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Home My WebLink About2009-00128 - plumbing . CITY OF ORONO PERMIT NO.: 2009-oo�2s , 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEn: 03/31/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 520 NORTH ARM DR PIN : 06-117-23-31-0005 LEGAL DESC : VICTORIA ESTATES : LOT 003 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: BASEMENT: 1 WC, 1 LAV, 1 SHOWER,2 SILLCOCKS, 1 FLOOR DRAIN, 1 WATER HEATER, 1 WET BAR 1ST FLOOR: 2 WC,3 LAV, 1 TUB, 1 SHOWER,2 KITCHEN SINKS, 1 DISPOSAL, 1 DISHWASHER 1 LAUNDRY TRAY, 1 WASHER,2 COFFEE BARS 2ND FLOOR: 1 WC, 1 LAV, 1 TUB VALUATION OF PLUMBING 8000 APPLICANT PLUMBING FIXTURE FEE 100.00 SOUTH MECHANICAL CONT STATE SURCHARGE PLBG(VALUATION) 4.00 21005 LANGFORD AVE SW JORDAN,MN 55372- MAIL-IN FEE 2.00 (952)492-2440 TOTAL 106.00 Minnesota State License#: 059502PM OWNER PELLIZZER,TIMOTHY 520 NORTH ARM DR MOiJND,MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. Ali provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF ORONO APPLICATION FOR PLIJ1�iBING PERMTT Box 66 (2750 Kelley Pazkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. 2. Permit cazds will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII., THE PERMIT CARD IS POSTEU ON THE JOB SITE. 3. Plumbing pemuu may be issued ONLY to licensed plumbing contractors and to properry 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 249-4600. 24-hour notice required. 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 249-4600. Please check one: � New Addition Repair Replace Residential Commercial JOB STTE: J�l� /l�r� �� ri l/'� Zip: Owner's Name: ��o�Q./ Bro�C�� : Telephone Number: vlailing Address� �.er.v �ra�._e.. City: Zip: Contractor's Name: � S'�� /Y/�,r�a�:�GK�Telephone \umber: 9 i�—y9a—�/5�� Mailing Address: ZioDs'La H�� i,� City: T��ZiP: 553�� PLUMBING FIXTURE SCHEDULE : FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS�iT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet � p�. � Floor Drains Lavatory 3 I Sewer Ejector � Bathtub ( Laundry Tray I Shower I I Washer Kitchen Sink Water Heater I Disposal � Water Softener Dishwasher Wet Bar Sillcocks Misc (list) ,,, p� �,�g ` a'v PERMIT TEE CALCULATION U" 1. 1.25% of Contract Price* or Minimum Fee ($35.00) RDOd� � � x .0125 $ - (contract price) 2. State Surcharge. ** Add the State ildin Cod Division � Surcharge to each permit. �DD� . �� x .0005 $ t (contract price) or $.50, whichever is greater 3. Postage and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � � .aD * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fized costs. It is the amount to be charged to the customer for the work done. If any material, equipment, iabor,or installafion 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 Ciiy 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. Applicant's Signature: � �'1� � ��`—" Date: �j � '� �� . ' _ � i i ; ; ; ;; ;; y ;. < , , :.: i i � nnin��sorn a�r��arr��rrro� c ; f L�ABfJR 8t IIVDU�TRX Plumbing Bond & Insurance;Certificate � ,,; � ; ; ; ' ` : � : �ons�ucbQn Codes and Li�eris�d.g DiVlston Llcens[ng and CertlflcaUori Servicea:; A+13 Laf�yette Ra�a N 3E Paul,MN SS155 f ' Websfte';ww do�mn�s '`E-mait DI.LLicenseRDs�t�mn:us 1'elepAone. 