HomeMy WebLinkAbout2009-00573 - plumbing CITY OF ORONO PERMIT NO.: 2009-00573
' } 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUEv: 09/10/2009
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2700 ETHEL AVE
PIN : 20-117-23-24-0013
LEGAL DESC : CASCO HE[GHTS
: LOT 000 BLOCK 002
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: BASEMENT: 1 WC, 1 LAV
1ST FL:2 WC,2 LAV, 1 BATHTUB, 1SHOWER, 1 KITCHEN SINK, 1 DISHWASHER, 1 WASHER
2ND FL: I WC, 1 LAV, 1 SHOWER
VALUATION OF PLUMB[NG 7000
APPLICANT PLUMBING FIXTURE FEE 87.50
BOEVAAG PLUMBING [NC. STATE SURCHARGE PLBG (VALUATION) 3.50
P.O. BOX 1257
PRIOR LAKE, MN 55372- MAIL-IN FEE 2.00
(952)440-3792 MISC FEE 0.00
TOTAL 93.00
PAID WITH CC# 0965
OWNER
GHERARDI, LORI
2700 ETHEL AVE
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according[o
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for addi[ional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of l80 days at any time afrer work has commenced.
The applicant is responsibie for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked.at�y tjmG for d use.
' � � �� o CC� � ��-
-- i l i i i
lic ermitee Sign Date Issued By S� ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
FOR CITY USE ONLY
' ' O4p�O City of Orono
P.O.Box 65 Date Received: Permit#
2750 Kelley Parkway
� � ' Crystat Bay,MN 55323 Approved By: Amount$:
��o`4G� (952)249-4600
CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Oft"icial or Inspector)
GENERAL INFORMATION
1. You may apply for piumbing 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
PER�IIT 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.
(2448 hour notice required)
TYPE OF PERMIT
Check All That A 1
Q✓ Residential ❑Commercial(Approval Required)
❑New ✓Q Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*1'ou will need arior aanroval and may need C I P.(per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: 2�00 Ethel Ave
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: Boevaag Pumbing inc. Contact Person: �eff
Address: P.O. Box 1257 State Bond#: RLI602839
City: Prior�ake Zip:55372 Expiration Date: 05/09/10
Phone: (952)440-3792 Alternate Phone: (952)292-1511
❑ Insurance—Current:
1
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 2 OTI-�R FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � 2 � Floor Drains
Lavatory � 2 � Sewer Ejector
Bathtub 1 Laundry Tray
Shower � � Washer �
Kitchen Sink � Water Heater
Disposal Water Softener
Dishwasher � Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
❑ 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;excludin�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 Surchazge $ .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:
l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
7,000.00 x.0125$ 8�•50
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
7,000.00 x.0005 $ 3.50
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 141.00
■ '� 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$I,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.
Applicant's Signatur • Date: 09/10/09
Reset Form
3
F ��„"�,'`_y"`� °FP�RT""�"�"F Plumbin Bond & Insurance Certificate
. LABOR $t 1NDUSTRY g
�
Construction Codes and Licensing Division Licensing and Cesi:flcation SeMces 443 Lafayette Road N St Paul,MN 55155
Website: www.doti.state.mn.us E-mail: DLI.License(IDstate.mn.us Telephone: 651-2845080
This is to certify that the certificate holder is in compliance with Min;esota Statutes§3266.46,Subd.2 for calendar year 2009 and may
engage in the piumbing trade in all areas of the state of Minnesota.
JEFFREY S JOVAAG License: 62966PPJI
BOEVAAG PLUMBING INC
2184 EAGLE �REEK BLVD
SHAKOPEc, MN 55379
2��� Bond ID: RLI602839 Liability Insurance ID: 8812397
OLD REPUBLIC SURETY COMPANY STATE AUTO INS CO
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CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �� �'�(L
PERMIT NO. 2C�C�1 �73cOMPLETED �
ADDRESS__ �Z �7 O� ���� l r�'lJ-� _
OWNER CONTR.� �� i.� l` /(.li?�I�j
TELEPHONE NO. Jc-� ' �c� " ����
� DESCRIPTION �`�-L�`�� ��
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
Q ❑ 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
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINA� ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
�CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952� 249-46��
OwnedContra o s' e
Inspector.
White Copyllnspector's File Canary CopylSiie Notice
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DA TIME �
CITY OF ORONO CALLED IN `
INSPECTION N I E SCHEDULED l� ��_
PERMIT NO � �� PLETED
ADDRESS 7� �
OWNER CONTR. �
TELEPHONE NO. ' J — �
� DESCRIPTION /�
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FIN ❑ LAKESHORE/WETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� �"PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
C INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice