HomeMy WebLinkAbout2005-P0949 - plumbing , - � ^ • PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 Po9495
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued: 12/19/2005
SITE ADDRESS: 1379 Park Dr Unit#
Mound, MN 55364
P��� 07-117-23-42-0038
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: $ 231.25 valuation: $ 18,500.00
State Surcharge Fee: $ 9.25
TOTAL FEE: $ 240.50
APPLICANT: Thompson Plumbing OWNER: Sean&Melissa Wambold
15001 Minnetonka Ind. Rd. 1379 Park 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.
��-- � ,�1�"l l----- ('D�� `—/
A PL[CAN PE M[TEE SIGNATURE ISSUED BY SIGNATURE
Cop� • 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
t , • FOR CITY USE ONLY
City of Orono .d � sr :S`
����a P.O.Box 66 Date Received: ����° i � Pcrmit# ''"`�''
�s 2750 Kelley Parkway -,
��:. Crystal Bay,MN 55323 A�proved By: � � Amount�$� . � �.'�� "
������r'��� (952)249-4600
CITY OF ORONO-PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
�t���ls,�.i�'���-�.,y _�...�1��1�1 . .
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. AI1 work must be done in accc:dar.ce with State Code requ�rements.
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 AlJ That A -1 � �
�2esidential ❑ 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 S'ite%Owner Inforn�ation:�,�
Site Address: � �-�' ��'1 `����'�-- � �'Z-��'�—
Owner:�'�;0������c`�c� ��.C�'�:������<<��� Mailing Address:
City: �;�-����. Zip:
'rIome Phone: Alternate Phone:
� ::
Contractor It�forination: � � 3 ���
Contractar: �'v��������� �=-.;:� , ��L�����.i,���� Contact Person: 1��c�rc%..��nr�
Address: ��oc\ �`+�����:,,�� �Z-c1. State Bond #: �-� � �\�� "� ��`-Eb- 1 :.�-
City: �� ���'����^kL.� Zip: ���3`l�Expiration Date: /� - �1 -D �;
Phone: �S�-��- ���1 � Alternate Phone:
� Insurance-Current:
1
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � � Floor Drains
Lavatory � Sewer Ejector
Bathroom � � Laundry Tray /
=?r,��-��:1U
Shower 1 Washer
/
Kitchen Sink Water Heater /
Disposal / Water Softener
Dishwasher Wet Bar
�
Sillcocks Miscellaneous j Lc Y-�1�•�,`� ��_
� i�lw Id��
Ox
�`�; �F'I�,RI��I`I' E�Et� C'�i;CUIaA'I,101��(S) :�
BASLD nl�I� '= 20(�2 STATE 5'I'A'1'UC
❑ Yes,this section applies
The replacement of a Residenti 1 fixture or liance that meets all three of the following requirements:
i
1. Does not require modificatj�n to electrical or gas service.
2. Has a total cost of$SOO.DO or less;excludin�the cost of the fixture or appliance: and
3. Is improved, installed:br replaced by the homeowner or licensed contractor.
Skip next sectio ,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
`�� PERI��TtT FEE ` " ,
�� —
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
� �._,
�c�����c� x .0125 $ �. �J�.,��;�
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
I `� ,`�.�, — x.OU05 $ C� � ��:�
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ �0
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ _�(`TU � `�
■ * 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 STAT'E 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.
E
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:� i�i �,/Yll.�, �L���,in Date: / � —/ ��0�
'?esst For�:,
3
�
_.•-� _.... _ __
__ _�_.__. .�_ _
_._ . ..... _�_ ____ _M�_ �._
__��
i;_�. �__ _.___ �- __ �
, ._�_��
, __.� . __....,
, ,.._
� ___ . �_._
, -_- _w �..._.__ _�.-_�__ , ..... . ._ _u � �
:;� MINNESOTA DEPARTMENT OF LABOR AND INDUSTRY - BONDING AND INSURANCE CERTIFICATE � �
� ;; ,
j;!!
