HomeMy WebLinkAbout2002-P05672 - plumbing PERMIT
C�ITY° OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Pos6�2
Crystal B�y, Minnesota 55323 Permit Type: Fix�ures
(952) 249-4600 Date Issued: io�i�2oo2
SITE ADDRESS: 177 Glendale Dr
L.ong Lake,MN 55356
PID: 34-118-23-33-0001
DESCRIPTION:
Proposed Use: lnshtutional
Pernut Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
2 sump basin for drain tile
FEE SUMMARY: Permit Fee: $ 596.30 Valuation: $ 47,704.00
State Surcharge Fee: $ 23.85
Misc.Fee: $ 1.50
TOTAL FEE: $ 621.65
APPLICANT: MinnDak Mechanical Inc. OWNER: Calvin Presbyterian Church
14918 200th Avenue NW 177 Glendale Dr
Elk River,MN 55330 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEIVIENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
�___..�'�
',�'��-� �-� �. - �'���
AP LICANT PERMITEE SIGNATURE [SSUED B�' IGNATURE �
/
Copies: 1-File(Sienitures Required), 1-Applicant. 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1
w
SEP-24-2002 TUE 01 ;55 PM MinnDak Mech Inc/Norse FRX N0, 763 441 9040 P, 05
�' Sep-lB-ioo2 o2:i5pm From-CITY OF �ROND +9522a94616 T-ot6 P,�02/006 F-136
, ����
, � �
�P
�;X'T'Y OF ORONU AP$LYCATIO F ���I
N OR PLUMBING P�RMYT �
�� 66 (2750 Kclley Parkway) ' �
Crysta! $ay, MN 55323 0�
r
-�,
G L INFORMA�ON
1. Yau may apply�or plumbi.ng permits by mail or ia petson at 1he Ciry ofEices,
7. Pecnsi�cards wfll be sent by renun mail after s reviaw is completed, 8'ERMITS AR�NOT VALiD UNTIY.
YOU R&CF1V�A p�YtMIT. �,V,�,RYC 1V1tJST NOT B�f31N UNTII.THfi PFRM �p�D Tc n�r S'�n oN
THFs,f4�S�I'1�.
3. Plumbing petmits m�y be iss�cd ON�Y ro lic�nsed plumbing co�traewrs�ad�o properry vwriers resSdf�g
l�n tr►z dwelling.
4. When aqy pew con9auction or remodeliug is involved, a separate buildiny perm3G muse be oDr�ined.
5. All wor�c mus�4x dQne in accordance wi�h[he State Code requirements.
4, All work musi be inspected aad air [ested before it ig cwcred. C311 (9S2) 249-4600. 24�hour�etion
required.
�.,�truetions Complete all icems on this applic$�3on. Compute the peruiit fee. Sign ana date che
certifica�ion. INCOMPLETE APPLICATTONS WII,L NOT BE PROCESSED. If you have
questians, call (952) 249�600,
Pl�ase eheck ont; ,`. NeW D� Addition Repair Replace
^Rcsidontial � Commercia] '
JOS SITE: ��`I�`/ G�eevc�K�e l�r• �� �.��''e. �jp; �5.��(
�Owncr'sNamc: ���;„ �� �!'S4ry ck�« ,a�o���,o Telepb4neNumber:
le�ail�ngAddress: I'7� G'l�KB�I� '��;�; City: �� �J�e Zip: �:��5�
Contractor's Name:��;�t�1%�e �pc� W��`Ca��L�c Telep oneNumber; �jGi� L/ /- ry �,.,
1WTaylingA�c�'ess��`�.8' ,�c'�'f�1 /��� N�� City: �'IIC�•'e� Z�p; 5��3U
P.7.�IMsn�ct�IRTCJRP S HEDULE
PlXrin2E �SMT 15T ZND OTHER F]XTUR� BSMT lST 2ND QTHER
"fYP� FL FL TYPE FZ FL
Water Closei � �loor Drains / �
Lava�o � Sewec �ieo�or '
�a�+b L,aund Tra f
Shower Wuher
Ki�chen Sink � 1�U'a[er�3ea�r �
_v_�.o�?�„ , Waeer Sof�encr
Dfsltwashct Wet 8ar
5i11cocks � Misc pist �
�a� ��ny e�5�•� ..�-f �,f�-•��,�.����.
SEP-24-2002 TUE 01 ;55 PM MinnDak Mech Inc/Norse FAX N0, 763 441 9040 P, 06
fi
'Sep-18-i0�2 02s15pm From-CITY OF ORONO +9522494616 T-�16 P.D�3/U06 F-136
�1�Y'1'FEE CAT,C�rr.ATION(S)
20A2 State Statute ❑ Yes, Thi� 5ection Applies
The r�placemen[ of a Res�denc�al 'Fxtur� or �lianeP tha,[ nneets all ihree of che following
xequirements:
1) �gS npt requ'ue modifieaciou to e]ectrical or gas service,
2) �Yas a tota cost of$500,00 or less; excYudin�the cost of the fixiur� or appliance;
and �
3) Ys impro�vr,ci, iastallcd or replacecl by the homeowner or licenced coiltractor.
