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HomeMy WebLinkAbout2009-00283 - plumbing CITY OF ORONO PERMIT NO.: 2009-00283 • 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/04/2009 952 249-4600 FAX: 952 249-4616 ADDRESS 3785 TOGO RD PIN 17-117-23-31-0039 LEGAL DESC TOWNSITE OF LANGDON PARK LOT 010 BLOCK 010 PERMIT TYPE PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1ST FLOOR: 1 WC, 1 LAV, 1 BATHTUB, IKITCHEN SINK, 1 WASHER VALUATION OF PLUMBING 4250 APPLICANT PLUMBING FIXTURE FEE 53.13 BOEVAAG PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 2.13 P.O.BOX 1257 TOTAL 55.26 PRIOR LAKE,MN 55372- (952)440-3792 PAID WITH CC# 0965 Minnesota State License#:062966-PM OWNER COLDWELL BANKER 201 EAST LAKE ST WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time�&e 5c4 . _ �J AppiiAtPbr-miteeSignature Date Issued By&gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. FOR CITY USE ONLY ¢U City of Orono Q O;, P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway 3 h Crystal Bay,MN 55323 Approved By: Amount$: �G (952)249-4600 4fts ' 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 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 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 Apply) 0 Residential ❑Commercial(Approval Required) ❑New Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior aoaroval and may need(J 11.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: 3785 Togo Rd Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Boevaag Plumbing inc. Jeff Contractor: Contact Person: Address: P.O. Box 1257 State Bond#: RL1602839 City: Prior Lake Zip.55372 Expiration Date: 12/31/09 Phone: (952)440-3792 Alternate Phone: (952)292-1511 ✓Q Insurance—Current: 12/11/09 1 FIXTURE BSMT 1 2NO OTHER FIXTURE BSMT 1 2 NO OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous 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. Is 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) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.011) 4,250.00 x.0125$ 53.12 (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of&so) 4,250.00 x.0005 $ 2.12 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 55.24 • * 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$1,000,000 or$.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. ----1''4�9 5k2m;mmmimjliiiiiiii�iiiiiiiI 10 1111 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. �r Applicants Signature: Date: 3 �r D E TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT N d0 - g!92 _X3 COMPLETED / ADDRESS OWNER ClIaTR. TELEPHONE N0.C-4�Tl f;, - DESCRIPTION ` tA ❑ FOOTING ❑ MECH Q FRAMING AL RI EXCAV/GRADING/FILLING ❑ NICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ 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 ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO cam., COMMENTS: W a O O W Cc Q 2 W W CC Cl Lu, ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE rt W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor Inspector. White Copylinspector's File Canary Copy/Site Notice C � 5_ TIME kX CITY OF ORONO CALLED IN _2ZnZ01 INSPECTION NOTICE SCHEDULED 14,11641 PERMIT NOoJ22?" diA93COMPLETED ADDRESS OWNER CONTR. �7D�Gva.Q. A TELEPHONE NO.S6 C X507 "` �9a ""�S- / DESCRIPTION /v . Lij ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAWGRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ❑ PLUMBING RI ❑ SEPTI FINAL ❑ HARD COVER REMOVAL v tW.RkUMBING FINA ❑ FOUNDATION/REMOVAL OWNE TRACTOR TO ET YOU YES_NO y COM TS: W o 4 J O 0 tL W CC Q Z Lij W W W ❑WORK SATISFACTORY.PROCEED *PROJECT COMPLETE cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: 41 __�3 gf-D gn Inspector. White CopyMspector's File Canary Copy/Site Notice