HomeMy WebLinkAbout2004-P07854 - plumbing " " PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po�gsa
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(952) 249-4600 Date Issued: s�2o�2004
SITE ADDRESS: 720 Sandstone Cir
Long Lake,MN 55356
PID: 33-118-23-11-0052
DESCRIPTION:
Proposed Use: xesidential
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 70.00 Valuation: $ 5,600.00
State Surcharge Fee: $ 2.80
TOTAL FEE: $ 72.80
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.
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P ANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Sienitures Required), 1-Applicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
08/1 �'2004 09:21 FA% 763 591 6071 IVERSON nb-785�/ f�011
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. CITY OF ORONO APPLICATION FOR PLUII�ING PERMIT
Box 66 (2750 Kelley Parkway) �
Crystal Say, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cazds will be sent by return mail aftcr a review is complesed. PERMIT�ARE NOT VALID UNTII, �
YOU RECEIVE A PERNIIT. WORK MUST NOT BEGLN UNTIL-TNF.PRRMiT C'ARD TS P(1CTFi�nur
THE JOB SITE. --- —
3. Plumbing permits may be issued ONLY to liceosed plumbing contractors and to property owners residing �
in the dwellirrg.
4. When aay new construction or remodeling is involved, a separate building permit must be obtained, � �
5. All work must be done ia accordaace wlth the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952') 249�600. 24hour notice
required.
Instructions Complete all items on tlus application. Compute the permit fee. Sign and date the
certificatian. INCOMPLETE APPLICAT'IONS wILL NOT BE PRO�ESSED. If y.ou have
questions, call (952) 2�9-4600.
Please check one: �New Addition Repair Replace
Residential Commercial
JOB STI'E: Zip: �
Owner's Name: ok� T-r�w.�c�c Telephone Number:
Mailing Address: City: Zip;
Contractor'sName: I�C�► �-i� TelephoneNumber: ��Z- y�%y.s35�
Mailing Address: Z �� ,s City: .n.,� Zip: �'S'f�I
PLL�iNG ��SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
' TYPE FL FL TYPE FL FL•
Water Closet � Floor Drains /
� Lavato 5ewer E'ector '
Bathtub Laun Tra �
Shower Washer �
Kitchen Sink � Water Heater
Dis osal � Water SoRener
�
Dishwasher Wet Bar
Sillcocks Misc (list
08/1'/2004 09:21 FA% 763 591 6071 IVERSON f�O10
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RFjZMiT FEF Ca�CI1T.ATION(Sl "'� � �k%v�ST�"� �t'e
2002 State Statute [] Yes, This Section Applies �
The replacement of a Residential f xture or �,� �anc _ that meets all three of the following . .
requirements: .
1) Does not require modification to electrical or gas service.
2) Has a o c s of$500.00 Qr less; c d' 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 S�rchazge $ .50
Mail In Pee � S 1.50
.If above does not apply, follow guidelines below;
1, Contr�t Price'" is .0125 °!o of job with a Nlinim�un Fee of(t35 001
. �oU� . w x .0125 $. .
(contract price) (minimum$35.00)
2. State SurcharQe. ** Add the State Building Code Division a (Minimum Fee of$ .50)
. ��
. 0. x .0005 $
(contcact price) (mini.mum$ .SO)
3. . �ostage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
'" CONTR.ACT PRICE or JOB C05T means the actual or estimated dollaz amount charged for the permitted
� work including materials,labor�profit,and othec fi�ced costs. It is the amount to be charged co the cusrnmer
for the work done. If any material,equipment, labor,or installation are furnished by the owner, teaant or
aay other patty the reasonable tnarket value of such itema must.be added to the estimated cost or cootract
price for permit fee pucposes. 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.
** T'ho STATE SURCHARGE is .0005 of the contract price under$1.000,000 or 5.50-whichever is greater.
� For valuations over$1,000,000 eall the Department of taspectioa Services for the price. .
The undersigned hereby applies to the City for issuance of a Plumbing Perm.it., agrees to do all
work in strict accordance with the ordinances of the City and the reguladons of the State of
Minnesota, and certifies that all st ements made oa this application are complete, true and
correct.
, . .
Applicant's Signa Date: ���''0'�
l�� � �
DATE TIME
CITY OF ORONO CALLED IN S�c�-O`-O
INSPECTION NOTICE SCHEDULED ��Q�-�- �prVt
PERMIT NO. PO7S��y COMPLETED
ADDRESS Z� — ��/',
OWNER CONTR. vwt �
TELEPHONE NO. �7 0� �f yy S3 n`/�'I
� DESCRIPTION /I�l C>>(.)
LL 01 FOOTING / 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FR,4MING 13 MECHANICAL FINAL 1�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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
, 0� LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J�10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW �VORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE
� ❑COFRECT WORK&PROCEED r!
W ISSUE CERTIFICATE OF OCCUPANCY
� ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-46��
OwnerlContra r site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DAT TIME �
I F R N �iN —
CTYO O O O �
INSPECTION C SCHEDULED ' �,
PERMIT NO. COMPLETED
ADDRESS �ZD �
OWNER CONTR. iT�Z�P�'1
TELEPHONE NO. � � � � ��Q(o 952-9 s�5�53 9 f
� DESCRIPTION
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� 01 FOOTING 11 MECHANICAL RI 18 CAV/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 FOILOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOp TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑CORRECT WORK,CAIL FOR RE�NSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Ca11 for the xt inspection 24 hours in advance. (g52) 249-4600
OwnerlContr or site:
Inspector.
White Copyllnspector's 'le Canary CopylSite Notice
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�� T DATE TIME
CITY OF ORONO CALL D IN ����� �.�
INSPECTION NOT E SCHEDULED ---,/i��
PERMIT NO. D a'� COMPLETED
,
ADDRESS
OWNER CONTR.
TELEPHONE NO. ' CL ` � ���
� DESCRIPTION � G��.f/L��(�`,�,{/ •-
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINA� 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED C; PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED r� ISSUE CERTIFICATE OF OCCUPANCY
p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W4LL RETURN
'�CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46QQ
Owner/Contractor i e:
Inspector.
White Copyllnspecfor's File Canary Copy/Site Notice