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HomeMy WebLinkAbout2000-P02331 - plumbing t IT'Y F N PERMIT C O ORO O Permit Number: 2750 Kelley Parkway - PO Box 66 Po233 i Crystal Bay, Minnesota 55323 Permit Type: FiXtures (612) 249-4600 Date Issued: 4�i3�oo SITE ADDRESS: 195 Crystal Creek Rd LONG LAKE, MN 55356 P I D: 3 3-118-23-3 2-0004 DESCRIPTION: � ,__��_, Pl'OpOSed USe: �c�iuciiiiai Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Single Family DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 187.50 Valuation: $ 15,000.00 State Surcharge Fee: $ 7.50 TOTAL FEE: $ 195.00 APPLICANT: HOKANSON PLUMBING&HEATING OWNER: PTLLAR HOMES INC 9174 ISANTI ST 185 CRYSTAL CREEK RD BLAINE, MN 55449 LONG LAKE MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISS[ON TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CI'IY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. 1 � � ��� � APPLICANT PERMITEE SI NATURE ISSUED BY SIGNAT RE �J� Cli�� Copies: City,Applicant,Assessor, Finance Page 1 r CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for plumbing pernuts by mail or in person at the City offices. 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 dweliing. 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 the State Code requirements. 6: All work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice required. Instructions 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 249-4600. Please check one: ���ew Addition Repair Replace ✓ Residential Commercial Jos srrE: �qS C Ry St�A� C.,Q.r��ac_ z�p: Owner's Na �ber: Mailing Ad� �y i :7 ' � � � � Zip: Contractor' i��u�b��g aNd `�eat�Ng ������ vumber: Mailing Ad� � �.ant; st_ rvE• ai��nP n��: = - _ Zip: � PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains � Lavatory 3 '� Sewer Ejector Bathtub 1 Laundry Tray � Shower � Washer 1 � Kitchen Sink � Water Heater � Disposal ' Water Softener Dishwasher '� Wet Bar � Sillcocks � Misc (list) 1 PERMIT �'EE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) �S , CrUu x .0125 $ � � 7. �U (contract price) � 2. State Surcharge. ** Add the State Building Code Division G Surcharge to each permit. x .0005 $ �o S ' (contract price) or $.50, whichever is greater 3. Postage and Handlin� (Only mail-in applications) $ -�-:5$- 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ I ��• �`� * 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 installation are furnished by the owner, tenant or any other party the reasonable mazket �ra!ne ef such items azust be added to the estimated cast or contract price for pemut 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 Department of Inspectional Services for the price. 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. Applicant's Signature: Date: 4�'13'��� _ � ' . , �.r` .:�.,; ` � • MINNESOTA DEPAR7MENT OF NEALTH - BONDING ANd INSURANCE CERTIFICATE lf�is is to certify that Roger A. llokanson master plumber License No. PM0021G9 r���reser�tirig Ilokarison Plumbing & Fleatirig, Inc. has filed a �25.000 bond with I.I��� Secr•e�ar•y �f S�ate ori Noveml�er lE. 1999 aricJ providecl evicler�ce of I'ublic Lial�ility Insurance, including Products Liability Insurance of at least �. '650.000 per person and $100,000 for the year 2000 in accordance with the ''I {�i�ovisioris of Minnesota Statutes. Section 326.40 (197a) . '� ` �;; 130ND �lU. 757_05�# Pol icy N0. C176956987 !' C���i L�I I r�clemn i ty Corpora t i or� i ransporta t i on I nsurance Company '� P-1��cJ i s�ri, W i scons i n f�i chard J. A�imann I I I . Mi nriesota � Agent I) Eden Prairie, Minnesota � 1�11z ROGEfz � IIOK/1NSON I IOK/1NS�N PL UMB I NG & FIEAT I NG, I NC. 9174 ISI�NTI STREET NE ��� �, -�ti��ep� [3LAINE h1N 55449 �^- Patricia A. Bloomgren, Director Division of Environmental Health �, Jan K. Malcolm, Commissioner II ' ��� , ; ' �;; �� - C/T}'OrS�INT PAUL F'Icasc call for inspcctions o/jlce e�Ltcrnst.Intperilont bct�vccn 7:30 and 9:00 a.fit. arid Enrlronnrenfal!'rolrcNon ti�onday-F'riday ce�rir�c�rfor• con�hr_rtn�cr• � F lhis is to ccrtify Ihal: I:Iccirical 266-9WJ r 4 ROCEI2 A tlOI(ANSON �++ ,� 6; � � holds Ihc following compcicncics: Plumbing , 2GG•9005 � �r p hiaslcr I'U(�I� Ip�)S �ii � � � � a \ Mcchanical +++ .; . 26G-9004 J"r u' o. � �Varm Air/Ven1 2GG-900G Q � � •// �FJ� W .N-1 � �r � v DuilJing 26G-9002 p„� �m�, , � •++ "�"� � u� 24 hou�fnfoLine 2GG-909G �� � � N :lhcsc compctcncics crpirc: 12/01/2000 •�+ ,� �o� a a � , Robert Kessler Trade Lfcensd �(� 2G6•909(1 y,� • l� . !Ji c �r Compctcnc(c! ' � �E-+ cH � � � «♦ �� �, � �N � . nalurc u Ccrli(i�•J CarJ I IolJcr ' ' Q (�t7 � a' � a�im /T1� �-1 O N d� p,� �� p' N a � � � 1<ccp I�ib cnrJ In your posse�sfon on 16e Job. �'���S CARD(S YOUR RCCCIPI� � O a '� � o -�-----�----�- , � �a, ,-� x � �y ,.:.��.�....,c,.i ,:�.;H�-.r �-�rr. — �w4 °.' `„ � l, " , '}�.�'����� . iNN€A�d�t���r4)��ra ry;±,�'; `�U � "' � � N � � i `�'��'r�3�, 'ti����tN1�Nf. bK'INSp���l��1� `$ ..� E�� O LI G .[ � �`i ��'`3� ,i'�i�5���}H,,�; „' '. SC�,.+�. .} � �t� �p r.l w o.~—i .� W ����, �;1r�5`"''.����t��}��M����N� �4�;���: �� u] o: O� [D � � -, �y�� r � �. s;� Z.�•� r , i �; ~ .. � ; ���, ��hl���� � F ��'��!r41,� ���f� �� �;►;���''�., -� � lo—, � m �i'�t4'���AN�i�P��lB�ll�d���fliflee4� . ,.�;i�E�;r � F� W � � '4 Y r. � r �f �. �V "� .-� 'i�f��Nllf���� 'M�d���' �����t`�.+�►;;,�•.t , d'��y,.,i 6' ;p �'i 3' �i t�-'r.; '��` . f' �'•3� �:.I�+t : .P��g;,���^ ���il Y.`�R�'1{�� � j ��1��i�?,�� �f7�$Rg� � �,��,�,;,«�;.�,�.,,ss . .��<<�.h`�s `�IA�r���� ,LUI���R��A��;GdS���� ����-�"��4�ii�.�,; ��b, :.d^��`1�;��,�"." �Klir171i„�. t� ;'� ; ," ;'>� PCi ���,.* �; ; ,'t�f� `E���t�i�A�� �it��a��: ��i�=8 i����� ;, DATE TIME CITY OF ORONO CALLED IN �-/z o� INSPECTION NOTICE SCHEDULED `7-!�"��� �:30 PERMIT NO. Pb ��j� I COMPLETED � � ADDRESS��� C'Y� ST�.I C'�cG�- OWNER CONTR. �o�q r1;�G� �l�rn,r.� v TELEPHONE NO. ��y- y%i' �- � DESCRIPTION �-n�;��������.�� ��. P�C�� c v� lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q O TOR TO MEET YOU:_YES_NO Z � C M E TS: � , � � � � % � / J �' � O >. � O � W � Q � Z W � W � � d ❑WORK SATISFACTORY:PROCEED L: PROJECT COMPLETE W � �ORRECT WORK&PROCEED I ISSUE CERTIFICATE OF OCCUPANCY W O C l CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT C; CORRECT UNSAFE CONDITION WITHIN HOURS. � PHOTO TAKEN INSPECTOR WILL RETURN f-1 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED C; INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-460� OwnerlContr tor on s � Inspecto���'(����,� White Copyllnspector's File Canary CopylSite Notice DAT�/ IME CITY OF ORONO CALLED IN L- �O,D< � , INSPECTION TICE SCHEDULED —O7 ,�o 0 PERMIT NO. n � �� COMPLETED � ' ��� �`�U ADDRESS � �-/`�ti � �� � �=�_ OWNER f L�-� � CONTR. 9�{-c.'�� " ,/}J-�rc ��� TELEPHONE N0. � ��S � � 7,I�� � DESCRIPTION ly O1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 EAd4--�FNA�----.__`l 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI __� 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL J � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O �' �S, f� � 0 � � � , C� Q � z W � W � � d � ORKSATISFACTORY:PROCEED PROJECTCOMPLETE W C' CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY � L_i CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT �' CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN GTATION ISSUED C7 STOP ORDER POSTED.CALL INSPECTOR Ci INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. 249-460� OwnerlContractor on site: Inspector.���l� C��G-��� White Copyllnspector's File Canary CopylSite Notice