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:
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OW D WORK SATISFACTORY:PROCEED 0<OJECTCOMPLETE
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❑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:
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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