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HomeMy WebLinkAbout2003-P06045 - plumbing CITY O; ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: Po6oas Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 2ii9i2oo3 SITE ADDRESS: 3100 Ridgewood Cir Long Lake,MN 55356 PID: 04-117-23-23-0023 DESCRI PTION: Proposed Use: xesicienriai Pernrit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 62.50 Valuation: $ 5,000.00 State Surcharge Fee: $ 2.50 Misc.Fee: $ 1.50 TOTAL FEE: $ 66.50 APPLICANT: Scherer Plumbing OWNER: Timothy&Holly Cashin 4800 Adrian Circle SE 3100 Ridgewood Cir Prior Lake,MN 55372 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. � � APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Auulicant, 1-Monthlv Renorts, 1-AssessinQ, 1-Finance Page 1 � � CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION i. You may apply for plumbing permits by mail or in person at the City offices. 2. Permit cards will be sent by retum 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 permit must be obtained. 5. All work must be done in accordance with the State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice required. Instructions Complete aIl items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: �'�r�' New �/ Addition Repair Replace _� Residential Commercial JOBSITE: �100 ��c� ��`,C�'.�� L�cC,�� Zip• Owner's Name: � \ '� Telephone Number: Mailing Address: City: Zip: Contractor's Name: S W,� Tele hone Number: ���- �..�U 7-(c;7� Mailing Address: ��,� c ti o,n � 1� � � City: i`�- L.��<p Zip: S�3 7 � C�,�U ������, PLUMBING FIXTURE SCHEDULE Q �C�c� \� FIXTURE BSMT 1ST 2IVD OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL �y� 7 Water Closet °���Az�-� .� Floor Drains Lavato `�1 Sewer E"ector Bathtub 1 Laun Tra Shower °���� � Washer Kitchen Sink � Water Heater Dis osai Water Softener Dishwasher Wet Bar Sillcocks Misc (list) � PERMIT FEE CALCULATION(S) � 2002 State Statute ❑ 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; excludin� the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licenced contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125 % of job with a Minimum Fee oF ($35.001 �S�.CU X .o12s � ��� �5� (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50) �SQOG��' x .0005 $ o� , ��� (contract price) (minimum$ .50) 3. Postage and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ Cr��j . �v * 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 aze 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 Degartment of Inspection Services for the price. The undersigned hereby applies to the City for issuance of a Plumbing Pernut, 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 conect. Applicant's Signature Date: �l ��f��� i � _ �tate of �t�t�te�ota . ' �tate of �tinnesota �IYCttCgOtd" ��,artYttelit Df �CdIr�J �linn�e�n�c�tn�Trt�QX 649�ea[t�j PL�IHBING , � 649'75 121 EAST SE�i.PI�� ST. PALA., M�T 55164-0975 , ' 121 EA,.ST SE'�lII1IH PI�AC�, ST. PAUL, NAJ ' Master,=Plianber Lic� Master Pliur�ber License . _ , ti I,ICENSE 1� 004038PM ":_ ` LICE�TSE N� 004038PM �0� Jeffrey �7'_ SctiereY' . �0: Jeffrey J. Scherer 4800 Acirian Circle EFFE TIYE ATE EXPI ATIO DATE Prior Lake, l�i 55372 O1�/01f2003 12�31�2003 i EFFECTIVE DATE EXPIRATION DATE O1/Ol/2003 12/31/2003 i ��� � � ��� MINNESOTA DEPARTMENT OF HEALTH - BONDING AND INSURANCE CERTIFICATE � � ,� , �, � ' i�� � �'� � This is to certify that Je-Trey J. Scherer, Master Plumber License If{ No. PM004038, representing Scherer Plumbing has filed a $25.000 bond with the 1 � � �I�� Secretary of State on Dec�er 6. 2002 and provided evidence of Public �; Liability Insurance, incl��ing Products Liabil�ty Insurance of at least ;j � � I�( I $50.000 per person and $1Q�.000 per occurrence and Property Damage Insurance i � � of at least $10.000 for tF�� year 2003 in accordance with the provisions of , ; , � � Minnesota Statutes. Sectia� 326.40. � ' � ; ; ��; ; � il I�� BOND N0. 68459483 POLICY N0. 22-X43606-11 Ifi ' Western Surety Company American Family Mutual � Sioux Falls, South Dakota Alan iverson, Minnesota Agent � ' �� Prior Lake. Minnesota � � � . i � ; ,, ; ; ' ' � �' ' MR JEFFREY J SCHERER � ///� ' � SCHERER PLUMBING �� ' i ' ._i`�e Cih ��,.. � ., i 4800 ADRIAN CIRCLE SOUTHE�.�T � PRIOR LAKE MN 55372 � . Patricia A. Bloomgren. Director Division of Environmental Health Jan K. Malcolm, Commissioner , DATE TIME � CITY OF ORONO CALLED IN ��Y-U 3 INSPECTION NOTICE SCHEDULED .�"�5 �G�j /F',� PERMIT N0. �,�C)��S COMPLETED .� . 7 , � ,� ;-, . ADDRESS ;�I:'`C; s�.-c..�������.�z-�..__c_�' �,..�t,.2. OWNER CONTR. ���.a�..2.�-�i. /��,---��� TELEPHONE N0. �� I� 7�� �G��� � � DESCRIPTION � Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS 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 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v Z-C�EMO-FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP fi 09 PLUMBING RI 23 SEPTIC FI 35 HARD COVER REMOVAL v ��6' 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMEN S~ � W a � J O >. � O � W � Q � Z W � W � � d � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOFECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next in pection 24 hours in advance. (g52) 249-4600 OwnerlContractacerr�it - Inspector. � White Copyllnspector's File Canary Copy/Site Notice