HomeMy WebLinkAbout2010-01131 - plumbing � ' CITY OF ORONO PERMIT NO.: 2010-01131
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUEn: l U17/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 465 SPRING HILL RD
PIN : 25-118-23-34-0002
LEGAL DESC : UNPLATTED 25 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: BASEMENT: 1 WC, 1 LAV, 1 SHOWER,3 SILLCOCKS,3 FLOOR DRAINS, 1 WATER HEATER, 1 WATER SOFTNER, 1 WET BAR
1ST FLOOR:3 WC,4 LAV, 1 TUB,2 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 LALINDRY TRAY, 1
WASHER, 1 WET BAR
2ND FLOOR:2 WC,2 LAV, 1 TUB, 1 SHOWER, 1 LAUNDRY TRAY, 1 WASHER
VALUATION OF PLUMBING 48260
APPLICANT PLUMBING FIXTURE FEE 603.25
SPRING PLUMBING LLC STATE SURCHARGE PLBG(VALUATION) 24.13
11473 KENYON COURT
BLAINE,MN 55449- TOTAL 62738
(763)614-7963
Minnesota State License#: 066807 PM
OWNER
ZONA TRUSTEE,RICHARD A
55 ARBOR CT
TONKA BAY,MN 55331-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This pertnit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
���VC.�� (M� l l l l
Applicant Permitee Signature Date Issued By S' nature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB .
.
FOR CTI'Y USE ONLY
,¢p� City of Orono
P.O.Box 66 Date Received: Permit#
jl��:, � ' 2750 Kelley Parkway
�� �i"'r ; Crystal Bay,MN 55323 Approved By: Amount$:
\�`'L'�,r ��o��� (952)249-4600
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CITY OF ORONO—PLUMBING PERMIT
(Ali Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
l. You may apply for plumbing permits by mail or in person at the City of�ces. 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 PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMTT CARD IS POSTED ON THE JOB STTE.
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 State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour no6ce required)
TYPE OF PERMIT
Check All That A 1
�Residential ❑Commercial(Approval Required)
�Q New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need orior aanroval and may need CUP. (Per Orono Ciry Code,Chapter 78,Article IV)
Job Site/Owner Information:
site Adaress: 465 Springh111 ROad
o�er: Kyle Hunt & Partners Mailing Address: 18324 Minnetonka Blvd
c;�,: Deephaven Zip: 55391
Home Phone: Alternate Phone: (952� 476-5999
Contractor Information:
con�-actor: Spring Plumbing conta�t person: Theresa Bialon
Address: 11473 Kenyon Court State Bond#: 66057�ZO
Blaine 55449
City: Zip: Expiration Date: +� Zj I �/O
Phone: (763) 614-7963 plternate Phone: (763) 229-1265
❑ Insurance-Current: YeS
1
.
.�'LLTR�'B�NG`r FI3�.�7C[JLZ�S BE�G�tSTALI.��. '
FIXT[JRE BSMT 1 2 OTf�R FIXTURE BSMT 1 2 OTf�R
TYPE FL FL TYPE FL FL
Water Closet � 3 2 Floor Drains 3
Lavatory 1 4 2 Sewer Ejector
Bathtub � � Laundry Tray 1 ,)
Shower ,� 2 ,� Washer 1 ,)
Kitchen Sink ,� Water Heater ,�
Disposal ,� Water Softener ,�
Dishwasher ,� Wet Bar ,� 1
Sillcocks 3 Miscellaneous
�� �'RI�t3`FEE CALCULATit?l��S� ��.
��SED QFF-2�42�TA'i`E S'�A�'�
❑ Yes,this section appli�
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
l. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less; x 1 'n the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Swcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Neat Page)
2
,
PERMIT FEE CALCULATION S -JOBS Q�R$SO4.t�?