651 2$4-Sb80 � This is to'certify tlrat`the cert�cate tiofider is'irI Compliance with ICAinnesota Statutes§326�.A8,�Subd.2 for calendar year 2009 and may � E engage in the plumbing trade in ali areas of the state of Minnesota. i RONALQ J SGHLINl� L.�cense �9502PM (PM004265) � ,:: SOUTH M�GHAMI�AL�ON'�RACI'�RS INC ;. ;. ;:>;> ,,.: `` 21005 LANG�t`1RD/l�/E ' " _ JORDAN,MN 55352 : . : ;.: _ ,; : i �O 0� Bond ID: 55 163780 Liability Insurance ID: 60064442 UNITED FIRE AND CASUALTY COMPANY UNITED FIRE AND CASUALTY COMPANY __ ____.. -- ---_, --- -----__, _._-- _ ------- _. ___-- __ _______- �— -------- , , , � ; , � , � MINNESOTA DEPT.OF LABOR AND INDUSTRY PLEASE CHECK YOUR CARDS FOR ACCURACY. CONSTRUCTION CODES AND LICENSING IF YOU FIND AN ERROR,PLEASE CALL 651.284.5080 443 LAFAYETTE RD. ` IMMEDIATELY. ST.PAUL,nnN ss�55 WALLET DISPLAY CARD STATE OF MINNESOTA �°u � MASTER PLIMBER TNIS UCENSE MUST BE IN YOUR PO ,�,,.ew,,.,, ��,��, DURING WORKING HOURS. ';�� License# 059502-PM e C './. ' ' Expiration Date 12/31/2009 CTION 29/1990 . '�'�� PLEASE NOTIFY CONSTRU : ,: p�ginal Issued Date 03/ LICENSWG OF ANY ADDRESS CHAN ,;�� . RONALD J SCHLINK 21005 LANGFORD AVE L JORDAN, MN 55352 P P L C � t MINN�'i,Gp7A OEI�/�i�7��ENT nF LAB(�R& INDUSTRY ' MiNNt`:':1'.Ap�ryq�.i��p��F � LABOR&INDUSTRY Construction Codes and Licensing Division Construction Codes aad Licensing Division Commissioner of Labor and Industry Commissioncr ot Gabor and Industry Has Received and Filed a $25,000 Surety Bond� i{as quire b aMS 3'26.992?for Work Re ulated As Re y As Required by MS 326.992, for Work Regulated by the State Mechanical Codc g by the State Mechanical Code To: Ronald Schlink Bond No: ss-is6a�s South Mechanical Contractors, MB ID:01511 To: Ronald Schlink Inc. Bond.No: 55-186415 Effective Date South Mechanical Contractors,Inc. MB ID: 01511 Expiration Date 21005 Lanqford Ave. 8��g 8/�0/?��9 Jordan MN 55352 Effective Date Expiration Date 8/21/2008 8/20/2009 MBFormRC 03/26/2009 13:41 9524926051 #2562 P.001 /001 ACORD�, CERTIFICATE OF LIABILITY lNSURANCE 3%26%2009n ��R (952)492-6050 FAX: (952)492-6051 THI3 CERTIFlCATE IS ISSUED AS A MATTER OF INFORMATlON ,Tardan Agency ONLY AND CONFER$ NO RIGHTS UPON THE CERTIFlCATE HOL.n�R- THI3 CERTIFlCATE DOES NOT ANEEND, IXTEND OR 111 Eroad�vay Street South ALtER THE COVERAGE AFFQRDED BY THE POL[CiES BELOW. Jordan A�1 55352 INSURER3 AFFORDING COVERAGE NAiC# iNsu�� iNSu�R a United Fir� & Casual 13021 S4U�'H MECHANICAI, CONTRACTORS INC iwSUrtot e: 21005 LANGFORD AVE INSURERC: � INSURER 0: JORDAN NA1 55352—9356 itv5u�t p: THE POLICIES QF INSUFtANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO A80�FOR THE POLiCY PERIOD INDICATED.N07VNTHSTANDING ANY REQU[REMENT,TERM OR COND1T10N pF ANY COIITRACT OR dTHER DOCUMENT WITFi RHSPECT 70 WHfCN 7HIS CERTIFICATE NU1Y BE I$$UE�pR MAY PERTAIN, THE INSURANCE AFFORDED BY THE PpLICIES DESCRI6ED FiEREIN IS SUBJECT TO ALL 7H£ TERMS, EXCLUS�ONS AND CONDITIONS OF SUCH