Loading...
HomeMy WebLinkAbout2004-P07853 - plumbing w - CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Po�ss3 Crystal Bay, Minnesota 55323 Permit Type: FiXtures (952) 249-4600 Date Issued: si2oi2ooa SITE ADDRESS: 716 Sandstone Cir L.ong Lake,MN 55356 PI�: 33-118-23-11-0050 DESCRIPTION: Proposed Use: Kesidential Pernut Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 70.00 Valuation: $ 5,600.00 State Surcharge Fee: $ 2.gp TOTAL FEE: $ �Z,gp APPLICANT: Thoen Plumbing Service,Inc. OWNER: Dahlstrom Development LLC 2605 Campus Drive 7745 Polans Lane Plymouth,NIN 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�UILDING CODE REQUIREMENTS. i � � ��--� " ���— ., � ; � � � AP I ANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reoorts, 1-Assessin�. 1-Finance Page 1 08/18/2004 09:20 FA% 763 591 6071 IVERSON �O � p� f�008 / ' +� a 5� .� 2 j � . . yS 72. Ba . CITY OF ORONO APPLICATION FOR PLUIV�ING PERMIT Box 66 (2750 Kelley Parkway) ` Crysta! Say, MN 55323 GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. 2. Permit cards wiU be aent by retum mail after a review is completed. PERMITS ARE NOT VAI.ID UNTIL � YOU RECEIVE A PERMIT. �VORK MiJST NOT BEGIN UNTIL TH _vRtt�,rrr reRn IS ppgTEt�nt�r THE JOB STTE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and w properry owners residing in the dwelling. 4. When arry new constr�ction or remodeling is involved. a separate buildiag permit must be obtained. � 5. A!1 work must be done in accordance with thc State Code requirements. 6. All work must be inspected and air tested befare it is covered. Call (952) 249-4600.. 24-hoiu notice required. Instruct�ons Complete aJl items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PRO�ESSED. If y.ou have questions, call (952) 249�600. Please check one: � New Addidon R�pair Replace Residential Commercial JOB SI'PE: I.(9 �GI„� �c Zip: � Owner's Name: o�� �'T'-w�.,c.c ffo�,.o, Telephone Num�ber: Mailing Address: City: Zip: Contraetor's Name: �t., vh.-b� TelephoneNumber: ��t_ yyy s35 j Mailing Address: 2 �� ,s City: ,.,�,� Zip: ���1 PLTJIVIBIlIT � FixTrrnF c�u� ULE FIXTURE BSMT 15T 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL� Water Closet � Floor Drains � Lavato Sewer E'ectoc � Bathtub Laund Tra � . . 3hower washer � Kitchen Sink � V1/azer Heater Dis osa! Water 5oftener . Dishwasher Wet Bar Sillcocks Misc ' t 08/18/2004 09:20 FA% 763 591 6071 IVERSON (�009 PFR�.FEE C T.c�in.e�rrnrrrei �I� SG�,�,S-�,� lr - - - (�-� 2002 State Statute [] Yes, This Section Applies The replacement of a Residential fix �r or ap ' �P that meets all �ree of the following � requirements: 1) Does not require modification to electrical or gas servjce. 2) Has a total cost of$500.00 or less; CXC�the cost of the fixture or appliance: and . 3) Is improvcd, installed or replaced by the homeowner or licenced contractor. Skip next section; Cost of Permit $ __ 15.00 State Surcharge $ _ ,Sp ! Mail In Fee • $ 1.50 If above does not apply, follow guidelines below: 1: Contract Price* is ,0125 % of job with a �um Fee of ES35 001 C�C� , w . x .0125 $, , (contract price) (miaimum$35.00) 2. State Surchar¢e. '** Add the State Building Code Division a (Minimwn Fee of$ .30) - �(�.�Q- ,...i ��(/ x .0005 $ (contract price) (minimum$ .SO) 3� . (Only mail-in applications) $ 1.50 4. TOTAL PERIVIIT 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 fu�ed costs. It is the aanount to be charged to the cu5tomer f�r the work done. If any material, equipment, labor.or installation are futaished by the owner, tenaat or any other party the reasonable market value of such items must.be added to the estimated cost or coarract price for permit fee purposes. In the event that there is a dispute on the amotnt of the job cost.tho Cin•may request the submiasioa of a signed copy of the actual conttact. ** T6e 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 w do all work in strict accordance with the ordinances of the City and the rGgtilations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signa .��..p c� • Date: � ~0 � � DATE TIME CITY OF ORONO CALLED IN U INSPECTION NOTI E ,ry7 SCHEDULED � �/ 3�3 a1A�-'j PERMIT NO. J COMPLETED ADDRESS � G�r: OWNER CONTR. U'�� 'rn, - TELEPHONE NO. �-S� �?`r =�3 99 � DESCRIPTION ��'�G��`-e� ��i'� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContracto s' : Inspector. White Copyll�spector's File Canary CopylSite Notice � � � T TIME v CITY OF ORONO CALLED IN ���2�Y INSPECTION NOTICE SCHEDULED � 8'i .3 Q,�A�'y1 PERMIT N0. COMP ETED ADDRESS_ �� CD � -SG�,(� �r�R— C�'/� OWNER CONTR. 7 a n�,P , TELEPHONE NO. 11! �O� .3 CO l.(� S7 �� � � DESCRIPTION � Ot 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W�9 LUMBING R 23 SEPTIC FINAL 35 HARD COVER REMOVAL �-4@-I�vl G FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance. (952) 249-4600 OwnerlContra o ite: Inspector. White Copyllnspector's Fi Canary CopylSite Notice