HomeMy WebLinkAbout2004-P07888 - plumbing QrTrOF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: P07888
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 8/27/2004
SITE ADDRESS: 2430 Thoroughbred La
LONG LAKE,MN 55356
PID: 04-117-23-11-0013
DESCRIPTION:
Proposed Use: Residentiai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Also one Standpipe, 1 Icemaker line
FEE SUMMARY: Permit Fee: $ 72.50 Valuation: $ 5,800.00
State Surcharge Fee: $ 2.90
TOTAL FEE: $ 75.40
APPLICANT: Thompson Plumbing OWNER: J C SKOGLUND JR&S SKOGLUND
15001 Minnetonka Ind.Rd. 2430 THOROUGHBRED LA
Minnetonka,MN 55345 LONG LAKE MN 55356
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.
4ICtANT tWR;MITEE'9IGNATURE SSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON
THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing
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. 24-hour notice
required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: New -A— Addition Repair Replace
Residential Commercial
JOB SITE: C-AA a Zip:
Owner's Name: urA Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: Telephone NumbergSa,-q� -=nl
Mailing AddressA City:�kp,,_ Zip:
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower P�
Kitchen Sink Water Heater
Disposal ( Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
PERMIT FEE CALCULATIONS)
2002 State Statute Yes, This Sectio Applies
The replacement of a R idential fixture or a liance that meets all three of the following
requirements:
1) Does not require odification electrical or gas service.
2) Has a total cost of 00.00 or ess; excluding the cost of the fixture or appliance:
and
3) Is improved, installed eplaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00)
*5n�-o x .0125 $ `7 a , �
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50)
x .0005 $ a,q o
(contract price) (minimum$ .50)
3. Postage and Handling (Only mail-in applications) $ >56
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 71 5,Lk
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer
for the work done. If any material, equipment, labor, or installation are furnished by the owner, tenant or
any other party the reasonable market value of such items must be added to the estimated cost or contract
price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,the City may
request the submission of a signed copy-6f the actual contract.
** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.50-whichever is greater.
For valuations over$1,000,000 call the Department of Inspection Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signatures a 'lv�� J�� �� Date: -oL
1 f0 v qjjAj TIME
CITY OF ORONO CALLED IN
INSPECTION f� B' p p SCHEDULED -
PERMIT NO. {{�� O O COMPLETED
ADDRESS a U b-u O(
OWNER p CON R. 1,.D5'D'T
TELEPHONE NO. Q5 Z 933 7717
DESCRIPTION(I'W'� I"'� V I
W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 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
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 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES NO
COMMENTS:
W '
a
O
CC
O
W
CC
Q
Z
W
Z
W
O
WWO R
W K SATISFACTORY:PROCEED 1-1PROJECT COMPLETE
LU ❑CORRECT WORK&PROCEED [IISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (952) 249-4600
Owner/Con ac " o si e:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
D TUE � TIME
CITY OF ORONO CALLED IN / / /ps
_
INSPECTIO O �TICE SCHEDULED D _
PERMIT N0 _7 S�b COMPLETED
ADDRESS .3o 7h D LA_rDu ,bjr?d4v
OWNER CONTR. S0/_1?
TELEPHONE NO. 5 3 7-7
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 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
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
cc
W
a
J
O
cc
O
U_
W
CC
Q
Z
W
W
Q
L-n—WORK SATISFACTORY:PROCEED PROJECT COMPLETE
CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Ci BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t i pection 24 hours in advance. (952) 249-4600
Owner/Cont si e:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice