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HomeMy WebLinkAbout2006-P10095 - plumbing " PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P10095 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 7/12/2006 SITE ADDRESS: 769 Boulder Dr Unit# Long Lake,MN 55356 P��� 33-118-23-11-0007 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved perresolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 131.25 valuation: $ 10,500.00 State Surcharge Fee: $ 5.25 TOTAL FEE: $ 136.50 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. A I/` ; ��.� PPLICANT ERMITEE IGNATURE UED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, l-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page I ` F ` FOR CITY USE ONLY _ O,�D�O E'ity of Orono P.O.Box 66 Date Received: Permit# �?� 2750 Kelley Parkway a� ��?'�r',f-'. � Crystal Bay,MN 55323 Approved By: Amount�: a�����,�..�o` (952)249-4600 agaos CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Pernut 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 pernuts 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 State Code requirements. 6. All work must be inspected and air tested before it is covered, Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT (Check All That A ly) ❑Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Sh-ucture? *You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) [7ob Site/Owner Information: Site Address: 7�%�'/ (�L �c. ���� D �^ Owner: � Ei c= �� ,� �.� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: ��� Contact Person: (��?� Address:�� �OX � ���� State Bond#: �-�j� City: ����✓ (������•'' Zip�S���xpirationDate: /��-3 �'a� Phone: `����- ��� �� �� Alternate Phone: ��r;- ����� � �-�f 3 ❑ Insurance- Current: 1 _ A . • PLLTMBING FIXTURES BElNG INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2' OTHER TYPE FL FL TYPE FL FL Water Closet / � Floor Drains � Lavatory ( � Sewer Ejector Bathtub i Laundry Tray i l Shower i Washer , Kitchen Sink l Water Heater I Disposal � Water Softener Dishwasher l Wet Bar Sillcocks � Miscellaneous � PERMIT FEE C�ALCULATION(S) ���� ��� BASED OFF - 2002 STATE STATLTE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all tluee of the following requirements: 1. Does not require modificarion to electrical or gas service. 2. Has a total cost of$500.00 or less; excludin�the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 . PERMIT FEE CALCULATION(S)—JOBS OVER;$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) ��%i -�� �� x.0125$ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer far the work done. If any material, equipment, labor or installations are funiished 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 actuai 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 Building Department at(952)249-4600 for the price. PLUlVIBING PERMIT APPLICATION�GREEMENT T:�e un�'ersigned hereby applies to the City for issuar.ce of a Plumbing Permit, ab ees 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 Signature Date: � ��``�" � �� 3 ���tJL � _ � �� DAj E r�� CITY OF ORONO CALLED IN ��/ INSPECTION NOTICE SCHEDULED - -D�p � .i'� PERMIT NO. ��� � �S COMPLETED ADDRESS �g C.[�OLcQ��� c��(� OWNER CONTR. ������ ����rx-�' TELEPHONE NO. ��01 .3�o,� 3c� �� � � DESCRIPTION D� � 01 FOOTWG 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO ' � COMMENTS: � � � W i � � 0 � � ��� � � � � � o .�Z" . V}�1�� � �1/��� r�' � � � /� b K W . � F Q : � t �. � W � W � C � � � C d � W� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE C W ❑CORRECT WORK&PROCEED _ ISSUE CERTIFICATE OF OCCUPANCY � � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � O V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. „ pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REOUiRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on� ite: Inspector. � l White Copyllnspector's File Canary CopylSite Notice � �- �/�,�i1 F �� . DATE TIM S`� � ITY OF ORONO �� �CALLED IN-7'[ 7- y � INSPECTION Q�OF,� SCHEDULEDl7 D ,jy� PERMIT NO. / y COMPLETED — � ���� ADDRESS 7l0 g ����-C �� OWNER CONTR. TELEPHONE NO. 9Sa `� y`� 539 7 � DESCRIPTION �G�-�S GK� /'�--�- l� 01 FOOTING 11 MECHANICAL R 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP _ �LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � �n� � '�� � 0 � � 0 � w � Q � z W � W � � d ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ORRECT WORK&PROCEED �'� ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. L PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED D INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46QQ OwnerlContractor on s'te: Inspector. ��1—"� �IJ.� White Copyllnspector's File Canary CopylSite Notice ,�,��;� i/ � � � DATEr�� TIME � CITY OF ORONO CALLED IN � �J, A INSPECTION NOTICE / SCHEDULED ' ��l'/""f PERMIT N0. :�%D U``7 � COMPIETED ADDRESS G'ct �C�.-c/� % k-�. OWNER CONTR. u G TELEPHONE NO._���'� .��L��� �.�Z �Cd�' � 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 WA��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 i09 PL M ING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � ACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � �, �LAi(���ny r}`� 1 '� �'� f] � >. � � ��I ✓ � ��.�. ..cJ j � a�.v��(P tC� — W �c �3' l � f}--�- r(,,�� / Q � � z W � W � � d W� ORK SATISFACTORY:PROCEED fl PROJECT COMPLETE W ❑ ORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on �te: Inspector. � 1'/ J White Copyllnspector's File Canary CopylSite Notice