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of 550.00)
48,260.00 X.o,2s$ 603.25
(contract price) (minimum$Sp.pp)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of 55.00)
48,260.00 X.000s $24.13
(contract price) (minimum$ 5.00)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $627.38
■ * 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 installations 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$5.00—whichever is
greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
P'LUMBING PE�MIT APPLICATI4N AGREEMENT
T'he undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do a11
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: tiJ�/� ' Date: ( � � v
�"�88t Ft�fl'i7
3
, , STATE OF MINNESOTA
' nnsreR r�uaeeR
License# 066807-PM
Expiratlon Date 12/31/2010
Original Issued Date 11/16/2005 ' �
ALAN .1 BIALOP!
82Z0 RAVENROCK ROAD
ROCKFORD, MN 55373
, . _ ;
-. - ; :::
� � MIN?t1EYOTiA D�PARTM�T:�OF ' `
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�►Bc�R& tNt'�,U��ty Plumbing..B�nd & lnsuran�ce Certificate
conswc.tlon cod.s and ue.�uYg o�v�aon LN�omf�p ana cauneaaon a�rv�ces 4�s t.�a�rvta ao.a N St Pw�,MN 66t6s
` , IAh6siE�:: '' E�mNI: lelephoxp:;�l161-284�6090
This ia M oe►U"fq tha�t it�ce�df�ate holder is in Compliar�ce wnh Minne�ao�'Sfadrt�s§:3Z�B.�,Ss�tid.2 f4t cabndar year 2010 and may
engage in the pluntli�tra�fe 1re aY aress of thei sfats of Mfnnesota.
SPRING PLUMBING LLC
11473 KENYW+f CRT . . I�LAId d B�4L.ON (6�SO7PM)
, BI311[�1�,NIN 65449 ' ' :'
2 O � O Bond ID: 66057120 Liability Insurance ID: 08030392
AUTO OWNERS INSURANCE CO AUTO OWNERS INSURANCE CO
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CITY OF ORONO CALLED IN � / �
INSPECTION NOTICE SCHEDULED / v /%�'��
PERMIT NO.�—�������I COMPLETED
ADDRESS .5 r
OWNER T HONE NO.� � 0 ���
CONTRACTOR ✓ - �
� DESCRIPTION � � U � ��'�"
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� O FOOTING ❑ PLUMBIN FIN L ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHAN RI p LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑C ECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORR�CT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CAII TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (g52) 249-4600
OwnerlContractar site:
Y.
Inspector. � �
White Copyllnspector's File Canary CopylSite Notice
,�\ �-� '! DATE_ TIME �
CITY OF ORONO CALLED w � ��
INSPECTION NOTICE SCHEDULED �/� �
PERMIT NO. aG�C--L�/31 COMPLETED
ADDRESS ���D� � l�Y/ i'LI H/ l l �
OWNER TELEPHONE NO. ���� ��� -�9rO3
CONTRACT �>tT/�l f'� �C�/'Y7� •
� DESCRIPTI NCl'�'/r� �,������;`�D� (-�t`Z%�,�� �Ll�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SE TI FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU:�YES_NO
� COMMENTS: �
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W��ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � GTATION ISSUED
� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContractor on s' e:
Inspector. � �` ��
White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORONO CALLED IN
9 D T TIME
INSPECTION OTICE SCHEDULED — � � d
PERMIT NO.��� "' O L I 3 � COMPLETED
ADDRESS ��J � ���gr�t3d'd�
OWNER TELErHONE N0.7�3 u�X ��-
CONTRACTOR _a,�c(�
� DESCRIPTION
� ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING
Q O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ 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
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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��ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE(X'1afE'1�; PERMANENT
�CORRECTt�:vSAFI a4,?NDITIONWITNIN HOURS. ppHOTOTAKEN
INSPEC��OR W't. " ''�iRN
� ❑STOP OROEt'.POSTEJ.. NSPECTOR �CITATION ISSUED
� ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
�: CaU for the next insp�ection 24 hours in advance. (g52) 249-4600
OwnerlContractor�_si
Inspector. � /�
White CopyMspector's File Canary CopylSite Notice
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