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Home My WebLink About2006-P10325 - plumbing PERMIT CITY OF ORONO Permit Number: 2750 Keiley Parkway- PO Box 66 P10325 Crystal Bay,,Minnesota 55323 Permit Type: Fixtures (952).249-4600 Date Issued: 9/13/2006 SITE ADDRESS: 2765 Kelley Pkwy Unit# Long Lake,MN 55356 P�� 33-118-23-12-0002 DESCRIPTION: Proposed Use: Commercial-Business Permit Class: Plumbing Permit Type: Fixhues Permit Sub-type(s): Mulriple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 78�13 valuation: $ 6,250.00 State Surcharge Fee: $ 3.13 Misc.Fee: $ 1.50 TOTAL FEE: $ g2,�6 APPLICANT: GR Mechanical Plumbing&Heating Inc.( OWNER: Skin Care Doctors 12401 Ironwood Circle-Suite 500 2765 Kelley Pkwy Rogers,MN 55374 Long Lake,MN 55356 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. � (� - /��, %`�`-'`-� ��2'�-� �'C,� APPLICANT P RMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 FOR CITY USE ONLY O¢O�O, City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway • -� � ''• ►� Crystal Bay,MN 55323 Approved By: Amount$: �t� �"y . : o` (952)249-4600 t4�od� - CITY OF ORONO-PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMTI'. 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 permit must be obtained. "' S. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT Check All That A 1 ) ❑ Residential �Commercial(Approval Required) l� ❑New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need arior anproval and may need( U{'.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: �� Lt� � �� ;��_ � � �- : Owner: �r K -� C -� `�� Mailing Address: f`� - Ci�-�� -� �c � > City: Zip: Home Phone: Alternate Phone: Contractar Information: Contractor: (��V �� l� � �� l )�ontactPerson: �� `�"� � � Address: ��I �(t��t�t,�z� ��i�� tate Bond#: ,'�� " I�L- �� . ��lc City: ��'�"�"_ Zip:S�>>�y Expiration Date: Phone: �Lt"� '�� !`�j Alternate Phone: ❑ Insurance-Current: 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 ° O'THER TYPE FL FL TYPE FL FL Water Closet � Floor Drains Lavatory ( Sewer Ejector Bathroom Laundry Tray Shower Washer '�Sink � Water Heater ►F , Disposal Water Softener Dishwasher Wet Bar • Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance:and 3. ts improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 PERMIT FEE CALCULATION S)—JOBS OVER $500.00 ' If above does not apply;follow guidelines below: 1. COPITRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) � �r �`��C �-� X.oizs$ �� .�3 (contract price) (minimum 535.00) 2. STATE SURCHARGE "*Add the State Bldg Code Div.Surchazge(Minimum Fee of$.50) ��.� `�! x.0005 $ • �' I.� (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMTI'FEE(Add Lines 1-3 Above) $ ,J •/� ��-� � ■ * 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, eyuipment, labor or installations are furnished by the owner,tenant or any other party,the reasonable market value of such items must be added to the estimaied 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 Building Department at(952)249-4600 for the price. PLUMBING PERMIT APPLICATION AGREEMENT 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. ✓" � , � � Applicant's Signahtr�"'ll r i l i IZ�, �� , �� Date: � 7��L�", Reset Form 3 \ �G�D TE TIME �l.Yl T OF ORON CALLED IN ( � � �' INSPECTION NO ICE SCHEDULED � PERMIT NO.�f C�iol�-�j COMPLETED ADDRESS � � �i� OWNER CONTR. �� /�_ �`ylov� TELEPHONENO. �C1�� L��/�.f��_ � DESCRIPTION ��•��'Z�'�I `=�� ty 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h O 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP � 09 PLUMBING RI 23 SEPTIC NAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU: YES_NO � COMMENTS: � � a � �.�� - L�7"I ��^�Z11��2 � J O � � V.� G�� 4�'/ QL1i/l,� � aj � C� `� �i ) S it...,'n-r �� W � Q � Z W � W � � �`�Q�RKSATISFACTORY:PROCEED f� PROJECTCOMPLETE � ❑C RECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on ite: Inspector. � White Copylinspector's File Canary CopylSite Notice ��- ��,�, DA� �T TIME CITY OF ORONO CALLED IN �O �"`v� INSPECTION NO CE SCHEDULED /�-N'�G"��/v� �crD PERMIT NO. � } � COMPLETED I b"�'CJ1e �C� � ADDRESS �� S ��e�� OWNER CONTR. --- - TELEPHONE NO. � �' � �� c��17 �J � DESCRIPTION t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPL4INT � 07�DEM � 15 SEPTIC INSTALL. 22 FOLLOW-UP _ , PL85 UMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 1 BING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o � . �1 �o � �F' "�C S "F- � �. , a � 0 � W � Q � z W � W � � d � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: �� Inspector. �.�1 White Copyllnspector's File Canary CopylSite Notice