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HomeMy WebLinkAbout2015-01497 - plumbing , � CITY OF ORONO * z 0 1 5 - 0 .t � 9 � * 2750 KELLEY PARKWAY DATE ISSUED: 1 U23/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1025 SPRING HILL RD PIN : 26-118-23-43-0005 LEGAL DESC : LJNPLATTED 26 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (4)WATER CLOSETS,(6)LAVATORIES,(1)BATHTUB,(4)SHOWERS,(3)K[TCHEN SINKS,(3)DISPOSALS,(3)DISHWASHERS, (3)SILLCOCKS,(4)FLOOR DRAINS,(l)LAUNDRY TRAY,(1)WASHER,(l)MISCELLANEOUS VALUATION OF PLUMBING 37035 APPLICANT PLUMBING FIXTURE FEE 462.94 STATE SURCHARGE PLBG{VALUATION) 1�.52 STEWART PLUMBING, INC. MAIL-IN FEE 2.00 13025 GEORGE WEBER DR SUITE#1 TOTAL 483.46 ROGERS, MN 55374 Payment(s) (763)428-1833 CREDIT CARD 3122 483.46 Minnesota State License#:plbg-PC000474,mech-MB003262 OWNER BOWLSBY,JOHN&CYNDY 1025 SPRING HILL ROAD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only[he wotk described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ( �v���_� � � i I � �3�15 Applicant Permitee Signature � Date Issue Signature Date , ' Stewart Plumbing, Inc. 7634281733 p.2 FO CITY SE ONLY �� City af Orono J /J b �O�j-� P.O.Box 66 Date Receive� / f ermit# o�a� �.! 2750 Kcllcy Pazkway z- �// _ CrysYal Bay,b1N 55323 Approvcd By: Amount$: � j SU (952j 249-4600 Main y � (9521 Z49-4616—Faz �' �` CITY�F ORON�-PLUIYISING PERMIT ��'KL"SHo�`�" (All Commerciai Permits Must be Approved by the State Prior to City Approval) htt ://wr��w.dii.mn. ovICCLD/PDF/ e lumb ianreva . df GENERAL INFORMATION 1. You may apply for plumbing pemvts by mail or in person at the City offices. Applications wil]be reviewed ancf a permit will be issued within two working days. 2. �ermit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UVTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGTN UNTIL THE PERMIT C.�RD IS POSTED ON THE JOB SITE. 3. Plwnbing pe:Ynits may be issuerlONLY to liceosed pturnbing contractors and to property owners residing in the dtivellin�. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work n�usc be done in accordance with State Code requirements. 6. Ali work rnust bc inspected and air tested before it is covered. Call(952)249-4600. (2448 hour notice required) TYPE OF PERMIT {Check All That A 1 ) �Residential ❑ Commercial (Approval Required) [�New ❑Additional ❑Repairs [�Replace ( ❑ In Accessory Structure? "You wil]need arior apnroval and may need CUP.(Per Orono City Codc,Chapter 78,Article IV) Job Site/Owner Information: c � Site Address: � < � f t ► Owner:����,rl� '� C�������U���w�/Mailing Address: �5��'`r i � 2,�/ City: �'La y�'c�fG� zip: _��_, Home Phone: Alternate Phone: Contractor Information: Cantractor: ��/ n � , r1 . 1'1C. Contact Person: LG[�-( f��'� Address: j�(?��1-;7eGr�%�(��1:����1'�'� #�State Bond#: ��U1 J��"� �i Cify: � �'S Zip:r'f� Expiration Date: ��-�J- � � Phone: ��77� �j��i'11.�'�3 Alteznate Phone: � Insurance-Current: vI-C�f �- 1 . Stewart Plumbing, Inc. 7634281733 p.3 PLUMBII�iG FIXTURES BE1NG INSTALLED FtXTURE BSMT 1' 2'° OTIiER FLXTURE BSMT 1 2 OTHER '�'E FL FL TYPE FL FL Water Closet � � Floor Drains Lavatory { � Sewer Ejector � � Bathtub Laundry Tray � Shawer � y� Washer t f Kitchen Sink � Water Hcater Disposal � Water Sof�ener Dishwasher � Wet Bar Sillcock� � I�4is�ellaneous � _ � 3 PERk'b11T FE£ CAI.CULATION(S) BASED OFF-2002 STATE STATUE ❑ Yes,this section applies The replacement of only�one Residential fixture or appliance that meets all three of the foliow7ng requirements; I. Docs not require modi&cation to electrica}or gas service. 2. Has a#otal cost of$500.00 or less;excludinQ the cost of the fixture ar appliance: and 3. Is improved, installed or replaced by the homeowner or licensed plumbing contzactor. Skip next section,if this applies; Cost ofPermit $ 15.00 State Surcharge $ 1.00 Mail-In Fee(If Applicable) � 2.06 Total Permit Fee $ (Permit Fees Cuntinued On Next Page) 2 • , - Stewart Plumbing, Inc. 7634281733 p.4 PERMIT FEE CALCULATION S —J�BS OVER$500.40 If above does not apply;follaw guidelines below: I. