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HomeMy WebLinkAbout2004-P07849 - plumbing PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P07849 Crystal Bay, Minnesota 55323 Permit Type: FiX�ures (952) 249-4600 Date Issued: g�2o�2004 SITE ADDRESS: 2482 Sandstone La L.ong L.ake,MN 55356 PID: 33-118-23-11-0025 DESCRIPTION: Proposed Use: xesidential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DE7AILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 90.00 Valuation: $ 7,200.00 State Surcharge Fee: $ 3.60 TOTAL FEE: $ 93.60 APPLICANT: Thoen Plumbing Service, Inc. OWNER: Dahlstrom Development LLC 2605 Campus Drive 7745 Polaris Lane Plymouth,MN 55441 Maple Grove,MN 553ll THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-IE 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. -�. � �,�'�-� � ARPT.ICANT PERMITEE SIGNATURE SSUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1 08/18/2004 09:19 FA% 763 591 6071 IVERSON ��8y 9 l�004 .. �- .�.. , � r , � 93.�O` ' CTTY OF ORONO APPLICATION FOR PLUI�ING PERMIT Box 66 (2750 Kelley Parkway) Crystai Bay, MN 55323 rENERAi.II�iFORMATION 1. � You may apply for plumbing permits by mail or in persoa at the City offices. � Z. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL ' YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIIT CARD IS POSTED ON �'�E JO� SITE. 3. Plumbiag permits may be issued ONLY to licensed plumbing contractors and to property owners residing ia the dwelling. 4. When aay new coastructioa or remodeling is iavolved, a separate building permit must be obtair�ed. . S. All work must be done in accordance with the State Code requirements. !6. AII work must be inspected and air tested before it is covered. Call (952) 249�600. 24-hour notice required. Instructions Complete all items on this applicarion. Compute the permit fee. Sign and date the �ertification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have �questions, call (952) 249-4600. Please check one: �New Addition Repair Replace Residential Commercial JOB SITE: �.. c Zip: � Owner's Name: o � ����.�cc Nar►�e�, Telephone Number: . Mailing Address: City: Zip: Cou�ractor's Name: 't'1�cEr� Pl v�-.l���� � �,� Telephone Number: �i SZ-��y S'3� Mailing Address: ?-io[� C��v: �2 City:_p�,y,,x,� Zip: S'9./�{/ PLiTMBING FIXTURE SCHEDUI,E . FIXTURE B5MT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTH�R TYPE FL FL TYPE FL FL� Water Closet � Floor Drains � Lavato � � Sewer E'ector Bathtub � � Laun Tra Shower Washer � Kitchen Sink ! Watec Heater � D' sal � water Softener Dishwasher Wet Bar I • Sillcucks Misc liat 08/18/2004 09:19 FAR 763 591 6071 IVERSON [�005 � ' . � ��IT FEE CALCULATInN(c� ��Z �,� ��-�o+�. ��� 2002 State Statute Q Yes, This Section Applies The replacement of a Residential �Yn��e�R li n that meets all three of the following • requirements: 1) Does not require modification to electrical or gas servi�e. 2) Has a total cost of$500.00 or less; �cludinQ the cost of the fixture or applia.nce: 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 S _ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125 % of job with a D��um Fee of(�3� 001 , _ ��� � � .x .0125 S (contract price) (minimum$35.00) 2. �te Surcharge. ** Add the State Building Code Division a �iinimum Fee of$ .50) 720 0 � x .0005 S (coatract price) (minimum$ .50) 3. Posta�e and Handline (Only mail-ici applications) S 1.50 4. TOTAL PERNIIT FEE (Add lines 1-3 above) S * CONTRACT PRICE or JOB COST means the actuat or estimated dollar atnou�t charged for the permitted ' work including materiats,labor,pmfic,and other fixed costs. It is the amouat to be charged to the customer for the work doae. If any material, equip�nent, labor.or installation are furnis�ed by the owner, tenant or any other parry the reasanable market value of such items must be added to t�r estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amouni of the job cost,ihe Ciry may request the submission of a signed copy of the actual conuact. ** The STATE SURCHARGE is.000S of the contract price under$1,000�000 or 5.50 -wluchever is greater. For valuations over$1.000,000 ea[1 the Depaztment of InspecNon Services for rl�e price. . . 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 re�ulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. . Applicant's Signatur Date: �'C8� �/� � DATE TIME ✓ CITY OF ORONO CALLED IN 2��� INSPECTION NO ICE SCHEDULED '" �-�`� �!� PERMIT NO. O COMPLETED ADDRESS � �4 � �{� OWNER CONTR. �c?/7 /��CJ TELEPHONE NO. Q-�a `7 y7� �SJ�1 � DESCRIPTION ��L�� ���" l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 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 D 15 SEPTIC INSTALL. 22 FOLLOW-UP = 9 PLUMBING 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PL FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C' ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContra site: Inspector. White Copyllnspector's ile Canary CopylSite Notice - T� (/ CITY OF ORONO � CqLLED IN ��-'' l�' �'�� INSPECTION �r +�DULED I � `.�' PERMIT NO. ��� 1 COMPLETED � �km ADDRESS Z�'O��J� �9`-'�c�J�i�-c � G/�'� OWNER CONTR. ���'� �"� ���-�� TELEPHONE NO. �i:(3- . ��� '� 3 Z-`�`C � _v ... � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 1 XCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 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 =c�NC� 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W �. � J O � � O � W � Q � Z W � W � � d � ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on sit : Inspector��.�iT/ll�� White Copyllnspector's File Canary CopylSite Notice �'1i� (,�.,1�1 ��'�e.� �! DATE TIME CITY OF ORONO CALLED IN �'� ��U� INSPECTION N ICE . .� SCHEDULED f -�� %/:�'C�A�rI/I PERMIT NO. � � COMPLETED ADDRESS � C� � ' ' �' ` OWNER CONTR. I�10 C4�7 G'�. TELEPHONE NO.���� o � - ��`�N � DESCRIPTION t'� ���� SX3�-�-T— � lV 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS h 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 = 09 PLU 23 SEPTIC FINAL 35 HARD COVER REMOVAL J PLUMB FINA 36 FOUNDATION/REMOVAL � OW CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o ,M.A�.r��- � �?� ^ - � ���);v� 3 I /l C, �- 'itJ A� i7Y ICJ��C� 0 � W � Q � z W � W � � GW �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIOtJ REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on sit - Inspector. l/ � � ��, White Copyllnspector's File Canary CopylSite Notice