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HomeMy WebLinkAbout2010-00102 - plumbing CITY OF ORONO PERMIT NO.: 2010-00102 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 02/25/21'p10 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(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (1)WATER CLOSET,(1)LAVATORY,AND(1)BATHTUB VALUATION OF PLUMBING 2500 APPLICANT PLUMBING FIXTURE FEE 50.00 BOEVAAG PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 1.25 P.O. BOX 1257 PRIOR LAKE,MN 55372- TOTAL 51.25 (952)440-3792 PAID WITH CC# 0690 OWNER GHERARDI,LORI 1010 WILLOWVIEW DR LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with t State Building Code.This permit may be revoke an e for c A scant Permitee Signatur Date *Issudgnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. F �Y E ONLY Orono �¢O% City Box 66 Date Received: v /UPermit# py7 o/49 '!!f9 of a 2750 Kelley Parkway `v''x• Crystal Bay,MN 55323 Approved By: Amount$: �� t�!> (952)249-4600 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) ❑✓ Residential ❑Commercial(Approval Required) ❑New Q Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: 3785 Togo rd Owner: Mailing Address: City: Orono Zip: Home Phone: Alternate Phone: Contractor Information: Boevaag Plumbing Inc. Jeff Contractor: Contact Person: Address: PO Box 1257 State Bond#: 2064888 City: Prior Lake Zip.55372 Expiration Date: 12/31/01 Phone: (952)440-3792 Alternate Phone: (952)292-1511 ✓� Insurance—Current: 06/01/10 1 FIXTURE BSMT IsT 2 OTHER FIXTURE BSMT 1 2ND 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 k Q 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 PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of S.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 5—/. 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 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. PLUMBING PERMIT APPLICATION AGREEMENT 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. Applicants Signator . Date: Reset Form 3 oW` DAT( TIME L/ CITY OF ORONO CALLED IN — v INSPECTION NOTICE SCHEDULED PERMIT NO.o20/0 — COMPLETED ADDRESS d7F,5 OWNER TELEPHONE NO. 932 ZcIZ 1-510/ CONTRACTOR 3Z DESCRIPTION W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS O El FRAMING El MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS El FINAL E] SEWER HOOK-UP [I COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ElDEMO-FINAL ElSEPTIC INSTALL ElHARD COVER REMOVAL v ❑ PLUMBIN AL ❑ FOUNDATION/REMOVAL OWNE CONTRACTOR TO MEET YOU: ES NO COMMENTS: cc W Q. Cr O CC O U_ W Q Z W z w CC OW D WORK SATISFACTORY:PROCEED 0<OJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING 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 ins ,ion 24 hours in advance. (952) 249-4690 Owner/Contractor on Inspector. White Copy/Inspector's File Canary Copy/Site Notice DE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.JO10 W 10:1-7 COMPLETED ADDRESS 3795 OGD Pd— OWNER / CONTR. BD CZQ.aQ TELEPHONE NO. 7 Z 2Q Z DESCRIPTION � '`` n Q -� ❑ FOOTING ❑ MECHANICA ❑ EXCAV/GRADING/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 i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W 0. Cr O W W cc Q Z W W cc NORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN C1 CITATION ISSUED ElSTOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copynnspectoes File Canary Copy/Site Notice