The URL can be used to link to this page

Home My WebLink About2016-01580 - plumbing � CITY OF ORONO * Z 0 1 6 - 0 1 5 S PJ * 2750 KELLEY PARKWAY DATE ISSUED: 12/29/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2649 CASCO POINT RD PIN : 20-117-23-24-0029 LEGAL DESC : SPRING PARK : LOT 138 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (5)WATER CLOSETS,(7)LAVATORIES,(2)BATHTUBS,(3)SHOWERS,(1)KITCHEN SINK,(2)DISPOSALS,(2)DISHWASHERS, (2)S[LLCOCKS,(I)FLOOR DRAIN,(2)LAUNDRY TRAYS,(2)WASHERS,(1)WATER HEATER,(I)WATER SOFTENER,(1)WET BAR VALUATION OF PLUMBING 20000 APPLICANT PLUMBING FIXTURE FEE 250.00 STATE SURCHARGE PLBG(VALUATION) 10.00 DIVERSIFIED PLUMBING&HEATING P O BOX 91 TOTAL 260.00 CHASKA, MN 55318- Payment(s) (952)448-0756 CHECK 10432 260.00 Minnesota State License#: plbg-71354924 OWNER KINDL, DUSTIN&CASIE 2649 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according ro the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only Ihe work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming 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 after work has commenced. The applicant is responsible for assuring all required inspections are re ues ed in conformance with the ate Building Code.This permit may be re a any time for e c se. � I � � ,/� a�/ � Applicant erm e Signature Date Issued By gnature Date � ��QN'., City of Orono FOR CITY USE ONLY O P.O. Box 66 Date Received: /�-�9/b '� 2750 Kelley Parkway permit# �l�— O/� �C7 ��-� a Crystal Bay, MN 55323 \f�� 0. ;`,i (952)249-4600—Main Approved By: � "t�,+�, ` " (952)249-4616—Fax Amount$: fo�• CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.qovICCLD/PDF/pe plumbplanrevapp.qdf GENERAL INFORMATION 1. You may apply for plumbing 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 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 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. (24-48 hour notice required) TYPE OF PERMIT(Check All That Apply) x� Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑ PVB] � New ❑Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior aparoval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site / Owner Information: Site Address: 264s cAsco�r xD Owner: M�xoMEs Mailing Address: 4is pAur,Avs s CItY: COLOGNE Z�p: 55322 Home Phone: ssz-7s7-s7ao Alternate Phone: Contractor Information: Contractor: Dnr�xs�ED PLUMsnvc Contact Person: cor.�rr xnvc Address: Po sox si State Bond #: Pcsszsss City: �� ZIp: 55318 Expiration Date: 12i31i17 PhOfl@: 952-448-0756 AIt@I'll8t@ PFIOtI@: 952-334-2T94 Q �f1SUt"at1Ce — CUt'I'@flt: ��TED-POLICY#914156T Page 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT �sr 2ND OTHER FIXTURE BSMT 1s-r 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet 1 1 3 Fioor Drains 1 Lavatory 1 1 5 Sewer Ejector Bathtub Z Laundry Tray 1 � Shower 1 2 Washer 1 1 Kitchen Sink i Water Heater 1 Disposal 1 1 Water Softener 1 Dishwasher 1 1 Wet Bar 1 Sillcocks 2 Miscellaneous PERMIT FEE CALCULATION 1. CONTRACT PRICE * is 1.25°/a of contract price with a (Minimum Fee of$50.00) 20,000.0o x .0125 $ 2so.00 (contract price) (minimum $50.00) 2. STATE SURCHARGE 20,000.0o x .0005 $ lo.00 (contract price) 3. POSTAGE 8 HANDLING (Only on Mail-In Applications) $ �98 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ 2so.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. 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. �-,:; t ApplicanYs Signature: Date: 12izsi2ois Building Official/ Inspector: Date: Page 2 . ► ACORO� °"��"�,v°°�""v''� `.�- CERTIFlCATE OF LIABILITY INSURANCE �v��s THIS CERTIFICATE IS ISSU� AS A MATTER OF INFORMATION ONLY AND OONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFlCATE DOES NOT AFFIRMATIVELY OR PEGATIVELY ANEPD.IXTEPO OR ALTER THE COVERAGE AFFORDED BY THE POLJqES BELOW.THIS CERTIFlCATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETYYEEN TFE ISSUING INSURER(S), AUTHORIZ� REPRESENTATIVE OR PRODUCER,HI�D THE CERTIFlCATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,tl�e policy(ies)must be erxiorsed.If SUBROGATION IS WAIVED,s�jed to ttie terrm arxi corxFtions of the policy,certain paliaes rr�ay req�ire an endorserr�errt.A staternerrt on ttrs cerdflcate cbes not corter ri�ts to the certificate holder in lieu of such endor s. PRODUCER CONTACT FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O.BOX 328 PvcNrEio �ct:888-333�},949 ac No:507-446-4664 OWATONNA,MN 55060 qp��Ess:CLIENTCONTACTCENT R FEDINS.COM INSURER S AFFORDING COVERAGE NAIC# iNsuRe►e a FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED ��'�_9 