HomeMy WebLinkAbout2016-00148 - plumbing CITY OF ORONO * Z 0 1 6 — 0 0 1 4 8 *
2750 KELLEY PARKWAY DATE ISSUED: 02/1U2016
, + ORONO,MN 55356-
(952)249-4600 FAX: 952)249-4616
ADDRESS : 1790 SHADYWOOD RD
PIN : 17-117-23-21-0025
LEGAL DESC : SHADY-WOOD
: LOT 020 BLOCK 000
PERMIT TYPE : PLLTMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOT'E: (2)WATER CLOSET,(4)LAVATORIES,(1)BATHT[JB,(1)SHOWER,(1)KITCHEN SINK
VALUATION OF PLUMBING 8500
APPLICANT PLUMBING FIXTURE FEE 106.25
STEWART PLUMBING,INC.
STATE SURCHARGE PLBG(VALUATION) 4.25
13025 GEORGE WEBER DR M�1IL-IN FEE 2.00
SUIT'E#1 TOTAL 112.50
ROGERS,MN 55374 Payment(s)
(763)42&1833 CREDIT CARD 3122 112.50
Minnesota State License#:plbg-PC000474,mech-MB003262
OWNER
MATEFFY,JOSH&CAITI
1790 SHADYWOOD RD
WAYZATA,NIN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit is issued shall be perfocmed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
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 pemiit 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 applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued ignature Date �
Stewart Plumbing, Inc. 7634281733 p.2
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,���p�� ;City of Orono FOR CI"fY USE ONLY
O � lP.4. Bax 66 Date Received:
I �2750 Kelley Parkway �
� �� ,, J !Crystal Bay,MN 55323 Permit# �
�ti F 1 � ;(952)249-4606-Main A p proved B y:
���"FSraa�' '(952)249-4fi16-Fax
Amount$: l •
CITY OF ORONO—PLUMBING PERMIT
(All Commercial Permits�Ilust be Approved by the State�rior to City Approrral)
htfp-Jlwww dli.mn.4ovICCLDJPflF/pe qlumbplanrevapn.pdf
GENERAL INFORMATI4N
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 compieted. PERMlTS ARE N4T 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 lo property owners
residing in the dwelling.
4. When any new constructian or remodeling is involved, a separate building permit must be obtained.
5. All worlc must be done in accordance with State Code requirements.
6. All work rnust be inspected and air tested before it is covered. Call(952) 249-4600.
{24-48 hour notice required)
TYPE OF PERMIT(Chedc A11 That Apply)
I�C� Residential ❑ Commercial (Approval Required)
��r
❑ New ❑Additionaf ❑ Repairs �Replace
❑ In Accessory Structure?
`You will need qriar api�roval and may need CUP. (Per Orono City Code, Chapter 78, Article fV)
Job Site 1 Owner fnformation:
Site Address: � � � =J y'���� ��'��C-� , l� �
Owner� 1 ��� , �� ''� c� �� �l. Mailing Add�ess: ���o� �Dd'-t�� � '.�11�'1 !4U��
, �
c��: C����� c:�C�,� z�p: D��l��
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Home Phone: Alternate Phone:
Contractor Information:
n � r^`_ 1
Eontractor: � ' �.;c�►�� � 1idl' C.Contact Person: � �a,�.-l��l ����t��,s('
.,
Address:
,.�.��� �.`-CC�c'- ��L�� � �'`'��State Bond #: ���(����
C��y: �G��� Zip: �J Expiration Date: �� � �
Phone:���'�"����i^ � ��3 Ai#ernate Phone:
C�'
lnsurance— Current: �-L��4��
Page�
Stewart Plumbing, Inc. 7634281733 p.3
� � ' PLUMBING FIXTURES BEING INSTALLED
FiXTURE BSMT �sr 2^'o O7HER FIXTURE BSMT isr ZND OTHER
TYPE Floor Ffoor TYPE F1oor Floor
Water Closet �-? Floor Drains
l.avatory Sewer Ejeclor
Bathtub , Laundry Tray
Shower I Washer
Kitchen Sink � ; Water Heater
Disposal Water Softener
Dishwasher Wet Bar '
Sillcocks Miscellaneous
PERMIT FEE CALCULATION
1. CONTRACT PRICE � is 1.25% of contract price with a(Minimum Fee of$50.00)
�� � � �...� X .0,2� $ 1�'� , �5
(contract price) (minimum $50.00)
2. STATE SURCHARGE
�i ��(� x.000s � y. �`�
(contract price)
3. POSTAGE�HANDLING (Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ I f l,'. ��
"' CONTRACT PRICE or JOB COST means ihe actual or estimated dollar amount charged for tiie
permitted work inciuding materials, labor, pr�fit, and other fixed costs. It is the amount to be charged #o
the customer for the work done. If any material, equipment, labor or installations are fumished by the
owner, tenant or any other party, the reasonable market value of such items r�ust 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.
FLUMBING PERMIT APPLICATION AGREEMENT j
The undersigned hereby applies to the City far issuance of a Plumbing Perm9t, agrees to do all work in
strict accordance with the ordinances of the City a�d the regulations of the State of Minnesota, and
certifies that atl statements made on this application are complete, true and correct.
Applicant's Signature' � Date: o(—I v�f �
�
Building O�ciaU Inspector. Date:
Page 2
� � �
� DATE TIME
CITY OF ORONO CALLED IN �� �- �
INSPECTION NOTICE � SCHEDULED �� �
PERMIT NO. ��<�� COMPLETED �–! –C
,' �—
ADDRESS l 7 �� �ti t�����.___�
OWNER TEL O E NO. ��
CONTRACTOR �� 'v
� DESCRIPTION �"�"' U
ly ❑ FOOTING ❑ Q O FINAL - ❑ SEPTIC FINAL
� ❑ POURED WALL ING RI ❑ EXCAV/GRADING/FILLING
Q
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANtCAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W `�SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p 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. (g52) 249-46��
OwnerlContractor on site:
Inspector. `
White Copyllnspector's Ffle Canary CopylSite Notke