HomeMy WebLinkAbout2003-P06799 - plumbing PER1�11T
C;�"'��OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po6�99
Crystal Bay, Minnesota 55323 Permit Type: FiX�es
(952) 249-4600 Date Issued: ioig�2oo3
SITE ADDRESS: 2765 Kelley Pkwy
Long Lake,MN 55356 ���'.u, ��;�;:,x :_�;,
Crystal Ra� piN 5S.i23 '
PID: 33-118-23-12-0002 t�a��'�li?-4 �C'
;GiOAi�►3 1c:11:`,jG I
DESCRIPTION: i:;ustaroer•: R�799 ''
G�ER�4ITS - OT�tER �
Proposed Use: C;ommercial-tiusine ss 1 C° �.�� L"�
Permit Class: Plumbing �� F�1 C� 19:5.l�: Tgs.13 '
Pernut :�r� kerriew '
Permit Type: Fixtures 1 �° �'�y p��x� ,
,:1 in Fees ,
� 1 Q 1.5C� !.s�
` i�ate 5urcharge
DETAILS: ' i � Z33 �.:t,�
�, 5(�C Charge�d �.00 t?.t�► ,
Approved per resolution#: � '
Inve�tigati�_�n Fee
Separate pemuts required: 1 P `�.�sG ��,t�ti I�I
�li�l'fJTWL
19i.� Ij
TRX u. �
7dTflL Sf�.� 191.% �
NOTICES/REMARKS: Cr�eek Received ` I
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I Ci�RI�.# 09 TRRPIS# c"+�'4t)
1 Water Closet, 1 Lavatory, 10 Sinks, 1 Water Heater,2 Floor Drains, 1 Eyewash f
FEE SUMMARY: Pernut Fee: $ 183.13 Valuation: $ 14,650.00
State Surcharge Fee: $ 7.33
Misc.Fee: $ 1.50
TOTAL FEE: $ 191.96
APPLICANT: GR Mechanical Plumbing&Heating Inc. �WNER: City of Orono(Vacant Land)
12401 Ironwood Circle-Suite 500 P.O. Box 66
Rogers,MN 55374 Crystal Bay, MN 55323
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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APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway) RECEB'�f�D
Crystal Bay, MN 55323
��P 1 9 2003
GENERAL INFORMATION �'.���F Q���
1. You may apply for plumbing permits by mail or in person ity
2. Pemut 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 permits 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 pernut must be obtained.
5. All work must be done in accordance with the State Code requirements.
5. �.11 wo.k must be i:spected and ai:tested �efo:e i: is cevere�. Call 4?3-7357. 24-hoLr no:ice reqLired.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questions, call 473-7357.
Please check one: � New Addition Repair Replace
Residential _� Commercial
JOB SITE: ,��C�'� � ��c�; �r k z��t i Zip:
O�wner's 1Vame: �elephone:�Tr�mber:_
Mailing Address: City: 'Lip:
Contractor'sName:�.y/Z /1,1� �Gj Q�i,�c;�{--< /,u� � TelephoneNumber: ��� �,���:�[F�3
MailingAddress: /,3�i /�Zr�N we-c,<.( C,�y�cif �5�'City: �:��'r� Zip: � �J 37�-
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
W ater Closet Sewer Ejector
Lavatory � Laundry Tray
Bathtub Washer
Shower Water Heater J
� Sink '(j Water Softener
Disposal Wet Bar
Dishwasher Floor Drains �
Sillcocks Misc (list) � `r� " ' �r���1 �
�
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�l�s�``� x 1.25 $ ;� ���� �?2_
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. I�/�5 C'-�" x .0005 $ �� 3�
(contract price)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 1%/. �/�_
* CONTRACT PRICE or JOB COST means the actual or estimated dollar 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 material, equipment, labor, or installation are furnished 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 actual 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 Department of Inspectional Services for the price.
The undersigned hereby applies to the City 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
correct.
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Applicant's Signatur�e:_ -�� ��l ���_�� ����� �� � ��v� Date: �
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CITY OF ORONO CAILED IN �����3
INSPECTION NOTICE SCHEDULED /a�7-o3 <<�
PERMIT NO. C'S��79'� COMPLETED
ADDRESS
OWNER C NTR. �•�� �pCl�t ,
TELEPHONE NO. ��o � �v� � �� O�
� DESCRIPTION_.,� �
�y Ot FOOTING 11 MECHANICAL I 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAI 19 LAKESHORE/WETLANDS
y
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 D 15 SEPTIC INSTALL. 22 FOLLOW-UP
_ . PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v �� � � 36 FOUNDATIOWREMOVAL
� OWN CONTRACTO O MEET YOU+/YES_NO
h COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe ne t inspection 24 hours in advance. (952) 249-46��
Owner/Contra te:
Inspector. �
White Copyllnspector's File Canary Copy/Site Notfce
�� � � DATE TIME �
CITY OF ORONO CALLED IN a-3
INSPECTION N T C SCHEDULED �-5 d3 /D.'D O
PERMIT N0.—��� COMPLETED
ADDRESS 7 �
OWNER CON R.
TELEPHONENO. 7�3 'TZg 2�03
� DESCRIPTION Pt�4�N� . Y�.�X-��%rt.a[.,c� /�ri�y
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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 PIUMBING FINAI 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W��RKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE
CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOH REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CAII INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS..
Call for the next' spection 24 hours in advance. (g52) 249-4600
OwnerlContra n i :
Inspector.
White CopyAnspector'a F le Canary CopylSite Notice