCs FIXTURES:BEING INSTAL�ED �
FIXTURE BSMT l 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory � Sewer Ejector
Bathroom � Laundry Tray I
Shower I Washer I
Kitchen Sink � Water Heater I
�
Disposal Water Softener
Dishwasher � Wet Bar
Sillcocks Miscellaneous
� k �a��ERM�TdF�ECALCULATION(S) �w, ,
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;�; � . ,,f=.; �.BAS�ED`:O��..2002 �TAZ'E ST�TIJE .. : �
❑ Yes,this section applies
The replacement of a Residential fixture or apnliance that meets all three of the following reyuirements:
]. 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 licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
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`, PERMITEEE CALCULATTON S =JpBS,O�ER$500.00. i �. -
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
��� x.0125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum S .50)
3. POSTAGE&HANDLING(Only on 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
perniitted 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 installations 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 Building Department at(952)249-4600 for the price.
�, ;. :,:. PI;�MBING�ERM�T APPlLCATIO�*t-AGREEMENT.�; � `" . �
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 Signatur • Date: � � z-�10
- �' ��,Reset Form���
3
C� l��IE L� �
D E TIME
CITY OF ORONO CALLED IN �
INSPECTION OT CE SCHEDULED � • O d
PERMIT NO. �✓ COMPLETED
ADDRESS s d s �
OWNER CONTR. � •
TELEPHONE NO. �� 2 3�3 � 2� �
� DESCRIPTION _ _ __ PC���'��
tL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR '� CITATION ISSUED
G iNSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46QQ
OwnerlContractor on site:
Inspector. �-✓� �' � �3/S�
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L� DAT TIME
CITY OF ORONO CALLED IN ����
INSPECTION TI E SCHEDULED ��3� -��
PERMIT NO. 3 COMPLETED �`����
ADDRESS �P�O�J J ��
OWNER CONTR. _7�'LO�iyC O�`'�
TELEPHONE N0. �� �-- 3�'3 3 Z��O
� DESCRIPTION " IZ-�"�-� ��.�
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 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 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 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION W�THIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on sit :
Inspector. "' !'� �
White Copyllnspector's File Canary CopylSite Notice
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� D E TIME ✓
CITY OF ORONO CALLED IN a_�
INSPECTION SCHEDULED -(�- D 7 ��
PERMIT NO. COMPLETED
ADDRESS � �
OWNER CONTR.
TELEPHONE NO�I Y 3��J "' ����f
� 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 05 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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��� �ORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on sit :
Inspector.
White Copyllnspector's File Canary CopylSite Notice