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HomeMy WebLinkAbout2006-P09744 - plumbing� �. PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P09744 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952)249-4600 Date Issued: 4/19/2006 SITE ADDRESS: 2538 Sandstone La Unit# Long Lake,MN 55356 PID: 33-118-23-11-0017 DESCRIPTION: Proposed Use: Residential Permit 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: 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. �ir/ /t�(J��'� APPLICANT PERMITEE SIGNATURE UED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 Rpr 11 06 01 : 27p Tim Iverson 320-274-8820 p. 2 . V��" 1'.�b %t�.. FUR CITL'USP.UNLY ,��� City of Orono P.O.Box bG l�te Receiv�; Netmit� /�-h q��� �a`�..,,. � 2�50 iCeNey Parkway n ��'�'�i'+: � Cryslal Day,htN 55323 Approved Dy, Amount S: `73.�O� �,r_ . :�. (952)249-a600 � CITY OF ORONO—PLUMSING PERMI I' (All Commerciol permits must be�pproved by U�c Building Official or Inspector) GENERAL 1NFORMATION i. You may apply for plumbing pemiiu by mail or in person at the Ciry offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards wil!be sait by retum mail after a review+s compieted. PERMITS ARE.NOT VALID UNTIL YOU RECEfVE A PERMiT. WORK MUST NOT BEGIN�1NTii.TNE PERMIT CARD(S POSTED ON THE JOR SiTli.. 3. Plun�bing perniits may be issued ONLY to liceased plumbing contractors and to proputy owners residing in d�e dwellir�g. 4. When any new construction or remodelinb is involved,a sepa�ate building pennit must be obtained. 5, All work must bc dooc in accordance with Statc Code rcquiremcnts, 6. All work must be inspected a��d air tested before it is covered. Call(9S2)249-4600. (Z448 6our notice required) TYPE OF PCRMIT Check All That A ! �]Residential ❑Commercial(Approval Required) l �New 0 Additional ❑Repairs ❑Replace � ln Accessory Structure? "You wili need n�ior a,�nroval and�nay nced CU�.(Per Orono City Code�Chapter 78,Article IV) Job Site/Owner Information: Site Address: ��3� ��i..�Sann.e L�l,�+� Owner: �. (� t��MD11 Mailing Address: ��3ob (d�`'� w� � 1p i City: Zip; �`?���,( Home Phone: Alternate Phone: �ontractor Infonnation: Contractor: 1,v�'v� �l IY��O lr�q Contact Person: �i ��'t.� ! Address: 7�1��� (��►� P2 State [3ond #: �.21 (' City: Zip� Expiration Date: „�2 -3 �.�n.(� Plione: �',����'�����i __ Alternate Phone: ❑ Jnsurence—Current;. � Rpr 11 06 01 : 28p Tim Iverson 320-274-8820 p. 3 . . :� /=�'�1 --.. . . • - .....-:- .. .. : :;�: ::.;:...�PGUMBING FTXTCJiZES.BET�G TNSTAi��ED-� ::'�: :��::�: =�.:.�..;::. .:� Fi�7'(7RE BSM3" I 2 OTI�R r1XTURF . , TYPE r•L �L TvrF BSMT t 2 oTN�� �L PL Wacer Closet. � Ftoor Drains Lavatory ` Sewcr�jector Batl�room Laundry T�py _ . Shower Washcr Kitchen Sink 1�1►ater Hegter � Dispnsal ( Water Sot�encr t3ishwasher Wet Dar � 3ialcocks ) Miscellaneous / --�_._._ ;;:.. :�,:.: �fPE�1+IIT R�E CALC �3LA T�C). :,. �:;:�. � ^ �. 1�T.� - �y (. ��'�:`�.;.;.;;�:. •'4.', - ..��j� t'.K�� R ` •.�:^ '}''. i,�: A f'�' / ,�{f r �'w�V - �.� �,•�..iv Vil ��.��. �����������.�.: _ ^�..i' . .. �=1.'� ..f• . ❑ �cs,thts sect�on applies 7'he repfacemraat o#'$.�tiel f xture ar an_ o�nce t����mects.alt ihree of lhe following requirem.e�ts: 1. es t req��ire modifieation lo eleetricai ar gas service. ?