HomeMy WebLinkAbout2005-P08354 - plumbing * �
PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P08354
Crystal Bay, Minnesota 55323 Permit Type: FiX�es
(952) 249-4600 Date Issued: iii2i2oos
SITE ADDRESS: 781 Boulder Dr
Long Lake,MN 55356
PID: 33-118-23-11-0008
DESCRIPTION:
Proposed Use: Kesidentiai
Pemut Class: Plumbing
Permit Type: Fixtures Pernut Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
also sump pump
FEE SUMMARY: Pernut Fee: $ 62.50 Valuation: $ 5,000.00
State Surcharge Fee: $ 2.50
TOTAL FEE: $ 65.00
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 STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Apnlicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
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���'�� 0� ��:��Q E���.I�E�.�'��i�vT �''OR P��)ZE���s ��'���'
�3ox 66 (2750 Kelley Parkway)
��-ystal �ay, I�N 5�323
GENER�L �'ORMA'FION
1. You may apply for plumbin� permits by mail or in person at the City offices.
2. PernZit cards will be sent by return mail after a review is completed. PERMITS f�RE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing pernlits may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dwelling.
4. ��lhea any new cor.structior. or remodeling is iavolved, a separate buildir.g permit must be ob±ained.
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.
�nsta-uctions Complete all items on this application. Compute the permit fee. Si6n and date
the certification. INCOMPLE`�'� APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: �New Addition Repair Replace
��t�esidential Commerciai
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J�� s�E: `���� ,�3(..c jC�"r � �;� �ig:
�wner's �Tame: �\�,vt\-�-��.-�_ ��v�.� �'eiephone N�mbe�:
1i�Iailin� �.ddress: City: Zap:
Con�ractor's Name: l � . Telephone Number: 7(3 �Co Cgl�
iL�ailing Ac�dress: / �-� ��- �F 3"' _ %_ CitY� � 'l���f p: --�� �� 7 C�
P�,��ING FI�T�� SCgIEI3IJg.E
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT iST 2ND OTHER
TYPE FL FL TYPE FL FL
i 1
Water Closet � � � � Floor Drains
u
Lavator� � I � Sewer Ejector
i f
Bathtub � � I Laundry Tray I
Shawer a �1 � � ' Washer �
Kitchen Sink I Water Heater I
Disgosal � Water Softener
Dishwasher � � � � Wet Bar � (
Sillc�chs { �., i I {� P,�isc (list)�J,�"'� i � � �
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���R��s r,�� ��r�yJ� P,�F�lv
f�iit .1 1 i L �. �, u av �
1. �.2�% �f C�ntract Price* or l�inir.:�n; FeP (�3�.��?)
�����✓ x .Q125 $
(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. Posta,��e and Handlina (Only mail-in applications} $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
� COivT�=.�+CT PRICE or JOB�CST r�ea�zs the ac�ual c:estimated dollar am�unt C��(�CjPd 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 installatian are fumished 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.
*'k The STATE SURCHARGE is .000� of the conuact 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 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
corrPct.
, _- � � �--
Applicant's Signature: �—"�_ � ���� � `� Date. � D
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DATE �- TIME
CITY OF ORONO CALLED IN 5 - -O
INSPECTION N �ICE SCHEDULED -vi-�-�'1'Z� =�' ���
PERMIT NO. D 3S COMPLET 1�� '�
ADDRESS I �
OWNER CONTR. �
TELEPHONE NO. 77�p �7 ��� �:�J L%
� DESCRIPTION
lu 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J LUMBING F AL 36 FOUNDATION/REMOVAL
� O NT TO MEET YOU:_YES_NO
� COMMENTS:
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W� �/ORKSATISFACTORY:PROCEED �i7PROJECTCOMPLETE
W ❑ CORRECT WORK&PROCEED !-1 ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �; pH0T0 TAKEN
INSPECTOR WILL RETURN
�� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContracto
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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�p � DATE TIME
ITY OF ORONO CALLED IN�"7 �� Lr'
INSPECTIO OTICE SCHEDULED r' : e �)
� PERMIT NO. J , � �� COMPLETED
ADDRESS ������E ���Z.� / i�-- ,Z�,(�_
OWNER CONTR. ���� �7���_
TELEPHONE NO. '��3 -a� - 3�'� ✓`��-C,c /
� DESCRIPTION �
� 01 FOOTING 11 MECHANICAL RI 18 EXCA / RADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
❑ INSPECTION RE�UIRED.CA�I TO ARRANGE ACCESS.
Ca11 forthe next i spection 24 hours in advance. (Q52� 24J-4600
OwnerlContrac# �' e�
Inspector_ E�.
White Copyllnspector's File Canary CopylSite Notice