HomeMy WebLinkAbout2004 - P07572 - plumbing PERMIT
CITY OF ORONO Permit Number:
2750IKeIIey Parkway - PO Box 66 P07572
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 6/4/2004
SITE ADDRESS: 965 Willow View Dr
Long Lake,MN 55356
PID: 28-118-23-44-0010
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:
Also lawn sprinkler bkflow,gas line for FP, icemaker hookup
FEE SUMMARY: Permit Fee: $ 200.00 Valuation: $ 16,000.00
State Surcharge Fee: $ 8.00
Misc. Fee: $ 1.50
TOTAL FEE: $ 209.50
APPLICANT: Schulties Plumbing(See Comments) OWNER: RVC Homes
1521 94th Lane NE 1003 Twelve Oaks Circle
Blaine,MN 55449 Wayzata,MN 55391
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 ISSUED BY SIGNATURE
Copies: 1-File(Si'nitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL [FORMATION
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 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 249-4600.
Please check one: ew Addition Repair Replace
Residential Commercial
JOB SI'I'r;: �'�� �� � ,40 Zip:
Owner's Name: j / i, Telephone Number: `Z,3-70--5754
Mailing Address: .? , �,. City: Zip: !r ,1
Contractor's Name: .4 L �i71!� . Tele ne Number: '
i City:Address: /5,7/ Gf C� Zi p: Alp t
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet / j 3 Floor Drains
Lavatory ( / Sewer Ejector
Bathtub Laundry Tray
Shower r r Washer
Kitchen Sink / Water Heater /
Disposal ( Water Softener
Dishwasher / Wet Bar
Sillcocks Misc (list) ( tea;
' .
49/4.e*Zy
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Mine Fee
�00)
/ dU x .0125 $ aOO.00
(contr�ct price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. 'I /6,000,00 x .0005 $ 00
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ e:20 q,Sb
* 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 of 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 Inspectional 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.
or
's Signature: 411 Date:Applicant g
$
APR-01-2004 14 34 MINNEHAHA CREEK WATERSHED 6124710682 P.02/04
Minnehaha Creek � Watershed. District
Improving Quality of Water, Quality ofLife
Established in 1967
Mall:
Pursuant to Minnesota Statutes Chapter 103D, and on the basis of statements
18202 Minnetonka Blvd, and information contained in the permit application, correspondence, plans,
Deephaven,MN 55391 maps, and all other supporting data submitted by the applicant, all of which are
Phone:(952)471 0590 made a part hereof by reference, PERMISSION IS HEREBY GRANTED to the
applicant named below for use and development of land in the Minnehaha Creek
Fax:(952)471-0682 Watershed District.
Email: Issued to: LeGran Homes Corporation Permit No: 04-100
admin@minnehahacreek.org
Web site; Location: 965 Willow View, Orono
Purpose: Rule B: Erosion Control
www.minnehahacraek.org
Date of Issuance: 03/30/04 Date of Expiration: 03/30/05
By Order of the Board of Managers
Board of Managers
Renee Clark
Pamela Blixt District Technician
James Calkins
This permit is not transferable, and is valid to the date of expiration. No activity is
Lance Fisher authorized beyond the expiration date. If the permittee requires more time to
Susan Goetz complete the project, an application for renewal of the permit is required.
Monica Gross
The applicant is responsible for compliance with all District Rules and for the
Richard Miller action of their representatives, contractors, and employees.
Scott Thomas
Conditions: Project to be completed as described in plans submitted to the
MCWD office on March 30, 2004, according to the provisions of
this permit.
• Properly install and maintain all required MCWD Rule B,
erosion control measures until the disturbed areas are
restabilized
• Silt fence must be orange in color
• When the site is restablilized and the MCWD staff has
performed a final inspection, all silt fences mµ 4 .l'cmoyed
(Statement concerning fees for inspections, violations, etc... on reverse)
•� Prinlndonmcycletipaparamelning
at 1883130%p081 conamner wash.
DATE TIME 1
CITY OF ORONO CALLED IN � 2-f -01
INSPECTION NOTICE SCHEDULED l%i2-�! q:�«�
PERMIT NO. R)75-7 2- COMPLETED
ADDRESS 9(42;5 lC.)( 1V (% �'w' 0/e -
OWNER —7M/ '-CONTR./ ��� c A ci// e S /4.14v-6/4.14v-63 /
TELEPHONE NO. 2(0 ' 60 7
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DESCRIPTION ( i���s� %� (it .`o�,'
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J -1'6lPLUMBING FINAL 36 FOUNDATION/REMOVAL
TO MEET YOU:_YESNO
o COMMENTS:
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W 0101VbRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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Cl CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contrac OPP
Inspector. 111.
White Copy/Inspector's File Canary Copy/Site Notice
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bATE TIME
CITY OF ORONO CALLED IN A O D
INSPECTION NOT}CE —7 SCHEDULED 617/0 //-0
PERMIT NO. PD~ !5 7Z COMPLETED
ADDRESS qC.o 5 CA.) ; // (D w iJ uv L
OWNER CONTR. SC.�u-/ f e S
TELEPHONE N (-7
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DESCRIPTION V o_` Ret' Pia,"10
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Cl) 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
▪ OWNER/CONTRACTOR TO MEET YOU: YES_NO
vv)• COMMENTS:
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✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on s e:
Inspector. °A)1.(
White Copyllnspectors File Canary Copy/Site Notice
D TIME
CITY OF ORONO CALLED IN
INSPECTION IC SCHEDULED _� �/ 'l /0:3D
PERMIT NO. C/5/� COMPLETED
ADDRESS bs W I l/i UI e / 2 pp
OWNER '7 /CONTR. 5diuL+ies pL '
TELEPHONE NO. 7(o 3 / ' qoo7
DESCRIPTION pLii,m,61P-0
U 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
• 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
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES NO
• COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CCW
❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
• ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
• BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n inspection 24 hours in advance. (952) 249-4600
Owner/Contr on it : _
`inn
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice