HomeMy WebLinkAbout2014-00386 - plumbing CITYOFORONO * z0 14 - 0PJ386 *
2750 KELLEY PARKWAY DATE ISSUED: OS/OU2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1000 COX FARM RD
PIN : 27-118-23-32-0018
LEGAL DESC : SHADOWOOD FARM
: LOT 008 BLOCK 001
PERMIT TYPE : PLUMBING (<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURE
NOTE: WATER CLOSET REPLACEM�NT
APPLICANT PLUMBING FIXTURE FEE (<$500) 15.00
STATE SURCHARGE PLBG (<$500) 5.00
HUBER PLUMBING CO LLC TOTAL 20.00
2751 LAMPHERE DRIVE
NEW HOPE, MN 55427-8 Payment(s)
Minnesota State License#: PLUM-58913,mech-5901 CREDIT CARD 6648 20.00
OWNER
NARUM, DAVID& CAROL
1000 COX FARM ROAD
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
�he work for which this permit is issued shall be perfbrmed according to
the approved plans and specifications,applicable City approva�s,and the
State Building Code. "fhis pennit is for only the work described and docs
not grant permission tur additional or related work which req�iires separate
permits. AII provisions of laws and ordinances governing this type of work
shall be compied with�+�hether or not specitied herein.'I�his permit will
expire and becomc null and void if�construction authorized is not
commenced within I 80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any timc atter work has commenced.
The applicant is responsible for assuring all required inspections are
req ested in conformance ith the State Building Code.This permit may be
rev ed at any me for d e c e.
� - /
' ' � 'l ' �i I i /�`'
p �icant Per tee ignature Date Issu By Signature Date
, Apr 2� 14 03;31 p Huber 763-231-0295 p.6
,
R Cl Y LISE ONLY
�O A, City o(Orono ��,/� (`iJ„
�y P.O Box 66 Dale Receiv Permit� 7 a�
�
� 275G Kcllcy Park���ay
f Crys[al Bay,y1N 55323 Approved By: Amuunt$.�•__
(95�)244-4600-Main
�� '� � (952)249-4616-Fax
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�' �` CITY OF OROI�O—PLU'VIBING PERMIT
��kxsH o�`�" (All Commercial Permits Must be Approved b}�the State Prior to Ciry Approva!)
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cEN��1. 1�vFOR�TIo�T
L You may apply for plumbing permits by mail or in person at thc City offices. Applications will be
reviewed and a penmit will be issued within two�-orking days.
2. Permit cards will be sent by return mail after a.review is completed. PERR9ITS ARE NOT
VAL1D U�TIL YOU RECEIVE A PEfU4IT. WORK MUST NOT S�GI�I UIY7'IE.THE
PERI�IT C,1RD IS POSTED ON TEIE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed piumbing contractors and to property owners
residing in the dweliing_
4. When any new co�struction or remodeling is invotved,a separate building permit must be
obtained.
5. All work must be done in accordance with State Code require3nenCs.
6. Al] work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT �
_ (Check Al l That App�)
Q Kesidential ❑Commercial(Apprava!Required)
❑New ❑ additional (�Repairs ❑ Replace
❑ Fn Accessory Structure?
"`You will need prior anaroval and may need CUP.(Per Orono City Code,Chapte�78,,4rticle TV)
Job Site/Owner Information:
Site Addxess: 1000 Cox Farm Rd
��vner: Da�id Narum Mailing Address:
�;ty. Orono Zip: 5�356
�Iome Phone: 503-516-9720 .4lternate Phone:
Contxactor Information:
Contractor: Huber Plumbin� Co LLC Contact Person: Randy Huber
Address: 2751 Lam�here Dr State Bond�#: PC644036
City: �C�(.� h'��G Zip:�'�� ExpirationDate: 12l31115
Phone: 763-231-0295 Alternate Phone: 612-599-5055
� [nsurance—Current: �es
1
, Apr29�1403:31p Huber 763-231-0295 p.7
PLUMBING FIXTliRES BEING INSTALLED E
FIXTURE BSMT I'T 2`D OTtI[:R FIXTURE BSMT 1" 2N" OTHER
TYP� PL FL TYPE PL F�.
Water Closct 1 Floor Drains
Lavatory Sewer Ejector
Bathtub � i I.aundry Tray
Sho�ver l�t'asher
Kitchen Sink �'ater Heater
Disposal R'ater Sofrener
Dishwasher �'et Bar i �
Sillcocks 1�Ziscellaneous
PERMIT FEE CALCU.LATION(S)
1 BASED OFF - 2002 STATE STATUE _
� Yes,this section applies
The repIacement of only one Residential fixture or appliance that meets all three ofthe follawing
requirements:
I. Does not require moditication to el�ctrical or gas sen�ice.
2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance:and
3. Is improved, installed or replaced by the homeowner or licensed plumbing contractor.
Skip next section, ifthis applies; Cost of Permit S i5.00
State Surcharge S >.00
Mail-]n Fee(If Applicable) � 2.00
Total Permit Fee $ 22_00
(Permit Fees Continued On�1ext Page)
2
, Apr 29 14 03:32p Huber 763-231-0295 p.8
PERMiT FEF CALCULATION(S)—JOBS OVER$500.00
If above daes nol apply;follo�v j�idelines below:
1. CON 1'RAC7' PRICF. * is 1.25%of contract prace w�ith a(Minimum Fee of$50.00)
x.Ul2S a
(conttact pnee) tmi��ienum 5511.Of1)
2. STA'�'E SURCH.ARGE
x.Q005 $
(contrdct price)
3. P05TAGF.& HANDLING(Only on Mail-In Applications) $ 2.p0
a. TOTAL PERMiT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or 10B COST means the actual or estimated dollar an�ourt charged for the
permitfed work including materials, labor,profit, and other fixc�xE eosts. It is the amount lo be charged
to the customer for the work done. If any rnaterial,equipment, tahor or installarions are furnished by
the owner,tenant or any other party, the reasonable market value of such items rnust be added to frte
estimated cost or contraci 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.
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#he Citv and the regulations of tbe State of
Minnesota, a�d certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: �� ��— Date: 4 4
129/1
3
Apr291403:29p Huber 763-231-0295 p.2
� _,�vEVESOTA DEPT.OF LABOR AND INDUSTRY
, rCONSTRUCTtON CODES AUD ucENsiN� PL�ASE CHECK YQUR CAROS FOR ACCIlRACY.
_ '44��atayette I-ipad rt IF YOU�If�lp AN ERk�OR,PLEASE CALL fi51.284.5031
, S7.PAUt,MIV 55155 �M�EQ�A.�`Y
�rvE TH(� CARD TO EMP�OYER
WAL�.ET DISPLAY C(JPY
STATE QF M�NNESOTA
L7ASTER PLUMBER , ���� STATE OF MINNESOTA
�ICOnSB# t1ASTER PLUMBER ��,,,,`�.'.
#'M058413 � � � ,� 4 �.
