HomeMy WebLinkAbout2004-P08249 - plumbing CITY �F ORONO PERMIT
2750�Kelley Parkway- PO Box 66 Permit Number: Pos249
Crystal Bay, Minnesota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: i2i2i2oo4
SITE ADDRESS: 2512 Sandstone La
L,ong Lake,MN 55356
PID: 33-118-23-11-0020
DESCRIPTION:
Proposed Use: Kesidential
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
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: John 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 SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
:� ,_ � �, �
��._ :� �__ C � ` �, � � /c, I�
APPL NTPERMITEESIGNATURE ISSUEDBYSIGNATUR�
Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
.
.
(�'�,,,,�-:
f
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 6b (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENER-�I.INFORMATION
1• You may appiy for plumbing permits by maij Qr in person at the City offices.
2. Permit cards will be sent by return maii after a review is compteted. PERMITS ARE NOT VALID UNTIL
YOU RECENE A PERMIT. WpRK MUST NOT BEGIN UNTIL T E PERMI7'CARD I5 POSTED ON
THE JOB SiTE.
3• Plumbing pertru�s may be issued ONLY to licensed plambing contraetars and to r
in the dwelling. P �rry owners residing
4- When any new construction or remodeling is involved, a separaie building permii must he obtained.
5. Aii wark must be dane in accordac�ce with the State Code requirements.
�• AII wQrk must be inspected and air teszed before it is covered. Call {952) 2q-g-46pQ, 2q._bour notice
required.
Instruc�iorts Complete aIl itezns on this appiication. Compute the permzt fee. Sign and datE��
certification. INCOMPLETE AppLICATIONS WILL NOT BE PROCESSED. If you have
questions, call {952) 249-46Qt?.
PIease check one: � �'��, Addition
Repair Replace
Residential Commercial
Jo$s�t�: 2�iZ J q.�r{r--�,�
Qwner's Na.me. ._..j�k,, i £�,,,tin�t �o,,,�,�a Telephone Number Z��:
Mailing Address: City: Zi
Cantractor's Name: �1�,-. �tv„-.t,�,�< � p'
1�Taiiing Address'=z��.. �'' �``� =�•'� Teiephone Number: �SZ-�y�5�
~� ��^�u' ` ` City:_p��►y,�;-�. Zi -,
P�_5�-�y J
PLUPviBING FIXT'URE SCHEDULE
��TU� BSMT 1ST 2ND 4THER FIXTURg BSMT 1ST 2ND QTHER
TYPE FL FL TYPE
FL FL
Water Closet j � Ftoor I3rains 1
Lavato � Sewer E'ector
Bathtub � � Laun Tra
Shower Washer �
Kitchen Sink � Warer Heater
�
Dis osal j Water Softener
Dishwasher We=g�, ! ,
(
������ Misc{aist)
, �
r w .
� FERMIT F r,A�ULATI41!�(�
24t}Z State Statute �] YeS, � Section Applies
The reptacement af a ReSidentia! fi�ture or ap�l�ance ihat meets aIi three of � �ollowing�
requiremenLs: �
1) D s n require mod�cation to electrical or gas secvice. .
2) Has a taI co t vf$SOO,pp or Iess; e c u„�,.i�the cast of the fucture ar appiiance:
and
3) Is improved, instatled or replaced by the hom�owner or Iiceneed contractor.
Skip next section; Cost of Permit $ ��,�p
Siate Surcharge � ,Sp
Mai1 In Fee S 1.50
------.--�—.�..
If above does not apply, folIow guidelines below;
1. CQntract Price'' is .4125 % of job with a ]1��.nirn�F�of�' ; OQ�
-�� � x .0125 S
(contract price) {iuinirmum$35.00)
�• State S rch ge **Add the State Building C�e Division a {1Tznimmn gee of$ .SQ)
�� � x .0005 S
(coutract price) ���$ .$a)
3. Posta�e and Handti� {O�y mai�-in appiications) S 1.50
4. TQTAL pERMiT FEE (Add lines 1-3 above) g
* CONTRACT pRICE or 7UB COST meaas the actual or estimated dallar amcn�.c charged for the permitted
work including materiats,tabar,groFt,a�i ocher fued costs. It is the amount ro be chazged to the customer
for the work done. If any material,equipment, fal�r, or instailation azc '�'�ed by the own�r, tenant or
any other party the reasonable market value of sucb items must be actded Eo t�� ��ated cost ar contract
price for petmit fee pvrposes. In the event that there is a dispute on the amouni oi the job cost,the City may
request the submission of a signed copy of the actual contract.
** 'Ti�e STATE SLJKCHARGE is ,00p3 of the contract grice under�t,Q00,U0p or S,Sp_R,hichever is greater.
Far vatuations over$1,O�10,a0Q call rhe Department of Lospect�an Services far c�e price. .
The urtdersigned hereby applies to the City for issuance of a Ptumbing Permit, agrees to do a11
wark in strict accardance with the ardinances of the City and the reguiatzons vf the State of
Minnesota, and certzfies that aIl statements made on this application are complece, true a�d
correct.
w
Applicant's Signature Date: �Z— Z�
�,� ✓
��TE TIME
CITY OF ORONO CALLED IN � �
INSPECTION N TIC SCHEDULED
PERMIT N0. � COMPLETED
ADDRESS a5�� S [�—�
OWNER CONTR. ���
TELEPHONE NO.
� DESCRIPTION V'
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 WA�L 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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNOATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
a
�
O
�
W
�
Q
�
Z
W
g
W
�
�
a
� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 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.CALI TO ARRANGE ACCESS.
Ca11 for the next� spection 24 hours in advance. (g52) 249-4600
OwnerfContra o sit
Inspector.
WhNe Copyllnspector's File Canary CopylSlte Notice