INSURER� DIVERSIFIED PLUMBING AND HEATING INC INSURER C: PO BOX 91 CHASKA, MN 55318 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:14 REVISION NUMBER:0 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.IXC�USIONS AND COND�TIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 7YPE OF INSURANCE � �BR POLICY NUMBER POIJC%EFF PO�1CY EXP UMITS COMMERCIAL GENERAL UABILITY E,4CH OCCURRENCE S�,DOO,OOO CLAIMS�v1ADE ❑X pCCUR DAMAGE TO RENTED $�� X BUSINESS ONMER'S LIABW7Y MED EXP(Any one person) A N N 9141567 07f01/2016 07/01/2017 PERSONAL&ADVINJURY $��ppp,ppp 'L AGG E LIMIT APPLIES PER: GENERAL AGGREGATE ��QQQ�QQQ X POLICY�JECT ��C PRODUCTS-COMPIOP AGG �,OOO,OOO OTHER: AUTOMOBILE 11ABILITY OMBINED SINGLE L1MIT $�� X ANY AUTO BODILY INJURY(Per person) A AU OSMED Ali�TosU�� N N 9141568 O7/01/2016 07/Ol/2017 g�ILY INJURY(Per BaidenQ HIRED AUTOS NON•ONRJED PROPERTY AMAGE AUTOS UMBRELLA LIAB OCCUR EA�H OCCURRENCE EXCESS LIAB CLAIMS-MADE qGGREGATE DED RETENTION WORKERS COMPENSATION OTH- X PER STATU7E ER AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE E.L EACH ACCIDENT �� A OFFICER/MEMBER EXCLUDED? N I A N 9141569 07/01/�16 07/�1/20�7 (��) E.L DISEASE-EA EMPLOYEE �� If yes,descriDe�nder E.L DISEASE-POLICY LlMiT DESCRIPTION OF OPERATIONS bdow �� DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Almch ACORD 707.Addi6onal Ramxks Schadde,if more space is requred� CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELL�BEFORE TFE IXPIRATION DATE TFEREOF, NOTICE WILL BE DELJVER� IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE <';'��'—"_' .. O 1988- 4 ACORD CORPORATION.All riyrts reserved. AOORD 25(2014I01) The ACORD narne arxi logo are registered rt�arks of ACOItD ,1� �� _.._._ � DATE TIME CITY OF ORONO CALLED IN �a-� "-� � INSPECTION NOTICE �scHE�u�e� � - � � PERMIT NO. �'E' [�'�l S��coMP�Ereo -�-- _ ADDRESS ��7 ��--�_�i T"� � OWNER ELE HO N . 9 ' ��8�� CONTRACTOR �� J 0�� 4�1 DESCRIPTION �/ j ❑ FOOTING ❑ DEMO-F L ❑ SEPTIC FINAL � ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNpUiCCO1�RMCTOR TO MEET YOU:_YE3_NO y COMMENTS: � � ,� . �w v - Pvc �_ � - , � ��..'� ,t.,: -�e s t �S ,�j D 1 cQc�ic� _ ° _ ' L . [_ � G�1 � l� l/v I v�f �J /'o v ��r�Cl �a� � � � r��-t✓e5 Q - �Y1�h- r r�- -� �� , �°rs.w -t- �.�. 2 was ti¢r � ra ,;�, .nv � �� -�ti �� -�� e - � Gpr�e�t�-� O� � ��e✓ J � ti p�r/wt�G jH S .t"ie 4�j ❑WORK SATISFACTORIF PROCEED " ❑PROJEC7 COMPLEfE � �' RRECT W'ORK 3 PROCEED O ISSUE CERTIFlCATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952 j 249-460� OwnerlContractor on site: Inspector: �-�h— � WMM CcPYAnspector's File Gnary CoPYlSits Notice i�,V � / TIME CITY OF ORONO CALLED IN /"l � INSPECTION NOTICE ,Q SCHEDULED �-a,,?�-G7 � PERMIT N � � COMPLETED ADDRESS OWNER T LE NE � CONfRACTOR � DESCRIPTION � ty ❑ FOOTING ❑ D O-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL � BING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONiRACTOR TO MEET YOU:_YES_NO y COMMENTS: q (�U l/ - �/c � O o � �,r �� 5� <s ��s��c � o ` � � � r/I/�Ii�✓ l��[�5 f'l0�% /KS�c�• � `�`i.� 7�<�a ' Q 1� ��l�f. 6`I SuG � � 2 � �fOv t�/�� D<r�v�'�'� �'} �� 4 �l S�L'L"�__ � , , W ❑WORK SATISFACTORY:PitOCEED O PROJECT COMPLETE � CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERINO PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOH �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advanoe. (952) 249-46�� OwnerlContractor on site: Inspector. __�� yy(�ite CopyAnspecMr's Flle Canary CopylSits Notke c � � � �.� � � - I � DATE TIME CtTY OF ORONC��`�� CALLED IN INSPECTION N, TICE . � SCHEDULED _�k�`r'_' T- �1 PERMR NO. COMPLETED , ADDRESS �� "I "1 � Ck�� C�-l; �-� OWNER TELEPHONE NO. �� 7�� COKTRACTOR iur�g � DESCRIPTION �— LG'l� I �� U�'V�� < �y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING "j ❑ FOUNDATION WATERPROOF �LUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ ER HOOK-UP ❑ FOUNDATION/REMOVAL Z v ❑ DEMO-SITE ❑ PTIC INSTALL Z OWNEAICONTRACTOR TO MEET YiOU: YES_NO , � COMIIAENTS:' f�4/lD� lS �10�G�i�cc � <,�C.�cr�'cs �.-c S� �F� S�� ' - o —` ��g4�kt.... /•�d s�c��.G,� 6cc� �� '�,s�.�•c�� 11J�A'bv r� "e CG'p_�rK lrr�94�,.a.. biGe� — �O � W � Q i P.�� O� G�✓� L`p�l��c � j /D 1r/��G ti �`" .�!�•?'i �t/I��PeO � ❑WORK SATISFACTORY:PFiOCEED �ECT COMPLETE w ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY 0 ❑CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERINQ PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. cen ro��Xt M�i«,za no„�i��a,�e�. (952) 249-4600 owr�erlContraceor on site: Inspector. ��' WM1�CopyAnapector's FlI� C�rury CopyBib Notics