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Home My WebLink About2009-00090 - plumbing CITY OF ORONO PERMIT NO.: 2009-00090 " 2750 KELLEY PARKWAY ` ORONO, MN 55356- DATE ISS[1En: 03/OS/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1951 CONCORDIA ST PIN : 18-117-23-14-0011 LEGAL DESC : FAGERNESS : LOT O10 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER NOTE: WATER HEATER APPLICANT WATER HEATER 15.00 CHAMPION PLUMBING LLC STATE SURCHARGE PLBG (<$500) 0.50 3670 DODD ROAD-SUITE 100 EAGAN, MN 55123- MISC FEE 1.50 () TOTAL 17.00 Minnesota State License#: 61770PM OWNER WALDRON,JOHN& LYNN 1951 CONCORDIA 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 S[ate Building Code. This permit is for only the work described and does no[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 construc[ion 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 S[ate Building Code.This permit may be revoked a[any time for,due cause. i��'-"`."' ' LyL l l ��YY�v l l Applicant Permitee Signature Date Issued By ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI ABOVE. CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Bo� 66 (2750 Iielley Parkway) Crystal Bay, MN �5323 GENERAL INFORhfATION 1. You may apply for plumbing permits by mail or in person at the City offices. ��. Permit cards will be sent by return mail afrer a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERI�IIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON � THE JOB SITE. 3. Plumbin; permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. -�. ��'hen any new construction or remodeling is involved, a separate building permit must be obtained. �. �11 work must be done in accordance with [he State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (9�2) 249-4600. 24-hour notice rec�uired. lnstructions 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 (9�2) 249-4600. Please check one: New Addition Repair ✓Replace �/Residential Commercial Jo�SITE: � 9'Si C�nc�-d�� . L� a��`�i � O�rner's Name: l �ph� W�r�� Telephone Number: -p U �Iailing Address: � �,nr�� City: Zip: " � .�.� � Contractor's Name: � ��'�� Telephone Number: ?�Iailina Address: ;�,�n �odd Rd #100 City: Zip• "�aqan MN 5�'l23-�1?3� PLUl�iBING FIXTLTR.E SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT � 1ST 2ND OTHER TYPE FL FL TYPE FL FL �4'a��r Close� Floor Drains Lavator5� Sewer E�ector Ba�h�ub Laundr Tra Shower Washer Ki�chen Sink Water Heater Dis osal Water Softener Dishwasher Wet Bar � Sillcocks Misc (list) 3701� � PERMIT FEE CALCULATION(S) 2002 State Stahite � 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; excludina the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licenced contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125 % of job with a Minimum Fee of ($35 001 x .0125 $ (contract price) (minimum $35.00) 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of $ .�0) x .0005 $ (contract price) (minimum $ .50) 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ _�_��_ � CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted �vork including materials, labor, profit, and other fixed costs. It is the amount to be charged to the cus[omer for the work done. If any material, eyuipment, labor, or installation are furnished by the owner, tenant or any o[her 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[he contract price under$1,000,000 or $.50 - whichever is greater. For valuations over $1,000,000 call the Department of Inspection Services for the price. The undersigned hereby applies to the City for issuance of a Plumbing Pernut, 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 conect. Applicant's Signature: � �� Date: ��v�` � ' 3�010 � � � � h11htNE.�OTA DEPARTt�1ENTC?F Plumbin Bond & Insurance Certificate . LABOR 8► IPiDUSTRY J i Co�struction Codes and Licensing Divislon Licensing and Certification Services 443 LaPayette Road N St Paul,MN 55155 Website: www.doli.state.mn,us E-mail: DLI.License(c�state.mn.us Telephone: 651-284-5080 This is to certify that the certificate holder is in compliance with Minnesota Statutes§3266.46, Subd. 2 for calendar year 2009 and may engage in the piumbing trade in all areas of the state of Minnesota. JAMES G MEYER License: 61770PM CHAMPION PLUMBING LLC 3670 DODD RD STE 100 EAGAN, MN 55123 2 O O� Bond ID: 70598382 Liability Insurance IQ: CCX0512146 WESTERN SURETY CO GENERAL CASUALTY INSURANCE � COMPANY i C � � D/ATE TIME ✓ CITY OF ORONO CALLED IN �` � INSPECTION NOTICE SCHEDULED 3�� a�•�o� PERMIT NO. o?a��—Q�d `�O COMPLETED ADDRESS �9-5� �r��iG�Tzd�4' .S�' OWNER �4�t W��—�--�''��CONTR. TELEPHONE NO. ��Z Y7� �1nS'� � DESCRIPTION /��1�12.Sr�'-�" LlJ�� 1��'�e�"�'� � ❑ FOOTING ❑ ME HANICAL RI ❑ 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 � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � WNE ONTRACTOR TO MEET Y U _YES NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � d � ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. ,-; PHOTO TAKEN INSPECTOR W{LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�0 OwnerlContractor o s�te: Inspector. �� ,S White Copyllnspector's File Canary CopylSite Notice � � �� ✓ � ATE TIME CITY OF ORONO CALLED IN INSPECTION OTICE SCHEDULED � O� PERMIT N -6D�1nD COMPLETED ADDRESS �5� OWNER CONTR. TELEPHONE N0. l�J ��7l�9� Sr• � DESCRIPTION �—f"�1� � �C�X/L.� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION � ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP W ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL �MBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: ES_NO � COMMENTS: � W � � �'V� � �� o �, � �Lt�� '' � ��S S J r� l�e� =�� L lc�P � 0 � w � Q � z W � W � j d W ❑WORKSATISFACTORY:PROCEED C�� PROJECT COMPLETE � ❑CORRECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY W � �CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V EFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerfContractor on site: Inspector. _ �� White Copyllnspector's File Canary CopylSite Notice