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Home My WebLink About2005-P08653 - plumbing i 1 , PERMIT ' CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Pog6s3 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 4i2si2oos SITE ADDRESS: 752 Boulder Dr Long Lake,MN 55356 PID: 33-118-23-11-0015 DESCRIPTION: Proposed Use: Kesidential Permit Class: Plumbing Permit Sub-type(s): Multiple Fixtures Pernut Type: Fixtures DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: I I FEE SUMMARY: PermitFee: $ 137.50 Valuation: $ 11,000.00 State Surcharge Fee: $ 5.50 TOTAL FEE: $ 143.00 APPLICANT: Plymouth Plumbing&Heating OWNER: Dahlstrom Development LLC 12270 43rd Street NE 7745 Polaris Lane St.Micheal,MN 55376 Maple Grove,MN 55311 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STWCT'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � ��1�� :��-� APPUCANT PERMITEE SIGNATURE ISSUED BY SIGNATURIi Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Pa�e 1 . t � I I CITY OF ORONO �.PPLI�ATIQN FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) CrystaI Say, NIN 55323 GENERAL I�]i FORMATION 1. You may apply for plumbing pernuts 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 ne�v cor.struction or remodeling is involved, a separate building permit must be obtained. 5. All work must be done in accordance with the Sta[e 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: � New Addition Repair Replace �Residential Commercial JOB SITE: cZ /(�2 L<-�_ Zig: Owner's 1Vame: p 1r` l� TeIephone iVumber: NYailing Address: CitY. ZiP: Contractor's Name: ( ( Telephone Number: �G � ��l�6/� Mailing Address: I a-a-? c�— �3= � • City: $ �iP� ��5"�37,b �I,LTIVIBING FIXTLIRE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet ( � Floor Drains Lavaton J Sewer Ejector Bathtub a' Laundry Tray Shower I Washcr Kitchen Sink � Water Heater rJisposal � Water Softener Dishwasher � ( � Wet Bar � I SIilCOCi:S � � � � �i T�iSC �IiSij � � �. PLD.Il�IT r�E ��.�,C7JT�.��'��lv 1. 1.25% of Contract Price* or IVlir.i:nu:n Fee ($3�.Q�) !/ �vc� X .o12s � (contract price) 2. State SurcharQe. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ (contract price) or $.50, whichever is greater 3. Postaae and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � COivT��,CT �RICE or 30B COST mea��s the accual c:estimated dollar amour.t char�ed for the permitted work including materiais, 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 Ci�y may request the submission of a signed copy of the actual contract. ** The STATE SURCHARGE is .0005 of the conzrac� price under $i,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 Ciry for issuance of a Plumbing Permit, agrees to do all work in strict accordanee with the ordinances of the City and the re�ulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signatu Date: �� DATE TIME � CITY OF ORONO CALLED IN 5 �3 v� INSPECTION NOT C SCHEDULED � '� _��r� PERMIT N0. � co PLETED ADDRESS 1��/ �� • OWNER CONTR. ��1l�ZC� t /'�rJ�7.�� TELEPHONENO. ��' _ � ��P ��.35(0 � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 0 MBING RI 23 SEPTIC F,#NAL 35 HARD COVER REMOVAL J 10 F4NR6. 36 FOUNDATION/REMOVAL � OWNER/CONTRACTO�TO MEET YOU. YES_NO � � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � j � d W ��WORK SATISFACTORY:PROCEED CI PROJECT COMPLETE � ` � ❑CORRECT WORK&PROCEED n ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe ne t�nspection 24 hours in advance. (952� 249-46�� OwnerlContract i'e: Inspector. White Copyllnspector's File Canary CopylSite Notice