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.
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APPLICANT PERMITEE SIGNATURE UED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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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
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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;.
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.....-:- .. .. : :;�: ::.;:...�PGUMBING FTXTCJiZES.BET�G TNSTAi��ED-� ::'�: :��::�: =�.:.�..;::. .:�
Fi�7'(7RE BSM3" I 2 OTI�R r1XTURF . ,
TYPE r•L �L TvrF BSMT t 2 oTN��
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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
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3ialcocks ) Miscellaneous
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❑ �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)
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`:.;`: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.
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'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�/
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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:
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� 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:
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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