HomeMy WebLinkAbout2003-P06804 - plumbing PERMIT
CITY OF ORONO
27�0 Kelley Parkway- PO Box 66 Permit Number: � P06804
Crystal Bay, Minnesota 55323 Permit Type: FiXtures
(952) 249-4600 Date Issued: 9/22/2003
SITE ADDRESS: 2765 Kelley Pkwy
I.ong Lake,MN 55356
PID: 33-118-23-12-0002
DESCRI PTION:
Proposed Use: Commerciai-t3usiness
Permit Class: Plumbing
Permit Type: Fixtures Pernut Sub-type(s): Mulriple Fixtures
DETAILS:
Approved per resolution#:
Separate pernvts required:
NOTICES/REMARKS:
Dental Sinks and
FEE SUMMARY: Pemut Fee: $ 218•�5 Valuation• $ 17,500.00
State Surcharge Fee: $ 8.75
Misc.Fee: $ 1.50
TOTAL FEE: $ 229.00
APPLICANT' GR Mechanical Plumbing&Heating Inc. OWNER: 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 IMPROVEMENT'S SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMINTS.
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Signitures Required), 1-Avplicant 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1
Ju1-16-2003 OT:38an From-CITY OF ORONO +9522d84616 T-837 P 001/002 F-972
- REC�I��D
_ ' SFP �� �Qp,3
ON F4R PLUMB�NG PERMIT CI TY pF aRON�
,�ppLYCATI
CITY OF QRONO parkway)
Box 66 (2750�e�5323
Crystal Bay,
rson ac the CitY°ff�ces.
* Yau mayaPPiY f��b��rmits by mail or�P� e�d. PERMITS ARE NOT VALIA UN'TIl-
1. rcturn ma�l a�r a review is corn�l Ep �1 C�D g g�E ON
Z. Permic cards will be sent bY W R MUST N� BE U IL
YOU RECENE A PE�Mir' to Io oyvntrs residing
THE OB ITfi- c;on�ractors and P Pem'
Ptumbip.g p��ts�y�is�ed ON�Y�licensed plumbin$
3, �����g periait must be obta'uied.
u►the dwelling• u�ar remodeling is involved,a sep
4. �eII�y new constnic �9-460p. 24-hour no�ice
5, All work must�;���a°0�a al�,st�d before C�e�o er dm Call (952}
6, All work muSt
requuea• ermit fee. Sign and date the
lete all items on chis aPPucation. Compute the p If you have
I , 'o s Comp App�CATION5 WILI- NOT BE PROCESSED.
cercificahon. INCp�LE'I'E
questions, call (9�2� 249-���
!�New ,�_p►�dition
Repair Replace
Please check one: g�sidential �_ C��ercial
J'- Zip:
- - el� furK � ��
JOB SI'TE:�— � Telephone Nurnber:
Owner's Name: DK� ��` City: �ne N�unbe p� �� �� 4 3
Ma�ling Address: � � , Telep .
Convactor's N:une:L �'� �' ` .
��IY�City: �. ��� ��P: h 5 3�
l�}�Fv r' ,rc. � '
Mailing Addr�� .
P i3MB�Nr F CHEDULE
BSM"f 1 ST 2ND OTHER
BSMT 1ST 2ND �T�E� F�TURE pL FL
�IXTUR� FL FL 7YP�
TYPE
�laor Drauu
Water C�osec
Sewer E�eetor
L,avn�o �n �7ra
Bachcub � washer
��a S�nK->
Wacer Heaser
.�t Sink
Water Softener
Di9 s� Wet Bat
Dishwasher
Misc(list) _
Silicocks
Ju1-16-2003 D7:38an From-CITY OF OR01� +A522484616 T-837 P 002/002 F-972
pE� � CA�.CULA ION
2002 �tate Statute � Yes, This Section Applies
The replacemenc or a Re�idential fixture or �ppliar�ce that meecs all threa �f che following
requirements:
1) Does not require modi'�ication to electrical or gas service.
2) Has a total cost of$500.00 or less; excludin�the cost of the fixwre or appliance:
and
3) Is improved, installed or replaced by the homeowner or licenced concractor.
