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Home My WebLink About2004-P08192 - plumbing � . PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Poai92 Crystal Bay, Minnesota 55323 Permit Type: FiXc�res (952) 249-4600 Date Issued: 11i16i2oo4 SITE ADDRESS: 1220 Garden Ct Mound,MN 55364 PID: 07-117-23-32-0045 DESCRIPTION: Proposed Use: Kesidentiai Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 210.00 Valuation• $ 16,800.00 State Surcharge Fee: $ 8.40 TOTAL FEE: $ 218.40 APPLICANT: Lee Plumbing OWNER: RVC Homes,Inc. 8148 Everest Lane No. 62 Hamel Rd. Maple Grove,MN 55311 Hamel,MN 55340 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � � 3 � C'��-��-� r �- � � . � APPLICANT PERMITEE SIGNATURE SUED BY SiGNATURE � Conies: 1-File(SiQnitures Required). 1-Apnlicant, 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1 CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City affices. 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 properry 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 the State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (952) 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 (952) 249-4600. Please check one: � New Addition Repair Replace Residential Commercial JOB SITE: �- =�� x�'�� Zip: Owner's Name: C �-i•_--�� Telephone Number: Mailing Address: City: Zip: _ Contractor's Name: L � �, �---��-� Telephone Number: ��'i�-��5 /� �G Mailing Address: �j �/� �v�-=-L��ci ,/',,.� City: I- � - Zip: SS�/� C�uJ`t---C PLUMBING FIXTURE SCHEDLTLE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet � ,� � Floor Drains �' Lavator ` � -/ Sewer E�ector Bathtub 3 Laund Tra 0 Shower � Washer � Kitchen Sink � Water Hea[er � Dis osal A Water Softener � Dishwasher � Wet Bar Sillcocks U Misc (list) � �� . , PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes, This Section Applies The replacement of a Residential fixture or a�liance 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 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 ($35.00) /� ��v x .0125 $ (contract price) (minimum $35.00) 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of $ .50) x .0005 $ (contract price) (minimum $ .50) 3. Posta�e and Handling (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 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 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 Department of Inspection 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. � L Applicant's Signature: � � � Date: /�`- �� j i ., . _ : _ ii , . _ . _ I MINNESOTA DEPARTMENT OF HEALTH - BONDING AND INSURANCE CERTIFICATE ; j; : � �', This is to certify that Charles R. Lee, Master Plumber License No. PM004266, �� ` representing Lee Mechanical , Inc. , has filed a $25.000 bond with the Secretary '" of State on November 3, 2003 and provided evidence of Public Liability ; �; � ` � Insurance, including Products Liability Insurance of at least �50,000 per person and $100,000 per occurrence and Property Damage Insurance of at least $10.000 for the year 2004 in accordance with the provisions of Minnesota Statutes , Section 326.40. BOND N0. 55-133127 POLICY N0. 84005749 United Fire & Casualty Company Addison Insurance Company r,.� n-,.,;a,- T i H ��..,,.,,� + n.�•r�n,. +-, n.._.r+ �.c ai r�caNiu� . 1GWa vGiiil � iiiiyuiJ� , i iiuiGJGI,U nyCii� Brooklyn Park , Minnesota MR CHARLES R LEE LEE MECHANICAL, INC. ��✓ � . ,`�eO,,,� 8148 EVEREST LANE NORTH �— MAPLE GROVE MN 55311 Patricia A. Bloomgren. Director Division of Environmental Health Dianne Mandernach , Commissioner ' � �t�.te Dt �.i��CP£�Ot� �tate of �inttegota �inr�e�ota �e�a�rtn�ertt of �e�Yt�j ¢�t�tl�e�ota �e�artnYertt of �eaCtij PLUMBING LJNIT, BOX 64975 PLUMBING UNIT, BOX 64975 121 EAST SE�IENTH PLACE, ST. PAUL, M[� 55164-0975 121 EAST SEVEN'I�i PLACE, ST. PATJL,, M[V Master P1Lur�ber License Master Plumber License LIC�SE NO 004266PM LICQ�SE NO 004266PM �0. (�LO: Charles R. I,ee Charles R. Lee 8148 E�rerest Lane North EFFECTIVE DATE EXPIRATION DATE Maple Grove, MI� 55311- O1/Ol/2004 12/31/2004 EFFECTIVE DATE EXP�RATION DATE O1/O1/2004 12/31/2004 �� DATE TIME � CITY OF ORONO CALLED IN //-1�� v� INSPECTION N TIC SCHEDULED �� '1 PERMIT NO. �� COMPLETED ADDRESS �� 'I CT- OWNER CONTR.��-- �C/rn �/�-c TELEPHONE NO. �p Ia ��Cn�� DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 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 J 07 D -FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 yM81NG FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o � � �� 0 � W � Q � Z W � W � j d W� WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on sit � �--� Inspector. White Copyllnspector's File Canary CopylSite Notice �lY / ✓ y� DATE (� TIME CITY OF ORONO CALLED IN �"'� ��[ INSPECTION NOTICQE SCHEDULED �' �t � - � PERMIT NO. p DU C�Z COMPLETED ADDRESS � ��'� �Q r��''�' �f - OWNER CONTR. . ` c� � TELEPHONE NO. �� S �� h ,�, ,��7- � DESCRIPTION `�� `�`�'�" l 'T" ��L�-��'�) � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � W a - O �� O � W � Q � Z W � W � � d W� _ WORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �; PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next spection 24 hours in advance. (952� 249-460� OwnerlContra n s t : Inspector. White Copyllnspector's File Canary CopylSite Notice �� ?`� `� T � D T� /- TIME CITY OF ORONO CALLED IN �" S INSPECTION NOTICE SCHEDULED " '� %� PERMIT NO. �f�� COMPLETED ADDRESS �v�� D G��Cc'� 1 CC� , OWNER CONTR. L� � /C/�(<;�� TELEPHONE NO. �1" � L/vr �/ S .'�5 Cr' (v l;� ��i�� /Cv7Ls�-('�tu'c�� DESCRIPTION �L�%.w ( ��;iSt . � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 1i 0 PLUMBING FINA� 36 FOUNDATION/REMOVAL � � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j � O � � O � W � Q � Z W � W � j d W WO K SATISFACTORY:PROCEED C i PROJECT COMPLETE � ❑ RRECT WORK&PROCEED �; ISSUE CERTIFICATE OF OCCUPANCY W � CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING V PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. L, pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next nspection 2a hours in advance. (JSZ� 249-46�0 OwnerlContrac o 't : Inspector. ` White Copyllnspector's File Canary CopylSite Notice