HomeMy WebLinkAbout2017-00260 - plumbing CITYOFORONO * z017 - 0026PJ *
, 2750 KELLEY PARKWAY DATE [SSUED: 03/20/2017
�� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2092 SHADYWOOD RD
PIN : 17-117-23-31-0042
LEGAL DESC : WILEYS PARK LAKE MTKA
: LOT 000 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: NEW FIXTURES FOR MAIN FLOOR ROOMS/ADDITION:2 WATER CLOSETS,2 LAVATORY, 1 SHOWER, I K[TCHEN SINK, 1
WASHER
VALUATION OF PLUMBING 11500
APPLICANT PLUMB[NG FIXTURE FEE 143.75
STATE SURCHARGE PLBG(VALUATION) 5.75
STEWART PLUMBING, INC. MAIL-IN FEE 2.00
13025 GEORGE WEBER DR
SUITE#1 TOTAL 151.50
ROGERS, MN 55374 Payment(s)
(763)428-1833 CREDIT CARD 3122 151.50
Minnesota State License#:plbg-PC000474,mech-MB003262
OWNER
MARTHA,GEOFFREY& STEPHANIE
2118 SHADYWOOD RD
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. "Chis 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 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 By Signature Date
Stewart Plumbing, Inc, 7634281733 p.2
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� � �� City of Orono FOR CfiY S ONLY
O�� P.O.8ox 66 Date Received: �"1
� 2750 Keliey Parkway ,
; ' Crystai Bay,MN 55323 Permit#
F
c,� (952)249-4600—Main
`�K�SH�R� (952)249-4616—Fax ApProved By:
Amount$: � �
CITY OF ORONO- PLUMBING PERMIT
(A!I Commercial Permits Must be Approved by the State Prior to City Approval)
htta:/lwww.dli.mn.govlCCLD/PDF/r�e piumbpfanrevapa adf
GENERAL IN�ORfV�ATION
1. You may apply for plumbing permits by mail or in person at the City�f'ices. Applications will be
reviewed and a permit wilt be issued within iwo working days.
2. Permit cards will be sent by returrt mail after a review is completed. PERMITS ARE NOT VALED
UNTIL YOU RECEIVE A PERMIT. WORK MUS7 NOT BEGIN UNTIL THE PERMIT CARD lS
POSTED 4N THE JOB SI'FE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and Eo property owners
residing in the dwelling.
4. When any new constructi4n or remodeling is involved, a separate buildi�g permit must be obtained.
5. AIf work must be done in accordance with State Code requirements.
fi. All work must be inspected and air tested before it is covered. Call(952)249-0600.
(24-d8 hour notice required)
TYPE OF PERMIT(Check All That Apply)
(��Residentiaf ❑Cammercial (Approval Required) jBacl�low Dcvice:Q A'�B ❑PVB]
�New ❑Addi6onal ❑Repairs ❑ Replace
1 � �'t��41 -�(C�i' ���'YI� �C�d r�1��1'�
❑ In Accessory Structure?
'You witl need arior aparoval and may need CUP.(Per Orono City Code, Chapter 78, Artide IV)
Job Site/ Owner Infom�ation:
Site Address: �i b�ioZ ��1�>>�n��r ��� •
Owner: �� �'f�JT�hadrP �Mailing Address: o� D�1,� .5�ac��r�nQ� R��
c�ty: ��J�a vua-� zp: 55 3� I
Home P�ane: Aitemate Phone:
Contractor Information:
Contractor. S-l�U�UQrf �l,U��hi nq ��c Contact Person: I`��'t'i f �G��k c�
Address: . 13 G 2..�; (�G,��.�c 11�r�� !�� S��i k�� State Bond #: /�1�CO3� (� ;� /PC�C10C:`�7�{
, ,
City:�e f S Zip: .5 537� Expiratian Date: � /�
Phone: 7G'3-�ZC�' /�3 3 Altemate Phone:
�Insurance—Current: �'(,t �ft�(��
Page 9
Stewart Plumbing, Inc. 7634281733 p.3
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' . .
� PLUMBING FIXTURES BElNG INSTALLED
FIXTURE SSMT ! 1ST 2N0 OTHER FIXTURE BSMT 1sT 2"❑ OTHER
TYPE Ftoor Floor TYRE Floor Floor
Water Closet � Floor Drains .
Lavatory � Sewer Ejector
Bathtub Laundry Tray
Shower � Washer �
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Silicocks Miscellaneous
PER[VIIT FEE CALCULATfON
1. CONTRACT PRICE *is 1.25%of contract price with a (Minimum Fee of;50.00)
� /�� :5c�0, C�c� X .o�2s � �y3.75
(contract price) �minimum$50.00)
2. STATE SURCHARGE
�/1151�. c� U x .000s � �- 75
(contract price}
3. POSTAGE 8 HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
�/y �I '��
• CONTRACT PRICE or JOB COST means the actual or estimated doliar amount charged far fhe
permitted work induding materials, labor, profit, and other�ixed costs. It is the amount to be charged to
the customer for the wo�lc dorte. If any materiai, equipment, labvr or installations are furnished by the
owner, tenant or any othe� pa�-ty, the reasonable market value of such items must be added to the
estimated oost or contracE price for permit fee purposes. In the event that there is a dispute vn the
amount of the job cost, the City may request the submission of a signed copy of the actual contract.
PLUMBING PERMIT APPLICATI�N AGREEMENT
The undersigned ttereby applies to the City for issuance of a Plumbing Permit, agr�ees to do aEl work in
strict accordance with it�e ordinances of the City and the regulations of the State of Minnesota, and
certifles that at�state�nents made on this application are complete, true and correct.
�. ' / � 7
Appficant's Sigr�ature: ��l��c.c���- ��� Date: � �0 I
Building Official/lnspector: Date:
Page 2