Skip next section; Cost of Permit $ _00
State Surcharge $ .5�
Mail In �ee $ 1.50
If above does noc apply, follow guidelines below:
1, Con act r'rce* is .0125 °I of job with a Minimum Fee 4f($35.00)
°� x .0125 $ � � ��
(contract price) (minimum$35.00)
2, �ta�Surc�ar e ** Add che State Buildins Code pivision a (Minimum Fee of$ .50)
� —I -�
�� x .0005 $ � I�7_
(contract grice) (minimum� .50)
3, po��e an Han�g (�r►1y mail-in applications) $ 1.50
4. TOTA.L PERMIT FEE (Add lines I-3 ahove) � � �
* CONTItACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitued
work includi�ig materials,labor,profit,assd other fixed costs. Tt is the amount to be charged�o�he customcr
for the work done. If any mauri2�1,e�ipment,labor,or instailation are furnished by�he owner,tenant or
any o[her pa�'ry tha reasonable mazke�valtye of such items must be added te[he estimated cvst or eonvac[
price for p�rmit fee purpoces. In ihe cvent tt�at there is a disgute oa che amoun�af[he job cost,ihe Ciry may
reques�the submission of a signed copy of the acn�al contraet.
** The STATE SURCHARGE is .OWS of che eonuacc price under$1,000,000 or $.50-whichever is grea[er•
For valuations over$1.000,000 cali che DePar�ment af Incpec[ion Services for ttie priee.
The u�ersigned hereby applies io the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regufations of the Stace of
Iirlinnesota, and certifies that all statements roade on thi a plication are complete, true and
coaect. �
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� c►�t.vv�.� ! L �;��. -�R Date:
Applicant's Signacure: �,
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DAT TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTIC�Ei t ' SCHEDULED �U��� �1� 3 OC},(�
PERMIT NO. PUl.c'E C7'1 COMPLETED
ADDRESS .����� �C-�.Q�u ��L �;� - P�t�- �I�q.
OWNER CONTR. ��-12 �l�(�_c_ . .
TELEPHONE N0.� 1� -� �2� Z--[�� 3
� DESCRIPTION� v y -"' �~ � �� - � �'
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�!/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PL I 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� O 0 MEET YOU:_YES_NO
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� �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
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Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOH
❑INSPECTION REQUIRED.CALLTO ARFANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContra r o site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� �
C D TIME
CITY OF ORONO CALLED IN `
INSPECTION I SCHEDULED � '� �
PERMIT NO. COMPLETE
ADDRESS � � �"`�
OWNER CONTR. ~ �°
TELEPHONE NO.��Q� ���3
� DESCRIPTION �V� f P �
� 01 FOOTING 11 ME HANICAL RI 18 EXCAV/GRADING/FILUNG
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER7FIREPIACE 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 COMPUUNT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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0�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COYERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contracto ` ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME �
C��jJ.�
.�_,.�
CITY OF ORONO CALLED IN '—`r =�
INSPECTION NOTICE SCHEDULED I/�
PERMIT N0. ���c�0� COMPLETED
ADDRESS ` �'�� � �
OWNER CONTR. .
TELEPHONE NO. �l��J — �c��—��r��
� DESCRIPTION ����"" ' `� -�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT
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
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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0 O CORRECT WORK,CALL FOR FEINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next i spection 24 hours in advance. (952) 249-4600
OwnerlContra 't :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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TE TIME ,
CITY OF ORONO CALLED IN / '���
INSPECTION N ICE �/ SCHEDULED /o�?- //- I13 ;C�4
PERMIT N0. �`f COMPLEfED
ADDRESS o?��Jr ��e���,c� f �I`��• ���2
OWNER CONTR. �12� /��p�
TELEPHONE NO. ��D.3 ���o��v�A� �
� DESCRIPTION . I (/����C/` "-�
� 01 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
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-FINAL 15 SEPTIC INSTAIL. 22 FOLLOW-UP
= PLUMBING R 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUM 36 FOUNDATIOWREMOVAL
� OW RICONTRACT TO MEET YOU: ES_NO
��., COMMENTS:
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� ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next'nspection 24 hours in advance. (952) 249-46��
OwnerlContracto t •
Inspector.
White Copyllospector's File Canary CopylSite Notice
/� a �
CITY OF ORONO CALLEO IN ('J��� TIME
INSPECTION NOT� SCHEDULED �a? I3 �
PERMIT NO. COMPLETEO ���
ADDRESS ��
OWNER CONTR.
TELEPHONE NO.__��P � �� � a��P 3
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 0.3 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 MAINL 21 COMPLAINT
`� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v � � � 36 FOUNDATIOWREMOVAL
� OW CONTRACT O MEET YOU:V YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECTUNSAFECONOITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL AEfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952) 249-4600
OwnerlContr s e:
Inspector. �
White Copyll�spector's Fil Caoary CopylSfte Notice