HomeMy WebLinkAbout2016-00814 - plumbing 11111111111111111111111111111111111111111111 IM
CITY OF ORONO * 2 0 1 6 - 0 0 8 1 4
2750 KELLEY PARKWAY DATE ISSUED: 07/14/2016
r ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS 1150 WYNDMERE RD
PIN 26-118-2341-0013
LEGAL DESC WYNDMERE 2ND ADDITION
LOT 1 BLOCK 1
PERMIT TYPE PLUMBING
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE FIXTURES-MULTIPLE
NOTE: ADDITONAL&REPLACE FIXTURES:2 KITCHEN SINKS,2 DISPOSALS,3 DISHWASHERS, 1 WET BAR
VALUATION OF PLUMBING 7950
APPLICANT PLUMBING FIXTURE FEE 99.38
STATE SURCHARGE PLBG(VALUATION) 3.98
STEWART PLUMBING,INC. MAIL-IN FEE 2.00
13025 GEORGE WEBER DR
SUITE#1 TOTAL 105.36
ROGERS,MN 55374 Payment(s)
(763)428-1833 CREDIT CARD 3122 105.36
Minnesota State License#:plbg-PC000474,mech-MB003262
OWNER
KRUESEL,JEFFREY&SHEILA
1150 WYNDMERE 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. 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. lil
Applicant Perrnitee Signature Date Issued By Signature Date
Stewart Plumbing, Inc. 7634281733 p.2
City of Orono FOR CITY USE ONLY
` O P.O.Box 66 Date Received: j
' 2750 Kelley Parkway
crystal Bay,MN 55323 Permit# �C t��" C(✓`�1
(952)249-4600-Main Approved By:
{952}249-4616-Fax
Amount$: 34
CITY OF ORONO—PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http:l/www.dli.mn.-gov/CCLDIPDF/pe plum Wan reyapp.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 fS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and tc 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 ❑PVBJ
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: , yl r�al LA e
ter,
Owner: ���l�e �4 7u'��t � ��� 4 Mailing Address: I �2 0 lOVV �r?�I�-bre
City: (:W)ap Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �1�}�t-o� �:.:;� I 6qV6, Contact Person:
Address: �D S = t'� �Y 'U l _State Bond #: r(PD�Zl
City: C' �S Zip: Expiration Date: I 3!
Phone: -7 Alternate Phone:
[ Insurance— Current: �Gt c L` ` T051,kra y C
Page 1
Stewart Plumbing, Inc. 7634281733 p.3
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
I
Water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher ?> Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATION
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)
(��` . ()0 x .0125 $ �9 -.��
t price) (minimum$50.00)
2. STATE SURCHARGE Q / 2
�� f In �c x .0005 $ J. �t1
(contract price)
3. POSTAGE S HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � L�. L k
* CONTRACT PRICE or JOB COST means the actual 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 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: Date:
Building Official! Inspector: -- Date:
Page 2
JI
DATE TIME
CITY OF ORONO V ALLED IN
INSPECTION NOTICE `� SCHEDULED
PERMIT NO. `�� "�� COMPLETED
ADDRESSJC 1!c�u __
OWNER TELEPHONENO. l�
CONTRACTOR llvyl(
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SE>4 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 BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE EPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU YES_NO
cam., COMMENTS:
e:
W
a
Cr
a V sZf. O-
cc
W y
Q
Z
W
W
cc r
d / r. /oa.-
WW E)WORK SATISFACTORY-PIRO&Er ❑ PROJECT COMPLETE
CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑C.ECT WORK,CALL FOR REINSPECTION TEMPORARY
Cj BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owm/Contractor on site:
Inspector.
White Cop spector's File Canary Copy/Site Notice
TIME
CITY OF ORONO CALLED IN
/ HEDULEDINSPECTION 0,9 'a
PERMITN
COMPLETED
ADDRESS
OWNER T L O.%-42k Z 93
CONTRACTOR
DESCRIPTION
W ❑ FOOTING ❑ DEMO F AL ❑ SEPTIC FINAL
Q ❑ POURED WALL [IPLU BI RI ❑ EXCAV/GRADING/FILLING
C ❑ 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
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OINNEWCONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
Q
S 1'1 UJ4 1 ti cJGr /'
2
Lu
�+ c.K �/,.✓c /e r r o...e i G awe
WKSATISFACTORII:PROCEED El PROJECT COMPLETE
W
tRRECT WORK 3 PROCEED ElISSUE CERTIFICATE OF OCCUPANCY
❑ RECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
Cl GTATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call br the next inspection 24 hours in advance. (952) 249-4600
OwnerlContra77 s e:
Inspector. 4
White Copyllnspectoes Fila Canary CopylSNa Notice