HomeMy WebLinkAbout2017-01015 - plumbing CITY OF ORONO * z 0 i - e i 0 i s
2750 KELLEY PARKWAY DATE ISSUED: 08/24/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)2494616
ADDRESS : 1020 TONKAWA RD
PIN : 08-117-23-13-0014
LEGAL DESC : REG.LAND SURVEY NO.0617
LOT 000 BLOCK 000
PERMIT TYPE PLUMBING
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE FIXTURES-MULTIPLE
NOTE: (7)WATER CLOSETS,(8)LAVATORIES,(1)BATHTUB,(6)SHOWERS,(1)KITCHEN SINK,(2)DISPOSAL,(2)DISHWASHERS,(4)
SILLCOCKS,(2)FLOOR DRAINS,(2)LAUNDRY TRAYS,(1)WATER HEATER,(1)WATER SOFTENER,(1)WET BAR,(3)
MISCELLANEOUS
VALUATION OF PLUMBING 47500
APPLICANT PLUMBING FIXTURE FEE 593.75
STEWART PLUMBING,INC.
STATE SURCHARGE PLBG(VALUATION) 23.75
MAIL-IN FEE 2.00
13025 GEORGE WEBER DR
SUITE#I Payment(s)
TOTAL 619.50
ROGERS,MN 55374 ts)
(763)428-1833 CREDIT CARD 3122 619.50
Minnesota State License#:plbg-PC000474,mech-MB003262
OWNER
BURKE,FORREST
380 LEAF ST
LONG LAKE,MN 55356-
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 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.
Applicant Pertnitee Signature Date Issued B Ognature Date
Stewart Plumbing, Inc. 7634281733 p.2
p City of Orono FOR CI SE ONLY,
P.O.Box 66 pate Received: ��3 –/ /
2750 Kelley Parkway Permit db /7_41015
Crystal Bay,MN 55323
F J/ (952)249-4600—Main
APProved By:
(952)249-4616–Fax
Amount$_ L/ rl.J�
CITY OF ORONO—PLUMBING PERMIT
(AN Commercial Permits Must be Approved by the State Prior to City Approval)
http:/Iwww.dii.mn.goviCCLDIPDF/pe plumbplanrevapp.pdf
GENERAL INFORMATION
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 completed. PERMITS ARE NOT 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 to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT(Check All That Apply)
® Residential ❑ Commercial (Approval Required) [Backflow Device:❑AVB ❑PVB]
New ❑Additional ❑ Repairs Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
Job Site/ Owner Information:
Site Address: Gn�Ct�G�Ct � —
Owner: tZ��K'5f Lepe 6wke Mailing Address: 390 L&7 _51-
City: jt000 Zip: 5350
Home Phone:�— y ��� Alternate Phone:
Contractor Information:
Contractor: Ska;d_"¢ AIfilbi"I Contact Person: h Y
Address: /30.A!5 (eOV2W JVebek- 4� State Bond #: /Pb6D
City: ( �S Zip: —Expiration Date: 15 1
Phone: 71037�2y �� 3 Alternate Phone:
Insurance— Current: ��Cu1�Gc lt'tSi Cx�C(�3 c
Page 1
Stewart Plumbing, Inc. 7634281733 p.3
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 18T 2ND OTHER
TYPE Floor Floor TYPE Floor ! Floor
Water Closet 3 Floor Drains
Lavatory 3 3 Sewer Ejector
Bathtub Laundry Tray
Shower I Washer
Kitchen Sink Water Heater
Disposal I Water Softener
Dishwasher Wet Bar I
Sillcocks Miscellaneous
PERMIT FEE CALCULATION
1. CONTRACT PRICE *is 1.250/a of contract price with a (Minimum Fee of$30.00)
,/7, 56 o-U x .0125 $ _5q3- 15
(contract price) (minimum$50.00)
2. STATE SURCHARGE �}
4,L/ 0•Uy X.0005 $ -
(contract price)
3. POSTAGE & HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ s1 q•
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor, profit, and other fxed costs. It is the amount to be charged to
the customer for the work done. If any material, equipment, labor or installations are furnished by the
owner, tenant or any other party, the reasonable market value of such items must 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_
PLUMBING PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in
strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and
certifies that all statements made on this application are complete,true and correct.
Applicant's Signature: � '�- - ' l� �C17�-- Date: 9-,)3- 1-7
Building Official/ Inspector.- Date:
Page 2
�D5T E TIME
CITY OF ORONO CALLED IN /7 VVV
INSPECTION NO �SCHEDULED :Da
PERMIT NO. MPLETED
ADDRESS Doi(/ Q Gl/�
OWNER TEL NE NO. r
CONTRACTOR
DESCRIPTION
W ❑ FOOTING ❑ DEMO-F14L ❑ SEPTI I AL
Q ❑ POURED WALL B PLUMBING RI ❑ EXCAV/GRADING/FILLING
0 ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
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
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNEWCONTRACTOR TO MEET YOU:_YES_NO
COMMENTS: 41 r PL" V S L L. qO 12 V
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Q:
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WORK SATISFACTORY`.PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnwiContractor on site:
Inspector:
whhe Copynnapa uw%Fila Canary Copy/She Notice
DATE TIME
CITY OF ORONO CALLED IN -17
INSPECTION IC SCHEDUL /
PERMIT NO. COMP JED
ADDRESS �� ✓ pp�
OWNER7NET NO� 3— -1
CONTRACTOR
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FIN ❑ SEPTIC FINAL
Q ❑ POURED WALL PLUMBING RI ❑ EXCAV/GRADING/FILLING
Cot
❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ 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 ❑ SEPTIC INSTALL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS: I)LO V !6Ck efO
QZ
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W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
k PtLQ00RECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
W
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTOTAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Con r on site:
Inspector. A.-
White Copyllnspector's File Canary Copy/Site Notice