Expiratian Date 12131/2014 ��"�`� '`� License# PM058913 �'w
'v�.����' Enpiration Dafe 1 Z/31/2014 ' � '""�
Effeciive Date D7/Q9�ZOI.3 �, .a� �.�t,l _'$
� �r:✓ EHective Date 07/09/2013 �'�;_�-�'
Original Issue Date 09/22/1983 � Origina! Issue Date 09/22/1983 �"
RANDAML D HUBER RA�IDAHL fl HUBER
2751 LAMPNERE DR 2757 LAMPI-IERE DR
GOLDEN VALLEY,MN 55427 GOLQEN VALLEY,iu1N S5�t27
�LABt� MINN�A��PA►��,�NTOF PLUMBING CONTRACTOR
JR 8c I[�DUSTRY
Construc6on Codes and Gcensing Division Licensing and Cartifcatiun Servirxs. 443 lafayette Road N SI.Pauf,MN 55155
Wehske: www.dfi.mn.Qovh�cldasp _ - Ernail: dti.licansepstate mn us. Pho�a: 651284.5034 - -
This is tu cer[ify that the cerrificate-}tolder is Iicense8 as a PLL?MBING CONTRACTOR in Uhe state of Minnesota and is in compliance with -
Minnesota Statutes 326$.46,and may perform or ofFer to perform plumbing work in all areas of the state during U�e license period;
provided the responsible individua]is at al1 tim,es a MASTER PLUMBER and the certificate holder maamtains comp��amce wiU,the required
bond,general Eiability iAsaraiice,and workecs`compensaiion layrs,
License : PLUMBlNG CONTRACTOR -
Lic Number : PC644o36 HUBEFi PLUMBING CO LLC i
Effective Date : OilD�/2014 2751 LAMPHERE DR`- B
Expiration Date : 12731J2015 GOLDEN VNL.LEY,�IIN 55427 .. �
c
- T
YERIFY UP-TO-DaTE S7ATUS, BOND,AND iNSIlRANCE INFO AT www.dli,mn.00vlccidlLicVerifv asp_�ENTER NUMBER).
M
';� MINNESOTA DEPARTMENTOK � �
�' �.aso�z et iNous�rRv M�CHANtCAL C�NTF�ACTQR BOfVD
� Construcdon Codes and Licensing Divisian Licersing and Certificalion Services 443 L.aTHyeUe Road N St.P01A,MN 65f55
Website; www,dli.m .n aov/cGd aS0 Email: dii.license(a�state-mn.us Phane- 651 2B4.5p34
This is to cer[ify tt�at ihe certificate holder is registered as a MECHANICAL CONTRAC�'OR BOND in the state of MinResota and is in complia,�ce .
wi[h MinnesoYa Statutes 326B.197,and has filed a$25,OQ0 inechanical bottd to pedorm gas,heating,ventilarion,cuolitzg,air conditioning,
fuel burning,or refrigeration woric in all areas of the state during the regEstration period;provided the work pcxfacmed complies witli
tlie State Mechanicai Code and the certificate k�older maintains compliance with the required bond and workers'compen5atio7 laws.
Regisirateon : MECFfANICAL CONTRACTOR BOND
RegNumber : M�iDo59p1 HUBER PLUiViBING CO LLC i�
Effective Date : 03/31/20i4 2751 LAMPHERE aR $
Expiration Date : 03130�2076 �OLDEN VALLEY, MN 55427 c
T
� VERIFY UP-'CO-DATE STATUS,BflND,AND INSURANCE INFO AT www.dli.mn,�ovlccld/LicVerifv aSp (ENTER NUiI�lBER).
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION�Ib(�TI�C ,`� , �.✓1��c.[, SCHEDULED __�
PERMIT NO. y � ' S,COMPLEfED /-/� 'r�j
ADDRESS���``Z`'� ��'� /�r.T•-wt j��
OWNER TELEPHONE NO.
CONTRACTOR
�; DESCRIPTION
�
� ❑ FOOTING �PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING f8'�ECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL LJ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: a�iv/�t-� �D���r ��r�/��i' �Ls �'��t //
a 7�''�'' � ��<i L /✓�-`��-f.��.-�
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aC�'��:��%�,�
W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector. �-- �
White Copyllnspector's File Canary CopylSite Notice
✓
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. e?O/�S/-U�3 F�� COMPLEfED -//'!,y'
ADDRESS /L� G�,+r F�� �-
OWNER TELEPHONE NO.
CONTRACTOR � .ya✓ I Jlc .
� DESCRIPTION L' L" ��'?`s �
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ,f�lUMBING FiNAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
Oc • C1��r� lIT, �X KG�/LG�
� �!�_ ��.-�t;� � �U�y- a.3,� � a n
o � _� �3_ ,
W
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Q
� •
W �'��
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� ❑WORKSATISFACTORY:PROCEED ��pROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP OFDEH POSTED.CALL INSPECTOFI �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS_
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnedContractor on site:
Inspector. C� i'•^� �
White Copyllnspector's File Canary CopylSite Notice