� This is to certify that Terrance L. Soltis, Master Plumber License
' '�i No. PM002577, representing Thompson Plumbing Corporation has filed a $25.000 {
;1;
;,;;
���a bond with the Commissioner of Labor and Industry on November 21, 2005 and I
'��� 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 2006 in accordance �
';'' with the provisions of Minnesota Statutes, Section 326.40. !
� i
's {
�II.�?` . !;
' !; BOND N0. 3-519-540-12 POLICY N0. 60337035 ; �
;s' ; Ohio Casualty Insurance Company United Fire Group { i
�.;; Brookfield. Wisconsin Ben Erickson. Minnesota Agent + �
Robbinsdale, Minnesota �
`� ;
i
MR TERRANCE L SOLTIS ;
THOMPSON PLUMBING CORPORATION I �
�� 15001 MINNETONKA INDUSTRIAL RD �� "
� �! MINNETONKA MN 55345 Scott Brener, Commissioner � �
;
' � -
;
; 1
� �
, ' � ;
I ,: �_._.�
. ,
��_��.__. _ _��._
� .
.__ : 6_ _ _ . �
_. --__� _� .. __ _ - . � �
_��. ___e__ _
_. .. ,
� _______Y_ __.�___.___ .�_.
_.�_�____�_.._. ._�_..__ . _____ . _ ,
.
� � ,
'
f
�� �-�' '`� 3 �
/DAT� TIME
CITY OF ORONO CALLED IN '
INSPECTION N TICE SCHEDULED /-/�O� '�
PERMIT NO. � COMPLETED
ADDRESS �3�g �G�'�ah
OWNER CONTR.
TELEPHONE NO. /SZ ��3 71 � 7
� DESCRIPTION V y
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
Q 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 0 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
�
O
�
�
O
�
W
�
Q
ti
Z
W
�
W
�
�
d
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r� pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next ins ction 24 hours in advance. (J52� 249-4600
Owner/Contractor i
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
�� DAT TIME �
CITY OF ORONO CALLED IN :�`' ��O��
INSPECTION NOTICE scHE�u�E� - - 7-U /�f� 3 cPM
PERMIT NO.������5 COMPLETED /� M
ADDRESS � � ���- �
OWNER CONTR. �� �v --�,� � ��.
TELEPHONENO. �-�� �33 � 7� 7
� DESCRIPTION
lL 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 WAIL 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
v 07 DEM - AL 15 SEPTIC INSTALL. 22 FOLLOW-UP
TPLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� NG FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
O � ���I i✓M L. •4'C,+r` � S`�� ��/�b� CU I�
'' � i c� r� ►3 :� G_ j`�,f 5-t-Cw�
�
0
�
� �� � ( � •� S� �n� �:� (��...�
Q .
� � C �.�i�i,� �
w
�
W
�
�
d
W� ORKSATISFACTORY:PROCEED C� PROJECTCOMPLETE
W ❑C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDfTIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector._�o,l� � �
White Copyllnspector's File Canary Copy/Site Notice
�� I
� D TE . TIME V
C TY OF ORONO CALLED IN � ���
INSPECTION NO ICE c� C� SCHEDULED�I3�O�c ��
PERMIT NO. ` �`' COMPLETED
ADDRESS L � � � / ������� ��� /
OWNER CONTR. /iGII3YYIt���/"Iu,��
TELEPHONE NO. C��� j � � � �� �
� DESCRIPTION ��U`'��� r
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADIN / ING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE ETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J10 PIUMBING FINAL � 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOU:�YES_NO
� COMM TS:
� -- r0� �
�
J
O
� (�� t,h Q. P.tl"
0
�
Q � c� ! �l�iS
�
Z
w
�
w
�
�
a
W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
C INSPECTION RE�UiRED.CALLTO ARRANGE ACCESS.
Call tor the nex inspection 24 hours in advance. (952) 249-4600
OwnerlContra n �t :
Inspector. ��"
White Copylinspector's File Canary CopylSite Notice