• Hes a total co5t of$;30U.00 or less;e�ludine If�e cost af the fixh►re a�app)iancc:and 3. Is improved,installed or replaced b,y fhe homeowner or ficeuscd contractar. �kip nest section,i6this applies; C.as�of I'emiit S 15.Q0 �taic Surc(iarr�e $ 50 Maif-(n Fee(tf Applicable) S�� Totat Aerm�t Fee g (Per�it Fees Co�tinued On filext Page) � Rpr 11 06 01 : 28p Tim Iverson 320-274-8820 p. 4 � �JIrF. `:.;`:PER]1�1IT��E CA�,GULATtON(S)�-JOBS 4VER$500�00 � If above does n�t apply;fallow guidelines below: 1. C.ONTRACT PRICE + is 1.25%uf contract price wid�a(Minimum Fee of 535.00) o� _ �- ' C�, x.61ZSS (contract price) (mmimum f35.00) 2. STATE SURGHARC� *�Add the State Bldg Code Div.Surcharse(Minimum Fec otS.SO) - ��`�� •i� x.OQ05 $ (conlract price) (m�eimum S ,30) 3. PnSTAGE�S:HANDL[NG(Only on Mail-in Applicetions) $_ � Sq 4, TOTAI,PERMI't FEE(Add l,ines 1-3 Above) s ■ * CONTRACT PRICE o�JOii COST means the actual or eslimated dollar amau��t chacged for the permitced work including materiats, labor,profil,and other fixed costs. It is the amount to be charged to the cusmmer for the work done. !f any material,equipment, labor or instatlations are fiimished by the owner,tenani or any nther parry, the reasonable market value of such items must be added to the esiimated cost or contract price for permit fee purposes. 1n the event that there is a dispute on the amount of the job cost, thc Ciry may request ri�e submission of a signed copy of the actual contract. • '•The STATE SURCHARG� is.00DS of the contract�rice under S1,OOO,OOQ or 5.50-wkichever is greater. For vatuations over 51,000,000 call thc Building DeparinTent at(952)Z49-4600 for the price. ,:::�: •-. • --- _._..,.,:,,, . ....... ....::... ....... - 'P��7I►i�lI�1G'PER�iIIT�'PL;I�A-: � � `i'ZO�V'A�R�ET�,�v1E'I�T;:' Tlie undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do atl work in strict accordance with the ordinances af the City and the regulations af�the State of Minnesota, and certifies that al! statements made on this application are complete, trwe and correct. Applicar:Ys Signatu `_^� -r+---��" Date:���f �(1�/ r - ;= Rsset�o�'m .:�.: :... ;; �._ .: � Rpr il 06 01 : 27p Tim Iverson 320-z74-8820 p. l . � �� �.- i l-o � O � . � , �.�.� � �r`oh� � �� " ��-��- �� 1�. � I � �� h U��-�9�� � � � ���v�.c�' � L� � � ���� ' �` , r— '�� r� � � � , � w��,� ,��^ �P w ����� . , , �� w� �� � L� Z 3�3�3�� � ����� � � AT� TIME CITY OF ORONO CALLED IN INSPECTION TI SCHEDULED -a0 �: PERMIT NO. ��� COMPLETED ADDRESS a�S.�t� S��'���Ovr�� OWNER CONTR. TELEPHONE N0. l0 �� �3 �a �� � DESCRIPTION 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 v 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � ) � I� ��� T� S � ��C � L���� ��Lv.. c� D� 0 � W � Q � z W � w � � � a � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑C RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOFi REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETl1RN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTfONREQUIRED.CALLTOARRANGEACCESS. Catl for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. L'j,� � � � White Copyllnspector's File Canary CopylSite Notice DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT N0. COMPLETED ADDRESS OWNER CONTR. -- TELEPHONE NO. � DESCRIPTION l� 01 FOOTING 11 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 J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDAT�ON/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o � ��1C�� n�� t~� T �i '' t�.� ,� -� el" /-l� � fe� — � � ( ) ` � i � Tl �i'^ �� � J � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE ���ORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL{NSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice