HomeMy WebLinkAbout2004-P08248 - plumbing PERMIT
CITY �F ORONO
2750 :�elley Parkway - PO Box 66 Permit Number: Pos24s
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(952) 249-4600 Date Issued: i2�2�2004
SITE ADDRESS: 2510 Sandstone La
I,ong Lake,MN 55356
PID: 33-118-23-11-0021
DESCRI PTION:
Proposed Use: Kesident�ai
Permit Class: Plumbing
Permit Sub-type(s): Multiple Fixtures
Permit Type: Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts 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: lohn Terrance Homes,LLC
2605 Campus Drive 8266 Xene 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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APP ANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
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�17'Y C)F ORONO APPLIGATIQN FpR PI,UMg1AIG.pE�T
Bax 66 {2'750 Keiley Parkwaya
Crystal Bay, MN 55323
GENER4L INFORMATIQN .
1. You may appty for plumhing permits by m�il or im person at ihe City o�ces.
Z• Permit cards will be sent by return mail after a review is completcd. PERMITS ARE NC1T VALID UNTIL
YOU RECENE A pERMI'T. y�rpR�MUST N T$EGIN UNTIL THE PfiRMIT CARD IS P03TED ON
THE JOB SITE.
�• Plumbing permits may be issued QNLY ta licensed plumbing contractors and to ro e
in the dwelling. P P �y owners residing
'�• When any new canstruction or remodeling is involved, a separate building permit must be obtained.
�. All work must be d�ne in accordance with the State Code requirements.
6. AtI work must be inspected and air tested before it is cavered. CaII (9S2) 249-46f30. 24-hour norice
required.
Instructions Compiete ail items on this application. Compute the permit fee, Sign and date the
certificatian. INCOMPLETE A.PpLICA,TI�NS WTLL NQT BE PROCESSED. If you have
questions, call {9S2) 249-4604,
Please check one: � N��, Addition
Repair Replace
Residentiai Commerciat
JOB SITE: �/p �,`��
{ Zip:
Owner's Name. --.10�„ � ��rt�cc F{o,,,.�3 Telephone Nurnber:
lbiailing Address: City: Z� .
Contractor's Name: �ha�:, ('Iv�•-.l,t,�; p.
�r =►��_Telephone Number: �rZ-�;�y-;3�j
Ilriailing Address:�_�-����_ Caty: � ri,,,4,-�-
_�_`�____`^ ZiP� Sy-��t /
PLUMBING FIXTURE SCHEDULE
�IXTURE BSMT 1ST 2ND OTHER FIXTURE
TYpE FL F� BSMT 1 ST 2ND OTH�R
TYPE FL FL
Water Closet � Z Floor Drains �
Lavato � Sewer E'ector
Bathtutr 1 � Laun Tra
Shower t'Vasher �
Kitchen Sink � Water Heater � �
Dis saE � Water Softener
Dishwasher Wet Bar ( �
SilIcacl:s Mis� tist}
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' PERMIT � eAr,CULA_ TI_ pN(�
2002 S#ate S tu e [� Yes, This Secti4n Applies
The replacement of a Residential fi�ture �r a Iiance that meets all ttuee of the foliowing
requirements: �
1) Does not require moc}�cation ta electrical or gas service.
2) Has a totai cost of$Sflp,pp Q� jess; excl��e cost of the fixtuxe vr appliatiGe:
and
3) Is improved, installed or repIaced by th� homeowner or licenced contractor.
Skip next section; Cost of Permit S I5.00
State Surcharge � .50
Mail In Fee S �.54
If above does not apply, fallow gvidelines belflw:
1. Coirtract Priee* is .0125 % of job with a Niinimum F'ee of($3� 001
-- ��-~'��� 4� x .0125 S
{contract price) (minitnum$35.UQ}
2. State Surcharge ** Add ihe State Buiiding Code Divisic�n a (li'inimtim Fee og$ .54)
�
- 72�--�� x .U04S S
(contract przce) ����$ �}
3. Pgstage and Handiin� (OnIy mail-in applications) S 1.�0
4. TDT'AL PERMIT FEE (Add lines 1-3 above) S
* CONTRACT pRICE or YOB COST means the actuaI or estimated dollaz amo�char ed for the
work inclnding materials,2abor,profi[,an�d ather�xed costs. It is the amount to be cha.�rged co the cust�olmer
fvr the work done. If any material,equipment, tabar,or installation aze fttrni.�ied by the owner, teaamc ar
any otber party the reasonable market uaiue of such items must be added ro t�e estimated cost or cantract
price for permit fee purposes. In the event that there is a dispute on the amou�t QI the job cost,rhe Ciry may
request the submission of a signed copy af t�e actuai contract.
** The STATE SURCHAR,GE is .tK105 of the contract price under$t,OQ0,000 or S.SO-whichever is greater.
For valuations ever$I,OOO,p00 call the DePart�ent of Inspection Serviees for the price. .
The undersigned hereby applies tv the City for issu�nce of a Plumbing Penmit, agrees to do aIi
work in strict accordance with the orditna.nces of the City and the reQulations of the State of
Minnes�ta, and certifies ihat aIl statements made on this appiication are complete, true arid
correct.
.
Applicant`s Signa e: D���. /� 2 ,-0�
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�!!�" / J DATE TIME �/
�ITY OF ORONO V �Iw� CALLED IN � ��
INSPECTI OTICE `���SCHEDULED -1������0/_�`L �-�-�� �.
P N f ��F' 3 COMPLETED
ADDRESS a � � � �`��'�����--
OWNER CONTR. �vh1"1 ��'11���
TELEPHONE NO. ��� —c��� ��yZ�O
� DESC l��I'Y)1 � JD�c�(./YJ
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q �i? 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
_ �jPLUMBING RI(�� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMME TS:
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� O CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours irt advance. (g52) 249-46��
Owner/Contract�vn te:
Inspector. ��-�-
White Copyllnspector's File Canary Copy/Site Notice
✓
�_Dfa TIME
CITY OF ORONO CALLED IN �
INSPECTION N IC SCHEDULED �' ' !���
PERMIT NO. ��g COMPLETED
ADDRESS_ aJ��D �L���-�"a7�-2 �
OWNER CONTR.
TELEPHONE NO. �/�O� 3�O�O S`���
� DESCRIPTION �/ f-�'"�-C
� 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
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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP
= 09 PLUMBING 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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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ;� pH0T0 TAKEN
INSPECTOR W4LL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (g52) 249-4600
Owner/Contra ite:
Inspector.
White Copyllnspector's ile Canary Copy/Site Notice