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Home My WebLink About2007-P11003 - plumbing PERMIT CI�Y OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: pi 1003 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 5/16/2007 SITE ADDRESS: 3410 North Shore Dr Unit# Wayzata,MN 55391 P�� 08-117-23-43-0017 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 500.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: Home Depot Home Services OWNER: Mr. &Mrs. Daniel Regan 700 Prior Ave N 3410 North Shore Dr St.Paul,MN 55104 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. n � � ! � 1 ' Y� �l � �-� � ,. �-�� `�� Z � : , I APPLICANT PERMITEE SIGNATU E ISSUED BY SI NATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 FOR CITY USE OIVLY �<� � City of Orono r � � " P O.Box 66 Date Received: Permit# `�:�, ��'' 2750KelleyParkway a� .�t° � �' Crystal Bay,MN 55323 Approved By: Amount$: #�� , ' ECEIVED �l�X�o�6'1 (952)249-4600 CITY OF ORONO-PLUMBING PERMIT MAY x 5 2007 (All Commercial permits must be approved by the Building Official or Inspector) CITY OF ORONO GENERAL iNFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. ��,�hen ar.y r.ev.�const:uctior.or remodeling�s involved,a separaie buiiding permit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT Check All That A 1 �Residential ❑ Commercial(Approval Reguired) ❑New ❑Additional ❑Repairs �Replace ❑ In Accessory Structure? *You will need nrior anuroval and may need C;:UP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: �� N^� ,r`��,5 �0 C-Z. ��' Owner: �h��.rc,�, � (.��.,r� ICt y,�r� Mailing Address: 3y(v 1��"�$�� (- Cit;�: (�t'e n t� Zip: .�S �3 �` / Home Phone: �5;�� - � 3� U Alternate Phone: Contractor Information: Ho"-•�- �-�� Contractor: I-4 0��Q S�t��c�� Contact Person: 'J'c�-�.� L�.b e �� Address: 7ov Pr ��r�:' v� �} State Bond #: � � 3 � P � City: S� �o�� Zip:55 � Expiration Date: � � � G� Phone: �5 I •-(?�S� 50�/D Alternate Phone: ❑ Insurance-Current: 1 PLUMBING FIXTURES BEING 1NSTALLED - T FIXTURE BSMT 1 T 2ND OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory � Sewer Ejector Bathroom Laundry Tray Shower � Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous � PCRMIT FEE CALCl1LATION(S) � �� BASED OFF - 2002 STATG 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;excludinq the cost ef the fixture or appliance: ar.d 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 PERMI'��EE�ALCULATION(S ��-JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) � x.0125 $ /� .�-�' � (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(1�1inimum Fee of�.50) X.000s $ • 7 b (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 � � � 4. TOTAL PERMIT FEE(Add Lines 1-3 Abovej � �� ■ * 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$1,000,000 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 Signature: Date: Q� � Reset �orm � � ,:rE� `�� .. . .,... , � » 3 �� : � ��A��.�:�� ;��.�.��:��`��. ��r:i��s�� ..��>�.��°��t�� i �� ;��:�� F�..T_,�JiVIT?�i .1�1(:s l?i`. �'l.' =��3 1:,��>r;�_i.��:��_�� lzc�l�!^� �Nt�;z��;�� , :� r . T�r�,:��... ifIast;e:r- ��_l_,��,1-:��- �:� �[�i.:�c��-�� f_��f_Ci-:�1;��SE NC �:`}'::�:�. ! 1 ��=°��'1 �,��pp U ('} \1 / (( 9 L�.-..C)1..�.�� l . .'�_''{��t_�j. .l-�% �:.f��'��;�� X��N �A{Z:. � 07_/01_/200'; 1.:� ! �? =1.;` �>.-�_��:.`i . v + � .. ��..,�....�...�. .� MINNESOTA DEPARTMENT OF LABOR AND INDUSTRY - BONDING AND INSURANCE CERTIFICATE This is to certify that Jason D. LaB�11e, Master Plumber License No. PM006139, representing F1ome Depot Installation Services , Inc. , DBA Home Depot Services , Bath Remdeling, has filed a $25.000 bond wi�h the Commissioner of Labor and Industry on March 16, 2007 and provided evidence of Public Liability Insurance, including Products Liability Insurance of at least $50,OOQ per person and $100.000 per occurrence and Property Damage Insurance of at least $10,000 for the year 2007 in accordance with the provis�ons of Minnesota Statutes . Sectian 326.40. BOND N0. 104881866 POLICY N0. 1PR 375760802 Travelers Casualty & Surety Steadfast Insurance Company Alpharetta , Georgia Anthony Reynolds , Minnesota Agent Atlanta , Georgia MR JASON D LABELLE HOME DEPOT INSTALLATION SERVICES. INC. , DBA HOME DEPOT HOME SERUICES. BATH REMODELING Scott Brener, Commissioner 2455 PACES FERRY ROAD NW ATLANTA GA 30339 �� D�jT TIME � CITY OF ORONO ca,�� 7` `� INSPECTION NO SCHEDULED � -�Qd PERMIT NO. �/OD� COMPLETED /-y� GI ADDRESS lD W �Zf�7�� OWNER CONTR. � TELEPHONE N0. ` 5� ��T Z3`�� DESCRIPTION (/✓i��'`��Jl�g �.� � 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/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: a `� D. �� 0 � � 0 .� ____- W � � Q � ,_ Z � --- W � __� d WORKSAT�SFA� W C� QRKPROCEED �-� PROJECTCOMPLETE CC/�CORRECj W � �CpRRECTWORK,�EED C� ISSUECERTIFICATEOFOCCUPANCY O BEFORECOVER�N�RREINSPECTION TEMPORARY U O C�RRECTUNSAFE� PERMANENT INSPECjORW14.IWITHIN HOURS. � pHOTOTAKEN p STOP ORDER POSTE�. C�NSPECTION REG1 U�RE�"ECTOR �' CITATION ISSUED ?RRANGE ACCESS. Ca11 tor the ne. o ' n 24 hours in advance. (952� 249-46�� pWnerlContra� InsPector- Wh1� � oPY�1�SP�1O�5 �� - Canary CopylSite Notice