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) ��� 35� c�o x.0�25$�._�. �3 conttact pricej (minimrm S50.A0) 2. STATE SURCHAItGE i 1 ,�•�,�� ��, D�5 o a X.00fl� $ r � (contract priec) 3. POSTAGE&HANDLFNG(Only on Mai]-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines L-3 Above) $ ) , r � ■ " CON'£RACT PRICE or JOB CQST means the actua] 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 muteria�,equipment, labor or installations are fumished by the owner,renant or any other party,the reasonable market value �f such items must be added to the estimated cost or contract price for permit fee purposes. ln the event that there is a dispute on the amount of#he job cost, the City may reyuest the submission of a signed copy of the actual contract� PLUMBING PERMIT APPLICATI4N AGREEMENT The undersigned hereby applies to the City for issuance of a Plumbing Pemut, agrees to do all work in strict accordance wiih the ordinances of the City and the regulations of the State of Minnesota, and certifies that ail statements made on this application are complete, tnze and correct. Applicant's Signature: � � ' Date: r, �,���( � 3 � � � DATE TIME � CITY OF ORONO ca D IN �� INSPECTION NOTICE SCHEDULED 'Z- �S_��`- PERMIT NO..�.b I�`0��"�1. COMPLETED � ADDRESS � � � � l/ OWNER TELEPHONE NO. CD3������� CONTRACTOR ��-�-� a� ��I k/�.��-, � DESCRIPTION `� �- �� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL D�i2LUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ S PTIC INSTALL 2 OWNERlCONTRACTOR TO MEEf YOU: ' YES_NO y COMMENTS: `� � u �- -�'o✓ -�f�r���c� t�k��1�� � �tQ /«��� 0 5p�e - ,b c� c/ — �r/c s��. �o _ � .�'� ci� r- �e�� .s �io�Q�� o ��� W � ' l��Gl� � �i� K ✓ rc — _�- - Q z �/r SK•� — t��!/- (/G Sc�i - C/a .— � �� � �K � �'W e � � �jpK�K SATISFACTORIf:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITH�N HOURS. ❑PHOTO TAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspect�24 hours in advance. (g52) 249-46�� OwnerlC or on site: . Inspector: ��-- White CopyAnspectoPs Ffle Canary CopylSite Notice J-� s�� 1 D/+TE T E CITY OF ORONO CALLED IN � ` —� INSPECTION NOTIC ��`,/„ EDULED � 1�•� PERMIT NO. �"� OMP D ADDRESS ld OWNER /�HO NO ' -�S� CONTRACTO l � DESCRIPTION � �Ov W ❑ FOOTING ❑ DEMO- INAL ❑ SEPTIC L Q � POURED WALL �UMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL 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 J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OYVNERICONTRACTOR TO MEET Y'OU:_YES_NO c�.� COMMENTS: W l�e wc��G - ,� kJ V - ��/c �if. �lo � o -�-��e�-,� �l�G sr��4d � c Z w� .�o - � J�46 G�v�a/�•c�5 - 1/ss�ifL � b�•G•.= � e,st ° /'l it ' - Q �� /'ov�rJG I'le7i D�aa��s �o•� �cJ v W�torc, ZG�ise�ssa�� ,Olvvre�� Sc,O�r4,�ro� �✓ W �Uatt.� /.��,���rv �/ o`�r�4 co.-ic.r�t� - j2e s-� -6K - Corv�ec�t -i �K- -�s Cve,�✓� a W ❑WOFiKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � �GDRpE6T V1bRK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call brthe next inspect�24 hours in advanc�. (g52) 249-4600 OwnerfContractor on site: �1'Yf Inspector �� White CopyllnspectoPs File Canary CopyfSite Notfee J - � `�� � DATE TIME �J CITY OF ORONO CALLED IN - �(�� INSPECTION NQTLC�S O�,/7 SCHEDULED 7 z.��ll�, !•'� PERMIT NO. o« Y7 —,COMPL�TED ADDRESS �U � OWNER T PHON NO. Z .3 - ���3-3 CONTRACTOR �ti��'� � �� � DESCRIPTION �--� �� �'`"�- ly ❑ FOOTING ❑ DEM - NAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUI�T-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: /' � � a ,,�f' � / ,�" � �I �� 0 � W � Q � 2 W � W � J d W ❑WORK SATtSFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED O I UE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT VYORK,CAII FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OR�EH POSTED.CALL INSPECTOFi �CITATION ISSUED y���� �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou n advan 49-46�� OwnerlCorttractor on site: Inspector. White Copyllnspector's File Canary CopyiSite Notice