HomeMy WebLinkAbout2000-P03126 - floor drains �� • PERMIT
C OF O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P03126
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(612) 249-4600 Date Issued: 10/16/20
SITE ADDRESS: 4745 North Shore Dr
MOUND,MN 55364
PID: 07-117-23-32-0019
DESCRIPTION:
Proposed Use: nc�iucu�iai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Floor Drains
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $35.50
APPLICANT: SUFKA PLUMBING&WATER CONDI OWNER: HERMAN CRAWFORD ETAL
3901 COUNTY ROAD 101 4745 NORTH SHORE DR
MINNETONKA,MN 55345 MOUND MN 55364
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.
I TE
IS90EDBY SIGNATURE
Copies:City,Applicant,Assessor,Finance Page 1
. 4
CITY OF ORONO APPLICATION FOR PLUTrYMING 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 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 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 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: New Addition Repair Replace
Residential Commercial
JOB SYMAl. S' wr,&,•ve Coy W/R Zip:
Owner's Name: . 64 : (7-044= Telephone Number: ?
Mailing Address: City: o to B-r o Zip: _
Contractor's Name: Su pra A(CA M,b(W Telephone IN er: Fq7?-9.1;7
Malft Address: S90/ &,.jCv T2 1 City: ,G���et�R 'a Zip: syeve.s
PLUMBING FUCr SCI RULE
FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT IST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bair
�rA
Sillcocks
I[Misc (list) Lq e�e
FF,_111�T FEE C 1+I
1. 1.25% of C n A t Price* o Mh imum Fee ( .l18)
a 4-- x .0125 $
(contract price)
2,- State eschar . * Add the State Building Code Disipn
Surchargeto ch permit. x .0005 $
Coll aetpric�j
or $.50, whit ger hear
and.ti (Only mail-in applications};
4. T4TA►L !, {Add-'lines 1^ ,above) $
CONTRAOT PRI E or JOB COST means the actual or€stimated dollar amount charged for the permitted
work including , labor, parofit; and other fixed costs. tt is-the amount to be'-ch airged to the
customer- or--the work done. If any'material,equipment, abar or installation are fpr shed I' the owner,
tenant or any r'party;;the reasonable malrket valtie of such,items must be added to the estimated cost
or,contract;price€)r permit fee.gurposes,; In the vont that there is a dispute ori►the amount of the job cost,
the Cicy•tnay req est the submission of a signed SPY of tine actual contract.
The $TATE $ CHARGE is, 0005`.of the contract;price under $1,'0- v -0 or $.50 - whichever is
greater: 'For valuations over$1;00(1,0:00 Call the Departaieut of Inswd6nat Services for'the p ee. :
The undersigned here y.applres to<the City for tssttance orf a Flumbmg Permit, agrees to do,all
work in, acco ce with the ordinances of the City:and the Ions-ofte State o
Minnesota; d- ies that all 'statements made on this application are complete, true;and
•correct. - -
Applicant's S
r rr Ck ! �� e Wim/
d(f t
02?fir,'
Mate'of
�innegota �e�artme�t o� e�rt�-
PLt"IN6 UNIT, BOX 64975
121 BAST 9NVMM PLACE, ST- PAUL, MR
-Master Plumber License
LICENSE 1O 00429M
or James L. Easter
EFFECTIVE DATE EXPIRATION DATE
01/®1/2000 12/31/2000
- r
MINNESOTA DEPARTMENT OF HEALTH -. BONDING AND INSURANCE CERTIFICATE
This is to certify that.James L. Easter master plumber License No. PM004291
representing Sufka Plumbing & Water Conditioning has filed a $25,000 bond with
the Secretary of State on May 31, 2000 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 2000 in accordance with the provisions of
Minnesota Statutes, Section 326.40 (1978) .
BOND NO. RLI 520927 Policy NO. CP 12664100
Old Republic Surety Company RAM Mutual Insurance Company
Des Moines, Iowa Richard Baso, Minnesota Agent
Eagle Bend, Minnesota
MR JAMES L EASTER
SUFKA PLUMBING & WATER CONDITIONING
3901 COUNTY ROAD 101 -�'= 7 f . '= �^,�•�..`
MINNETONKA MN 55345
Patricia A. Bloomgren, Director
Division of Environmental Health
Jan K. Malcolm, Commissioner
DATE T M6
CITY OF ORONO CALLED IN / / `��c-��
INSPECTION N E SCHEDULED
' ' o
PERMIT NO. `P COMPLETED — 1 - 3
ADDRESS 10� Ago*--e_ DD —
OWNER CONTR. SUEKO, tPItm-,l-
TELEPHONE NO. Z t t �- �+£� 74j
DESCRIPTIONS nSf
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
31 8�J6-A!_ 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 AL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR O MEET YOU:_YES_NO
COMMENm
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
LU
W
EI WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. - PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
Owner/Contr A
ttor on site:
Inspector. G:4i4:�06AAP
White Copy/Inspector's File Canary Copy/Site Notice