HomeMy WebLinkAbout2004-P08251 - plumbing CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Pos2si
Crystal Bay, Min;�.esota 55323 Permit Type: FiX�ures
(952) 249-4600 Date Issued: 12�2i2oo4
SITE ADDRESS: 791 Boulder Dr
I,ong L.ake,MN 55356
P��: 33-118-23-11-0012
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 90.00
Valuation: $ 7,200.00
State Surcharge Fee: $ 3.60
TOTAL FEE: $ 93.60
APPLICANT: Thoen Plumbing Service, Inc. OWNER: John Terrance Homes, LLC
2605 Campus Drive 8266 Xene 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.
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APPLI A T P6RMITEE SIGNATURE ISSUED BY SIG'VATURE
Copies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
12/01/20U4 15:02 FAX 763 591 6071 IVERSON �004��,
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CIT�" OF ORONO APPLICATYON FOR �'I.�UIV�IN'G PERMTT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENER.AL INF(?RMATION'
1, You may apply for plumbing perm.its by mail or in person at the Cicy offices.
2. Permit cazds will be sent by return mail after a revicw is completed. PERMITS ARL NOT VALID UNTIL
YOU RECEIVE A PERMIT. WORK MUST NOT BEG TI, E PERMIT CAR T
TH�70B SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing cantractors and to property owrners residing
in the dwelling.
4. When any new construction or rcmodeling is involved, a separate building per�nit must be obtained.
5. All work�must be done in accordance with the State Code requiremcnts.
6. AIl work must be inspected and air tested before it is covered. Cail (952) 249-4600. 24-hour notice
required.
Instxuc'ons Complete all items on this application. Compute the pet�zit fee. Sign and date the
ceztification. INCOMPLEfE APPLICATIONS WILL NOT BE PROCESSEA. zf �ou have
questions, call (952) 249�600.
Please check one: � NeW Addition Repair Replace
Residential Commercial
JOB SITE: 7�� �u✓�d�i l�� Zip:
Owner's Name: ���� i�����s E-4wne., Telephone Ntunber:
Mailing Address: City: Zip:
Contxactor's Name: ��.• ('I v-Y•l��,�� �r �,.�� Telephone Number: �s2-9�!y S3�
Mailing Address: ?-(oc.� Cc��v> �� City: p��,,v►,�� Zip: S�-I� I
PY.YJMBING�IXT�TRE SCAEDULE
FIXTURE BSMT 1ST 2ND OTH�R FIXTURE BSMT 1ST 2ND OTHER
TYPE PL FL TYPE F1. FL�
Wacer Closet � 7i Floor Dra,ins 1
�.ava[o I Sewer E'ector
Bathcub � r Lauad Tra
Shower W ashcr �
Kitchen Sink � Water Heacer �
Dis osal � Water Softener
.
Dishwasher We�8�' I
Sillcocks Misc (list)
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12/O1/2004 15:02 FAX 763 591 6071 IVERSON l�005
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PER,MIT FEE CALCYn.ATIONfSI
2002 State Statute � Yes, Tlus Section Applies
The replacemeni of a Residentia Lcture or a liance that meets all three of the following �
requirements:
1) Does �not require modification to electrical or gas service_
2) �Tas a total cost of$500.00 or �ess; excludin� the cost of the fixnue ox appliance:
and
3) Is improved, insta,lled or replaced b�' the homeowner or licenced conrractor.
Skip ne�re sectivn; Cost of Permit S �5.00
State Surcharge S .SO
Mail In Fee � 1.50
Tf above does noc apply, follow guideli.nes below:
1. Contract Price* xs .0125 % of job with a Minimum Fee of (S3�.00)
���� . �v x .0125 S
(contract�zice) (mi.nimum$35_00)
2. �tate Surcharge. ** Add the State Building Code Division a (1�inimwn Fee of$ .50)
�20 Q � x .0005 S
� (con�act pricc) (utinimum$ .50)
3. Posta�e and �Tandling (Only mail-in applications) S 1.50
4. TOTAL PERMIT FEE (Add liuies 1-3 above) 5
'" CONT'RACT PRICE or YOB COST means che accual or esti.mated dollar amo�z chazged for the permitted
work including materials, labor,profi�,and orher fuced costs. I�is rhe asnoun�r.o be charged to the customer
for the work don�. iF any material, equipment, labor, or installation are furnisied by the owaer, tenant or
any other parry rhe reasonable mazket value af such items muse be added to�e estimaced eos[ or contract
price for perrnit fee purposes. Ia the e,�ent that there is a dispute oa the amount of rhe job cost,the Ciry may
request the submission of a signed copy of the acmal contract.
'"'" The STAT�SURCHARGE is .0005 oP rhe contract price under$1,Q00,0(30 or S.SO -whichever is greater.
For valuations over$I,000,000 call rhe Depar[ment of Inspeccion Services foc r�e price. .
The undersigned hereby a�plies to the Ciry for issuance of a Plumbina Permit, aarees to do all
work in scrict accordance with the ordinances of the Ciry and the re�ulations of the State of
Minnesoca, and certifies that all stacements made on tIus application are complece, true and
�ar�,'ect.
Applicant'sSigna re: � Date: � l—a�
!,�/��-!� �� �/
/�D B� TIME
CITY OF ORON CALLED IN �
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INSPECTION SCHEDULED � J
PERMIT NO. COMPLETED
ADDRESS �
OWNER CONTR.
TELEPHONEN�!lZ���03 —" 327"Y"
� DESCRIPTION
� 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
Z04 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (95Z� Z49-46��
OwnerlContractor on sitq:
Inspector. (L / j
White Copyllnspector's File Canary Copy/Site Notice
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�� ������ D-A-T7E TIME
Y CITY OF ORONO CALLED IN (��`%��-E-'
INSPECTION NO�ICE SCHEDULED -Z� ` `�= ��r��
PERMIT NO. ����`�/ COMPIETED
ADDRESS 7 ��/ /�j < <. l�1 .l���=-
OWNER CONTR. ..��'��`1"l�-� f�(��inf�
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TELEPHONE NO. ��� y
� DESCRIPTION Pl �����J���;�� /`�Z
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 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
v 07 DEMO-FINA� 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 WORK SATISFACTORY:PROCEED I l PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
C INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlCont \ ite:
Inspector. C
White Copyllnspector's File Canary CopylSite Notice