Skip next secrion; Cos�of Pern�it $ 15.0�
S[are Surcharge $ .Sp ��
Mail Tn Pee $ _ 1.50
��above ddes no�apply, follow�ui.delutes below:
1. Contract Prrce'� is .0125 % of job with a Minim Fee�f(�3S_Op)
K /, '?0�/; �r x .olzs � �4I�..?o
� (con�rac�pdce) (minimum�35.00)
2. S1:�te S�urcharEe,'�'� Add the State Bu�lding Co� Division a (Minimt� Fee of� .5�)
.�,�� �?��l�a-a' x .0005 $ -.�, v
(contract prlcej ��;uy,m�$,Sp�
3, s� a (Ou1y mail-ia applications) $ 1. n
4. TATAL PERMIT FEE (Add lines 1-3 above) $ �,��%�p�
---�•,
� CON7RAC1'pRICE or J08 COST me�ns die acm�1 or ostitnated doll�amount charged for�ye permittect
work including ms�cr�a�s,labor,profl�, and o�hcr fixed cosu. It is rhe amount�o be aharged to th,e cusiomer
for rhe work done. If any materiaf,equipmen�, labor,or fn9taila�ion are fumishea by ihe owner,cenant or
any o�het pa��cy the nasonable marle�t valuc of such iioms must be added[o�ie es�t�ated eose or eoAtrac[
pr4e�far petrnit fee purposes, ln she eveat that cher�is a dispu�e ou rlu amourE�of ihe job cos�, [h,e Ciry may
requeS�rhe submissi.on o�'a sfgnec�c4(�y of che actual wnaacc.
W�' Ttu STATE SURCHARGE is.0005 of rhe cen�ract p�ice under$1,OOO�p00 oc S.SO-whichaver ls greate�,
For v�►luations over$I,OOO,Q00 call the Deparrmenc vf Inspeecion Scrvticee for tha pciee,
The undersigne� hereby appls'es to rh,e Ciry for iss�ance of a Plum6ing PeimiL, agrees to do all
work ir� st�ict accordaruce wirh rhe ordinances of t�e Ciry and che re�ulations of t4e Scace of
Mva�nesota, end cemfies rhat all state ents madc on this application are complete� crue �nd
correc�.
Applicant's Si�gnatu � Date; ''��aZ �
���
��� DATE TIME
CITY OF ORONO cn D IN
INSPECTION I�IQTICE "� EDULED t�� "�- � 3�
PERMIT N0. ��'G� � /� COMPLEfED
ADDRESS � ��- �
OWNER C��"z"i CONTR. � "/-���
TELEPHONE NO._��' 3 — �-/ `f�—� �' e/U
,.� , � �
� DESCRIPTION -�u�� �-� � '�v��%.�1L.�z�,-,�,
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/G � ING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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
Q - -
�J T'LU�MBING HL_-.= 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENT
�
a � S t
�
J
0
a
�
0
�
W
�
Q
�
2
W
�
W
�
�
d
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne�t inspection 24 hours in advance. (g52) 249-46��
OwnerlContra s;te:
Inspector. �
White Copyllnspector's Fi e Canary CopylSite Notice
/ :- _
� DATE TIME
CIN OF ORON CALLED IN /
INSPECTION �TICE � SCHEDULED � ' � j
PERMIT NO. -� coMP �e� _�
ADDRESS � j '
OWNER CONTR. ,
TELEPHONE NO. ��[� -3 '� �� — ��L�� �-
�
� DESCRIPTION
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/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
v 0 -FI 15 SEPTIC INSTALL. 22 FOLLOW-UP
9 PIUMBING RI • 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU�YES_NO
� COMMENTS:
4 `� cc �u> -t-
J ��
O
�
�
O
�
W
�
Q
ti
2
W
�
W
�
�
d
� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOPORDER POSTED.CALLINSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (952� 249-46��
OwnerlContractor
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
� /
DATE TIME/
CITY OF ORONO CALLED IN _��
INSPECTION N TICE SCHEDULED —�� ���� l•l.�
PERMIT N0. COMPLETED
�
ADDRESS I�-
OWNER CONTR. I��'� �
TELEPHONE NO. — � �
/ ` - _ ,
� DESCRIPTION � G'�- ✓�,R. �1 JU?j
� 01 FOOTING 1 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 FiEMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 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
= 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
C
�
J
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CEiiTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlCont �on site:
Inspector.
White Copy/lnspe tor's File Canary Copy/Site Notice
,
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NQ,TICE SCHEDULED .� �-/t� •C'�_����y
PERMIT NO. �✓��(�,�� coMP�erE�
ADDRESS � 7��-I,�Cd1 � t:�� � � . � C�1 v�,� ���'!�S�
OWNER CONTR. ^ �G�
TELEPHONENO. ���•� l � � � �� J
� DESCRIPTION
C"`���.:;.
� 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 D -FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q�M'4----
W�09 PLU__M�B. ING R� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J� 10�COIGIBTF7(`i�NAL �� 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: V YE _NO
� COMMENTS: l - - C
�
a -� 'E�- i s fJ�
o — � �� u S
a
�
0
�
W
�
Q
�
Z
W
�
W
�
�
O
W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
O STOP ORDER POSTED.CAII INSPECTOR
❑INSPECTION REQUIRED.�ALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlCon o on site:
Inspector. •v
White Copyllnspector File Canary CopylSite Notice