HomeMy WebLinkAbout2004-P07851 - plumbing , . ,
� PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�gsi
Crystal Bay, Minnesota 55323 Permit Type: FiXcu�es
(952) 249-4600 Date Issued: gi2oi2oo4
SITE ADDRESS: 718 Sandstone Cir
Long Lake,MN 55356
PID: 33-118-23-11-0051
DESCRIPTION:
Proposed Use: Kesidentiai
Permit 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: $ Z.gp
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 SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
� -�..._ � ./������%'"
P LICANT PERMITEE SIGNATURE SUED BY SIGNAT E
Cooies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
08�/2004 09:20 FA% 763 591 6071 IVERSON C�00B
y ,�I-0 7�5� 2 ''' y
� �a•��
CITY OF ORONO APPLICATION FOR PLUII�IBING PERMIT
Box 66 (2750 Kelley Parkway) �
Crystal Bay, MN 55323
GENERA.j,,1NFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. '
2. Permit cards will bp sent by repun mail after a review is completed. PERMITS ARE NOT VALID UNTIL '
YOU RECEIVE A PERMTf, WORK MLrST NOT BEG N UNTIL E PRRMTT C'AR IS POS'i`Fn nrr
THE JOB SIT'E.
3. Plumbing permits may be issued ONLY to licenscd plumbing contractors and to propeny owners residing
in the dwelling.
4. When any new con�tr�ction or rcmodeling is involved, a separate building permit must be obtained. •
5. All work must be done in accordancc with the State Code requiremeats.
6. All work must be inspected and air tested before it is covered. CaU (952} 249-4600.. 24-hour notico
required. .
Insttvctions Complete all items on this application. Compute the permiit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PRO�ESSED. If you have
questions, call (952) 249-4600.
Please check one: New Addition Repair Replace
Residential Commercial
JOB STT'E: �(� �tn.�S� �t Zip: �
Owner's Name: ok� T-r.,.�.�c< Telephone Number:
Ma�ling Address• City: Zip:
Contraetor'sName: �C•► P vr.,.b+�� TelephoneNumber: �J1'Z- yyy-535% .
,
Mailing Address• Zt/�S �i�-ri,r��s � City: .,1,,� Zip: �S��f
PLUMBINC=Fi�'iiRF c�r��ULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
� TYPE FL FL TYPE FL FL•
Water Closet � Floor Drains �
� Lavato Sewer E'ector '
Bathtub La Tra � •
Shower Washer �
Ki[chea Sink � Water Heater
Dis sal / Water Sottetur
.
Disbwasher Wet Bar
Sillcocks Misc list)
08�/2004 09:20 FA% 763 591 B071 IVERSON I�J007
PERMIT FEE CALCULA (�N�S1 C� S�/(.�,d S�t C(f'�l'�
�
2002 State Statute [] Yes, This Sec�ion Applies '
1fie replacement of a Residential fixtu e or ap lian � that meets al�! three of the following � .
requirements:
I) Does not requi.re mod�fication to electrical or gas service. .
2) Has a tQtal cost of$500.00 qr less; g�tclud��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 Snrcharge $ .50
Mail In Fee • $ 1.50
If above does not apply, follow guideli.nes below:
1: Contract Price* is .Oi25 �b of job with a �Fee of(�35.001
. ��pC� � � x .0125 $. �.
(contract price) (minimum$3S.Q0)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ SO)
� ��
. 0. x .0005 $
(contract price) (minimum$ .50)
3. Postage �d Handling (Only mail-in applications) $ 1.50
4. TOTAL PERNIIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amouat chazged for the permitted
� work including materials,labar�profit.and other fixed costs. It is the amouni to be charged to the customer
for the work done. If any material, equipment,labor,ar installation ar�fiunished by the owner, tenaat or
any other party the reasonable market value of such items musi be added to the estimated cost or cona�act
price for permit fee putposes. Iu 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 tbe actual contrect,
** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.SO-whichever is greater.
� For vaivations over$1,000,000 call t6e Department of Inspection Services for the price. .
The undersigned hereby applies to the City for issuance of a Plumbing Pcrmit, agrees to do all
work in strict accordance with the ordinances of the Ciry and the reguladons of t6e State of
Minnesota, and cert�es that all statements made on this application are complete, true and
correct.
.
Applicant's Signa e: � Date: ���
�G� � DATE TIME , /
�� V
CITY OF ORONO CALLED IN
INSPECTION NO ICE SCHEDULED -23-0� •�� �c> �..�(
PERMIT NO. � COMPLETED
ADDRESS K- ��r.
OWNER CONTR.� � � /��.
TELEPHONE NO. �.S_o� �y�" �,3��'I
� DESCRIPTION �j�-� l't�G�
ty 01 FOOTING 11 ECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 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 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 P ING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
C
�
�
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46�0
OwnerlContrac o ite:
Inspector. � --
White Copylinspector's ile Canary Copy/Site Notice
� �,/��� v
" 1 \ / DATE y TIME
CITY OF ORONO CALLED IN 1 d`2Z A I
INSPECTION N TICE 78�� SCHEDULED ��-2C�-o`f 3��
PERMIT NO. COMPLETED
ADDRESS I Gt,� Sd'zlh-Z �-�i I
OWNER CONTR.
TELEPHONE N0. (_.(' �� ��JL�O �(� �1�
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
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 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J Ll�ICI G FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
W Qa
�
J
0
�
�
0
�
W
�
Q
�
Z
W
�
W
�
�
d
W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContract ite:
Inspector.
White Copyllnspector's File Canary CopylSite Nofice
2, �� � DATE TIME ✓
CITY�F�R�N� CALLED IN ��a —D
INSPECTION ICE SCHEDULED - -D ���
PERMIT NO. S COMPLETED
ADDRESS 7�g oS C� i
OWNER CONTR.
TELEPHONE NO. �D I d� �J�P� S7"'7 �
� 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
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 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
�
W
a
�
J
O
>.
�
O
�
W
�
Q
�
2
W
�
W
�
�
�
d
W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlConVact�qn�e:
Inspector. �
White Copyll�spector's File Canary CopylSite Notice