POLICIES. q nm� WN MAY HAVE BEEN REDUCED IN&R L TYPE OF INSURANCf POIICY NUMBER DPOA�Y EFFEGTIVE DATE EXPIRATION LJYCf3 �N�t�urr s i,000,000 X COMMERCIAL GENERAL UA$IU7'1' OAMAGE30 RENTEO $ 1O0 r OOO A GlA1�SNwoE ❑X OCCl1R 60064442 8/1/2p0� 8/1/2009 MEDEXP one S 5,000 N i v 1,000,000 GEMERAL AGGREGA7E B z r aQO�OOO GEN'L AGGREGATE LIM1T APPIIFS�R: PRODUCFS-CbMPlOP AGG S 2,OOO,OOO X POLICY ECo-T LOC A(RqYOBLLE IJABILiiY CbMBINED SINGLE LIMR B 500�000 AN`!AUTO «�� A ALLOwNEPaUrOs 6006aQ42 8/1/2008 8/1/2009 ' gpDtLY6�EJURY (Per Pe�a+) S X 3CHEDUIED AUTOS X HIRED AUTOS BODtLY 6VJURY s � (Peraocldet� � X NON-0WNED AUTOS PROPERTY DAMAGE S (Per aopdert) GARAGE LW8ILTIY AUTO ONLY-EA ACCIDENT 8 ANY AUTp OTt¢R TFU4N EA A S AUTO ONLY: A g . EXGESSIUMBRELu►uaea.[rr p H ' RR N I,004,OOO occuR �CtAr�S n�u+DE ncc,�c,A� s 1,006,000 • 8 . A oebuC7�E 60064442 8/1/2008 8/1/2009 S X RETENTION 10 Ooo s A WORKF.Rs COka�SanoN anro wc srnru- Ona- T Y NAR EYPLOYQt3'LIABILISY ANY PROPRtE70R/PAR7NERlIXECU7n/E E.L.EACH ACC�DENT 500,OUO OFFlCERrMEMe�xexc�uo�t 60064442 $/1/2009 B/1/2009 E.LD13ennse-�a,�OreES 500,000 ff yes,desaif�e ur+der 3PECIAL PROwS{ONS l.P�SEASE-POLICY IUA�T 6 5OO,OOO oniaz .. - oEscwPnON OF opERnriqHsn_acanor�snrE►ncLr�Dcc�uSibris nnDEa BY SNDORSEMEkTlSPECIAI PRomsioras CERTIF[CATE H�LDER CANCEl.LATION 9HOUL0 ANY OF 7'HE �O�E D6SCRIBED PQLN7ES BE CANCs��+ BEFORE THE CITY OF OR01�70 �w►noN onre n+�EOF, �+E i5s��raG i�R v�n�� o�avoR ro uai 2750 KELLY PARKF7a°aY 1p DAYS Y11�PoTTEN N0710E TO 7ME CEFCfiFlCATE iWWER NAME9 TO lfiE LEFC,eur GRYSTA�, SAY� MN 5532 3 FAILURE TO DO SO SHALL�M�Nq OB�npN pR�urr oP iwY�ID uaoN n� W${J ITS A6ENi5 OR REPRESENTATIVES. AUTHORIZED REPRESENTA7NE Aco�Zs�Zoarvs) �aco�co�ow►rioN+sss ►NS025 roto�>.� P�8,°�� <��'VI TE TIME + CITY OF RONO CALLED IN INSPECTION NO CE SCHEDULED D D.'DZ� PERMIT NO. �� COMPLETED ADDRESS � � OWNER CONTR. �i�� TELEPHONE NO. � �� hi /��'— �� /��S � DESCRIPTION � � ❑ FOOTING ❑ ANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ MO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP = PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YO YES_NO � y COMMENTS: � � I �5-�- � S �„r� a J �_ O a � O � yQ� ,� �Q�,�—�c.l� -�-tT F(vc�J G-I��'1/► ~ �� r � ��le �� d l/�� w W � W � � � a � ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. p pHOTO TAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�� OwnedContractor on site: Inspector. .� �_7 : F _ White Copyllnspector's File Canary CopylSite Notice <%�' TIME V r�� CITY OF ORONO CALLED IN �� __� INSPECTION � '�l� � SCHEDULED � � —/O-� PERMIT NO. � COMPLETED - ADDRESS 'Z� /��7`LL C��c,!/1/L �2�-!/v`e� OWNER TELEPHONE NO `�� at�q9.� CONTRACTOR� >: DESCRIPTION �� "u � � ❑ FOOTING �FLUMBING AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � j'Ul dt/�.O!VM-�-'f't� ''1-L S'� C� � 0 � W � Q � z W � W � � � GW ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISS CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WiTHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor on site: Inspector. l�1 �'"� White Copyllnspector's File Canary CopylSite Notice