HomeMy WebLinkAbout2010-01088 (plumbing) CITY OF ORONO PERMIT NO.: 2010-01088
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 1U05/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 3382 BAYSIDE RD 4„c���
PIN : OS-1 17-23-14-0�(;Gl��
LEGAL DESC : BAYS[DE ADDN TO LAKE MINNETONK
: LOT 009 BLOCK 005
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENT[AL
COIVSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: (�)WATER CLOSETS,(5)LAVATORIES,(3)BATHTUBS,(2)SHOWERS,(2)KITCHEN SINKS,(2)D[SHWASHERS,
(3)S[LLCOCKS,(2)FLOOR DRAINS AND(1)EACH: DISPOSAL,LAUNDRY TRAY,WASHER,WATER HEATER AND WET BAR
VALUATION OF PLUMBING 22350
APPLICANT PLUMB[NG FIXTURE FEE 279.38
STEWART PLUMBING, INC. STATE SURCHARGE PLBG (VALUATION) 11.18
13025 GEORGE WEBER DR
SUITE#1 TOTAL 290.56
ROGERS, MN 55374
(763)428-1833
OWNER
HUTHWAITE, MICHAEL&MARILYN
7715 AINSWORTH DR
GERMANTOWN, TN 38138-
AGREEMENT AND SWORN STATEMENT
fhe work for which this permit is issued shall be perfonned according to
the approved plans and specifications,applicable City approvals,and thc
State[3uilding Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
pennits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
� commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
� requested in conformance with the State Building Code.This permit may be
� revoked-ak.�ny time for due cause.
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�Applicant Permitee Signature Date Iss d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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FOR ITY USE ONLY
• "�- City of Orono /� �j
�'���4 ����� P.Q Box 66 Date Receiv�� (�'ermit# �a�'� C/�
` � �'' 2750 Kelley Parkway 9
�� n.°'�• �I Crystal Bay,MN 55323 Approved By: Amount$: �!�D �
1\��i�:,Y.`o�% (952)249-4600
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the l3uilding Official or Inspector)
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 A 1 )
0 Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs � ❑ Replace
❑ In Accessory Structure?
*You will need arior approval and may need(�11P.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner lnformation:
Site Address: 3`382 BaySIC�@ ROaC)
Michael & Marilyn Huthwaite 7155 Ainsworth Dr.
Owner: Mailing Address:
c,ty: Germantown Z;p. 38138
Home Phone: Alternate Phone:
Contractor Information:
Stewart Plumbing Inc. Kg('�t Ba�(er
Contractor: Contact Person:
13025 George Weber Dr#1 61344 m
Address: State Bond#: p
Ro ers 55374
City: g Zip: Expiration Date:
Phone: (763� 428-1833 Aiternate Phone:
❑ Insurance—Current: 1�1/1 O - 1/1/11
l
PLUMBINC FIXTURES BEING INSTALLED
FIXTURE BSMT �sT 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL T'YPE FL FL
Water Closet � � Floor Drains �
Lavatory � 2 Sewer Ejector
�.7
Bathtub � I Laundry Tray I
Shower Washer '
Kitchen Sink � Water Heater I
Disposal I Water Softener
Dishwasher � Wet Bar
Sillcocks c� Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or ap�liance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance:and
3. Is improved, installed ar replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit F'ees Continued On Next Page)
2
.
PERMIT FEE CALCULATION S -JOBS OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
�?,3;-� X.0�25$ ��79 .3�
(contract price) (minimum$50.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00)
�a,�3� X.000s $ il •�`�
(contract price) (minimum$ 5.00)
3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �-I�•��l1
■ * CONTRACT PRICE or JOB COST 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 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.
■ ** The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$5.00—whichever is
greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
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: (�/�' �i(,>> Date: �� '3'� d
Reset Form
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OWNER TE /PHONE NO. ^ �o
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J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
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Call for the next inspection 24 hours in advance. �95Z� Z49-4600
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CITY OF ORONO CALLED IN `� �' (
INSPECTION NOTICE SCHEDULED /o;�
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INSPECTOR WILL RETURN
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Call forthe next inspection 24 hours in advance. �95Z� Z49-46�0
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OWNER HONE NO.�!1�f—��✓�U"�� ` I
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� ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
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