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: `�
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� �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
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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
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ZG�ise�ssa�� ,Olvvre�� Sc,O�r4,�ro� �✓
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j2e s-� -6K - Corv�ec�t -i �K- -�s Cve,�✓�
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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
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W
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J
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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