HomeMy WebLinkAbout2005-P08355 - plumbing . , � PERMIT
C�TY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po83ss
Crystal Bay, Minnesota 55323 Permit Type: FiX�es
(952) 249-4600 Date Issued: 1�i2�2oos
SITE ADDRESS: 783 Boulder Dr
I.ong Lake,MN 55356
PID: 33-118-23-11-0009
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.
�
APPLICANTPERM[TEESIGNATURE I UEDBYSIGNATURE
Copies: 1-File(Signitures Required), 1-Aonlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
. �
�IT�' 4F ORONO �I'PLICATIDN FOR PLL)MBING PERNFIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 5�323
GENERAL INFORNtATION
1. You may apply for plumbing permits by mail or in person at the Ciry offices.
'_'. Permit cards will be sent by return mail after a review is completed. PERMITS AI2E 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 01�1LY to licensed plumbing contractors and to property owners residing
in the dwelling.
4. When any ne�v cor.st:uctior. er rer.iodeling is involved, a separate buildin� 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. SiQn and date
the certitication. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 249-4600.
Please check one: � New Addition Repair Replace
��ffesidentiai Commerciai
JOB SI'I'E: ������L�c �C�.r^ . �,�� Zig:
��vner's i�ame: �\�,�\--�-,�v-t,��.-�.�. ��,� Teiepnone 1�urnber:
Mailin� Address: City: Zip:
Contractor's Name: . ( Telephone Number: ��(o� �>j Co C9 l o�
Mailing Address: % �-� � � �f 3-<, �� City: �(��-Ii�:S�Zip: ��� 7 C�
PLLTIvIBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
T�'PE FL FL TYPE FL FL
� � i
Water Closet � � ( Floor Drains
u
I.1V"�1C0?'� �
� Se�ver Ejector
i I
Bathtub � � � Laundry Tray
Shuwcr � � I ' Vb'asher ' '
Kitchen Sink � Water Heater I
Disposal � Water Softener
Dishwasher � � � � ( Wet Bar � � �
J1iiCOC�:S � � � � � �� �`�iSC �IiSiiL�W��� I � I I �
U- ;�
� . .
�'LRIVII'T �r''EE �AI,�L,rF.ATI�'?!�
l. 1.25% of Contract Price* or 1Vlinimum Fee ($35.00�
� ��'v �x .0125 $
(contract price)
2. State SurcharQe. ** Add the State BuildinQ Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. PostaQe and Handlin� (Only mail-in applications} $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
COiv��.n�.T PRICE or JO� COS;mc��s the u�tuai cr es,imated dolia: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 inaterial, equipment, labor, or iilstallation 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.
** The STATE SURCfIARGE is .0005 of the contract price und�r �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 City for issuance of a Plumbing Permit, agrees to do all
��ork 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.
_-� � �
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Applicant's Signature: � Date: �
� C/
� O� ` DATE � TIME
� ITY OF ORONO \ CALLED IN � ;�����D
INSPECTION NO C SCHEDULED --C7 / -(:'S �
PERMIT N0. � J� COMP�ETED
ADDRESS � ��/7c-( ll�P/) �/L �r�--
OWNER CONTR. b , �
TELEPHONE NO. �1�'�� �`b CF' ��-3��`— /��t_.-�.�Yl /J/�,
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 E AV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 KESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. �2 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED f_� PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOl1RS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (952� 249-4600
OwnerlContrac n s' :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice