HomeMy WebLinkAbout2017-00162 - plumbing CITY OF ORONO * z 0 1 7 — 0 0 1 6 2 *
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"` 2750 KELLEY PARKWAY DATE [SSUED: 02/2U2017
ORONO, MN 55356—
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1280 SPRUCE PL
PIN : 08-117-23-32-0027
LEGAL DESC : N/A
: LOT MB BLOCK O10
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: FIXTURES:2 WATER CLOSETS,2 LAVATORY,2 SHOWER, 1 DISPOSAL, 1 DISHWASHER,2 WET BAR
VALUATION OF PLUMBING 16000
APPL[CANT PLUMBING FIXTURE FEE 200.00
STATE SURCHARGE PLBG(VALUATION) 8.00
STEWART PLUMBING, INC. MAIL-IN FEE 2.00
13025 GEORGE WEBER DR
SUITE#1 TOTAL 210.00
ROGERS, MN 55374 Payment(s)
(763)428-1833 CREDIT CARD 3122 210.00
Minnesota State License#: plbg-PC000474,mech-MB003262
OWNER
RYAN,JOHN
1280 SPRUCE PL
MOUND, MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued sha11 be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This 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 conshuction is
suspended for a period of I 80 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 /Q�„
revoked at any time for due cause. ���
a � I�C..''C 1 �'�---e,� f�t-� `-�i ,3 / /
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Applicant Permitee Signature Date Issued By Signatur� Date
Stewart Plumbing, Inc, 7634281733 p.1
� � FUR CITY US LY-� / _� "�
~ �pf Orono Date Received: .-_,,. �<.7 _ t � �
.___� Ci �-x�-,�r
''�4-- N�. P.o,sox 6s permtt# -,,;�
� 27�0 Keiley Parkway ;` � .
;r . � Crystal 8ay.MN 55323 qPproved ey: ,�;/,�, C 0
��� ~` (952)243-46�0—Main � '�
`''�., ��j � 24g-4616—Fax Amount$=
�`"es��`, 952)
C�-�(pF ORONO—PL�MBING PERMIT roval
(AIti Comme�cial Permits Must be ApP
roved by the S#ate Prior to Ci�Y A af )
htt :(Iww`^►•d ti��m n• o v l C C l.D l QDF! e lumb fanreva •
G�NERqL 1fVFQRMATtON ermits by mail or in person at the City off+ces. App
lications w+11 be
1. You may apply for plumbing p
reviewed and a pem'►it will be issued within two working days-
2. re
rmit cards will be sent by retur� mail afte�UST NOT BEG{NtUNTIL THE PE M1T CARD S
l�NT1L YOl1 RECEIVE A pERMiT. w�R tumbin cantractars and to property owners
POSTED ON THE�� be`ssued ONLY to licensed p 9
3, plumbing permits may
residing in the dweliing. g ermit must be obtained.
4. When any new construction or remodelin9State Code requ�i�rements���a�n g
5. Al�worK�nuo�����ne �^�'Y'"r�lanr.e Wlth �AQ.d�nn.
6, q11 work must be inspeCted and air tested before it�s cove�Ca. Cp�� (062)
(2e4-48 hour notice required)
-r.��� �,� o�R�ntTtCheck Ali That Apply)
'dentiaE [] Commerc+al (Approval Required) [Back�low Device: 0 A� ����
� Resi
❑ New
[]Additional � R�Pz"� ❑ Re�lace
❑ In Accessory StructUr2? ArtiCle IV)
"You will need €�rior��proval ar�d may need CUP. (F'er Orono City Code, Chapter 7$,
Job Site!Owner Information:
Site Address: r 1� � � ���� '
Owner: ��4`�4� � �� Mailing Adcfress' �Z�r; J����('�� �l C7�� _
City: '�(� ` Zip: 5.� �`'/
Home Phone: Alternake Phone: _.. ._._. __ .
Contractor Informatior�:
Contractor: �'-�'�W��l��' ��U�'YlLnii� q, Contact Person: I�flv��- ����1�✓
—�
Adc4ress: ����5 �2o✓�z. �."���2�f� .��State Bond#: _�CdC�a �-17�.�
t�C�{,��'� Zip: J�S 3 7�-I Expiration Date: � I .
c��y: / 4
Phone: ��3— y Lg� �� 5 3 Alternate Phone:
� Insurance— Gurrent: C t' ��,! Y��.
Page 4
Stewart Plumbing, Inc. 7634281733 p.2
• PLUMBING FIXTURES BEING INSTALLED
FIX�i"t.JRE BSMT 1sT 2ND OTHER FIXTURE BSMl" �sr 2No p��E�
7YPE Floor F'foor TYPE Flaor Floor :
Water Closet a Floor Drains
Lavatory � Sewe�Ejector
Bathtub Laundry Tray
Shower � Washer
Kitchen Sink � Water Heater
Disposal , ` Water Softener
�ishwasher � Wet 6ar � I
Sillcocks Miscellaneous
PERMIT FEE CALCULATkON
1. CONTRACT PRICE ` is 1.25%of contract price with a(Minimum Fee of$50.00)
T
�� �rf��� � x .0125 $ .��'�'. D�
� rninimum $Sa.00
(contract price) t }
2. STATE SURCHARGE
� � C,a
���; G(1 C.CC x A005 $ �',
(contract price)
3. POS7AGE� HANDLING {Only on Mail-In Applica#ians) $ 2•o�
�,
4. TOSAL PERMIT FEE (Add Lines 1-3 Above) $_,__—__��'-�"�C U � � �
" CONTRACT PRICE �r ,lOB COST means the actual or estimated dollar amou�t charged for the
permitted wark including materials, labor, proft, and other fixed costs. 1t is the amount to be charged to
the customer for the work done. If any material, equ9pment, labor or installations are furnished by the
awner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or eontract pr�ce for permit fee purposes. In the event that there is a dispute on #he
amount af the job cosf, the Gity may request the submission of a signed copy of the actual contract.
PLUMBING PERMIT APPLICATI�N AGREEMENT
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all vuork in
s#rict accordance with the ordinances of the City and the regulations ofi the Stafe ofi Minnesota, and
certifies that all statements made on this application are complete,true and correct.
���!„(����C',� ,�.'XI7��- Date: �� �� "� l�
Applicant's Signature: r'�,
$uilding Official/ Inspector: Date:
Page 2
�� � DATE TIME
CITY OF ORONO cA��e��
INSPECTION NOTICE SCHEDULED � � � ��,
PERMIT NO. `�C'I )-C.��!�P Z COMPLETED
ADDRESS ��Z.��� .S �)i"�-( C?C� �l
OWNER TELEPHONE_NO. ���'-� ����'��-�
CONTRACTOR —���-� =��'�� ����m�
'' DESCRIPTION I� � l'���'� � ��`� `--��`t-�S
4�j ❑ FOOTING ❑ DEMO-FINAL ���" � EPTIC FINAL��
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� ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FILLIN(3
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL �y�2
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
Q OWNENCONfTRACTOR TO MEET Y�ll:_YES_NO
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� ,�WOkiK SATISFACTORY:PROCEED ❑PROJECT COAAPLEfE
W O CORRECT WORK d PROCEED ❑ISSUE CEFiTIFICATE OF OCCUPYINCY
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERINO PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHpTO TAKEN
INSPECTOR WFLL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspectfon 24 hours in adnance. (952) 249-4600
OMmedCorttractor on site•
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Inspector: �
White CopyAnspecMr's Fil� Canary CopylSit�Notia
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CITY OF ORONO CALLE N
INSPECTION NOTICE SCHEDULED J� � /�7�h`1�'►
PERMIT NO. %-C�� '1 � IrZ COMPLEfED
ADDRESS �� ��, C �' /�������j, �( (".< .��
OWNER TELEPHONE NO. ��� 3 � Z-�-j�3-�
CONTRACTOR �-�'� � `-�-�� r � ��m6
� DESCRIPTION l � �-�h �i�
lU ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADINC�i/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 NOOK-UP ❑ FOLLOW-UP
�4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_ ❑ DEMO-SITE ❑�TIC INSTALL
J
2 OWNER/COHTRACTOR TO MEEf YOU: YES_NO
v�i COMMENTS: `'�
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W ❑ RK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
��RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W�l
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING 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 2a hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. �'�� �--
VYhite Copylinspector's Ffle C�nary CopylSit�Notiee
C�� �C�
pp� TIME
CITY OF ORONO cnLLED IN 7— �
INSPECTION NOTICE SCHEDULED - - � %�% 3�
PERMIT NO. ���'IL�Y.�+� �MPLETED
ADDRESS � ��
�NNER E P NE N -3� ��/�3
CONTRACTO
1�'� DESCRIPTION
y ❑ FOOTING ❑ DE -FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�O ❑ FOUNDATION WATERPROOF B 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
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z 09NN01lCOMRAC70R TO MEET YOU:_Y68_NO
� COMMENT'��.f.� �•v GL?'S m i�SS� �V)S �
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4�1 ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
� ❑COFqiECT YMORK 3 PROCEED ❑ISSUE CER'T1FlC/1TE OF OCCUPPINCY
W
O ❑Cppq�T Wpp1(,CALL FOR REINSPECTION TEMPORARY
V BEFORE CdVERINO PERMANENT
❑(;pqqECT UNSAFE CONDITION WITHIN Ha1RS- O PHOTO TAKEN
INSPECTOR VYILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑pTAT10N ISSUED
❑INSPECTION RE�UIRED.CALL TO ARRAN(iE ACCESS.
CsN for the next inspection 24 hours in advance. (952) 249-4600
Owr�erlContractor on site:
Inspector
WMte CopyAnapactor"s FIN Canary Cop�dBib Node