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Home My WebLink About2010-00059 - plumbing CITY OF ORONO PERMIT NO.: 2010-00059 2750 KELLEY PARKWAY • ORONO, MN 55356- DATE ISSUED: 02/04/2010 (952)249-4600 FAX: (952)249-4616 ADDRESS : 120 ORONO ORCHARD RD S PIN : 02-117-23-21-0033 LEGAL DESC : ORONO ORCHARDS : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (1)WATER CLOSET,(2)LAVATORIES,AND(1)SHOWER VALUATION OF PLUMBING 1500 • APPLICANT PLUMBING FIXTURE FEE 50.00 BOE PLUMBING STATE SURCHARGE PLBG(VALUATION) 0.75 15481 KIOWA ST. TOTAL 50.75 ANDOVER,MN 55304 (763)757-1991 Minnesota State License#:96270 OWNER COLLINS,VINCENT 120 ORONO ORCHARD RD S WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional 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 180 days at any time after work has commenced. The applic. t is responsible for assuring all required inspections are requested i co•formance with the State Building Code.This permit may be revoked at . y ime for/ ue cause. 2'r `1, zola irIP � .�._ Ip/. i�� Applic. t Permitee Signature Date I Id By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1 i t MINNESOTA DEPARTMENT OPI ' LABOR & INDUSTRY Plumbing Bond & Insurance. Certificate Construction Codes and Licensing Division Licensing and Certification Services 443 Lafayette Road N St Paul,MN 55155 Website: yette/40:10P-ML-111. E-mail: IllIgfififilifiglegt Telephone: 651-284-5080 1 I This is to certify that the certificate holder is in compliance with Minnesota Statutes§3266.46,Subd.2 for calendar year 2010 and may I( engage in the plumbing trade in all areas of the state of Minnesota. I(( . STEPHEN J BOE . License: 83040PM (PM005287) - BOE PLUMBING INC 15481 KIOWA ST NW ANDOVER,MN 55304 2010 Bond ID: 96270 EMPIRE FIRE AND MARINE INSURANCE CO LsiTaAbTilEityFAInsuranceRmmsID: 93 BE N596 1 r R C Y USE ONLY City of Orono ‘i-CID P.O.Box 66 Date Receive9 /O Permit#e « 9 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) 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) ziResidential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: /Z° OrOtA Or Cikkrof /ed S Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: ,D 8 t Ywr t�l I1� Contact Person: ✓ Address: /5-1/ (l xdJwa S. State Bond#: b Z 7° City: gin elo✓-tr- Zip: Yjoy Expiration Date: /V/3Z/VIP() Phone: 7(0 7r7 / 3( Alternate Phone: Insurance—Current: Jf tt 1 V ' FIXTURE BSMT 1s1 2ND OTHER FIXTURE BSMT 1'1 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 Bar Sillcocks Miscellaneous ❑ 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;excluding 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 Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 — • € L1;" ' If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 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 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. 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. ` r� Applicant's Signature: ijk6111Date: 7( Z /t� 3 J„ . TIME CITY OF ORONO CALLED IN - D/O INSPECTION OTICE +EDULED — - /d%3 v PERMIT NO.p7 /,O -a'.5 /OMPLETED ADDRESS /02-° £21 4' 6772124A-d-----__5 OWNER —7 7 CONTR./51-e, P/b S' / TELEPHONE NO. �P 5- �?5/ (� DESCRIPTION PG b f p Lu 0 FOOTING 0 MECHANI RI 0 EXCAV/GRADING/FILLING Q 0 FRAMING ❑ MECHANI L FINAL 0 LAKESHORE/WETLANDS h 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 TREE REMOVAL 0 WALL BD. 0 WATER HOOK-UP 0 SITE INSPECTION Q 0 FINAL 0 SEWER HOOK-UP 0 PROGRESS 0 DEMO-SITE 0 SEPTIC MAINT. 0 COMPLAINT v 0 DEMO-FINAL 0 SEPTIC INSTALL. 0 FOLLOW-UP IL .PLUMBING RI 0 SEPTIC FINAL 0 HARD COVER REMOVAL 0 PLUMBING FINAL 0 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: 0. J cc O 0. W cc W W O RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING 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. (952) 249-4600 Owner/Contractor on sit : 66,s Inspector. ✓ White Copyllnspector's File Canary Copy/Site Notice