HomeMy WebLinkAbout2004-P07847 - plumbing w �'
CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po�s4�
Crystal Bay, Minnesota 55323 Permit Type: FiXr�res
(952) 249-4600 Date Issued: si2o�2ooa
SITE ADDRESS: 2484 Sandstone La
Long I.ake,MN 55356
PID: 33-118-23-11-0024
DESCRIPTION:
Proposed Use: Kesidentiat
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 90.00 Valuation: $ 7,200.00
State Surcharge Fee: $ 3.60
TOTAL FEE: $ 93.60
APPLICANT: Thoen Plumbing Service,Inc. QWNER: 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.
G � _
PPLICANT PERMITE �
E SIGNATURE SUED BY SIGNATURE
Copies: 1-File(Sienitures Repuired), 1-Applicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
08/i8/20�4 09:19 FA% ?63 591 6071 IVERSON I�002
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�TTY OF ORONO APPLICATION FOR FLITIV�ING PERMIT
Box 66 (2750 Kelley Parkway)
�rystal Bay, MN 55323
(��FNF.RAi INFORM�'[_�ON
1. • You may apply for plumbing pecmits by mail or in person at the City offices. �
2. Permit cards will be sent by return mail after a review is completed. PE1tMTTS ARE NOT VALID UNTiL. ' �
YOU RECEIVE A PERMiT. WORK MUST NOT BEGIN UNTII:,THE PERMIT CARD IS POSTED ON
THE J B SI .
3� plumbing permits may be issued ONLY W licensed plumbing contractors and to property owners�residiag
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 the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24hour nouce
required. .
ructio� Complete all items on this application. Compute the perm.it fee. Sign and date the
aertification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
I�lease check one: � New Addition Repair Replace
Residential Commercial
JOB SITE: � � Zip:
I�wner's Name: flk�. i e����cc Na� Telephone Number: .
11vlailing Address: City: Zip:
�ontractor's Name: '�koe�� ('I vM1,l��.,5 � �,� Telephone Number: �sZ-��1 -S3
1Mvlailing Address: ?-t�[� ��`n.�v� ��. City:���Zip: 59�.���
� PLUMBINC�TURE SCHEDULE
_ pIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTH�R
TypE FL FL TYPE FL FL•
Water Closet � Floor Drains f
� Lavato � ' Sewer E'ector �
Bathtub � � Laun Tra
Showes Washer �
Kitchen Sink � Water Heater �
Dis saI � Water Softener
Dishwasher We�Baz r •
Sillcocks Misc(list)
08/18✓2844 09:19 FA% 7B3 591 6071 IVERSON f�j003
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PERMIT FEE CALCULA'r'ic�rrr� L7r' �� �!' � _� I _
�� G�,�3 LA'it-c.
2002 State Statute [] Yes, This Section Applies
The replacement of a Residential �xt� or ap ' nce tb$t meets all three of the following �
requirements: �
1) Does not require modification to elec'trical or$as service.
2) Has a a cos of$500.00 or less; exclu� the cost of the fixture or appliance:
and
3) Is improved, installed or replaced�by the homeowner or licenced contractor.
Skip next secdon; Cost of Permit S 15.00
State Surchazge $ _�p
� Mail In Fee � _ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a ��imum Fee of(�3� 001 .
_ ���- � .x .0125 S
(con�act price) (minimum 535.00) .
2. �tate Surchar�e. '�* Add the State Building Code Divisioa a (tiTuumum Fee of$ .50)
�20 0 � x .0005 S
(contract price) ��m�� ,jp�
3. Pos�ge and Handlin� (Only mail-in applications) S __ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) S
* CONTRACT PRICE or JOB CO3T means the actual or estimated dotlar amow�t chazged for the permittsd
� work including materials,labor,prafic�and other ft�ced eosts. It is the amount to b�chazged to the customer •
for the work done. If any material, equipment� [abor. or installation an furnis�ed by the owner� tenant or
any othec party the reasonable market valut of such items must be added to rha estimated cost or contract
price for permit fee purposes. In the event tha.t ihere is a dispute on the amouut of the job cost,the Ciry 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 5.50 -whicbever is greater.
For valuations over$1,000,000 call tbe Departmeat of Inspectian Services for t�ie price. _
. The undersigned hereby applies to the City for issuanc� of a Plumbing Permit, agrees to do all
work in strict accordance with the ordi.nances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application azz complete, true and
correct.
Applicant's Signa e: gf(�-� .
Date:
-
�� s- �
DATE TIME
CITY OF ORONO CALLED IN ��'L�
INSPECTION NOTICE SCHEDULED _�� 3�t� P'�1
PERMIT N0. � COMPLETED
ADDRESS �� �
OWNER CONTR.� / //O� ��(/j'1ti' f�t
TELEPHONE NO. 7 S�o� ` g� 5,3��
� DESCRIPTION /�i�v
�
l� 01 FOOTING 1 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 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J AL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETItRN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContrac o site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
�� �
DATE TIME
CITY OF ORONO CALLED IN ��
INSPECTION NOTIC 11 7 SCHEDULED J��.�l-�y � .(
PERMIT NO. � � "' / COMPLETED
ADDRESS �-� �I ��� �<.Xa )C� � ��'�_ �c_� tL�
OWNER CONTR. �-��� � I f���'���C� �����
TELEPHONE NO. -�� C. ����� ����� d' '�� e���Z'�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBIN 23 SEPTIC FiNAL 35 HARD COVER REMOVAL
J 10 PLU BING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CO�TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED C i PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CAILINSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-4600
OwnerlContr�o ite:
Inspector. �
White Copyllnspector's ile Canary CopylSite Notice