HomeMy WebLinkAbout2009-00489 (plumbing- fixtures) CITY OF ORONO PERMIT NO.: 2009-00489
° 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 08/13/2009
` 952 249-4600 FAX: 952 249-4616
ADDRESS • : 3127 CASCO CIR
PIN : 20-117-23-34-0022
LEGAL DESC : COLORADO SPRINGS
: LOT 002 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: BASEMENT: 2 WC,3 LAV, 1 TUB, 1 SHOWER,2 SILLCOCKS, 1 FLOOR DRAIN, 1 WATER HEATER, 1 WET BAR
1 ST FLOOR: 1 WC, 1 LAV, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,2 LAUNDRY TRAYS, 1 WASHER
2ND FLOOR:2 WC,4 LAV,2 BATHTUB, 1 SHOWER
VALUATION OF PLUMBING 38000
APPLICANT PLUMBING FIXTURE FEE 475.00
STATE SURCHARGE PLBG (VALUATION) 19.00
STEWART PLUMBING, INC. MAIL-IN FEE 2.00
13025 GEORGE WEBER DR TOTAL 496.00
SUITE#1
ROGERS, MN 55374 PAID WITH CHECK# 12240
(763)428-1833 PAID WITH CC# 1737
OWNER
PETERS, FREDERICK
3127 CASCO CIR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed
according to: (1)the conditions of this permit; (2)the
approval plans and specifications; (3)the applicable City
approvals, Ordinances and Codes;and(4)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.
This permit will expire and become null and void if
construction authorized is not commenced within 60 days,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 , � ���M �w,
conformance with the State Building Code. ,�,,...�
SEPARATE PERMITS REQUIRED FOR WORK OTHER TH DESCRIBED ABOVE.
FOR('I1'1�L�SE pP1L1'
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2'I50 Kelley Parkway
� � ,'' Y� � Crystal Bay,MN 55323 �ppro�zd A�-: ----- '�mount'�:---------
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CTI'Y OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by ihe Busiding Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing pem�its by mail or in person at the City offices. Applications�vill be
reviewed and a pennit will be issued within two working days.
2. Pemiit cards will be sent by retum mail after a review is campleted. PFiI2MITS�ZI?NO"T
VALID UNTIL YOU RECEI VE A PERMI7'. WORK MUST NOT BEGIN UNTTL TJ�
PERMIT CARD 1S POSTED ON T'HE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing conlractors and to property owners
residing in the dwelling.
4. When any new constnic[ion or remodeling is involvc;d,a separate building petmit must be
obtained.
5. All work must he c�one in ac�r�ian�e�.vith State Ccx�e recuirrmentc.
6. All work mus[be inspected and air tested befQre it is covered. Call (9S2)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
Check All That A 1 �)
�Keside�itial ❑Commercial(Approval Required)
❑Ne« ❑Additionai ❑Kepairs ❑IZeplace
❑ Ia Arce�x�n titnt�ture''
*You«�ill ner�c(nrior an�ru�ai ai�d ma�� ❑erd ,_ _� . (F'er Orunc�Cit�� ('�.�de_C'liapter 7ti_Articie IV�
Job Site/Owner Liformation:
SiteAddress: ��� � � LL���,L�% ����(�`,�Y�l'� �CL�(� �ti�'����7 C
c��t�f� �
Owner. �"1�tC,��.1� � �.� }�,�Q-�`� Mailing Address: �� �� ����t`�C��� � 1 i�,
City: �j�� �c:, {t� r� �u Zip: ���^�l�
Home Phone: Alternate Phone:
Contractor Liformation:
Contractor: Stewart Plumbing, Inc. Contact Person: Pam Baker
Address: 13025 George Weber Dr#1 State Bond#: 061344-PM
City: Rogers Zip: 55374 Expiration Date: 12/31/09
Phone: (�63)428-1833 Alternate Phone:
❑ Insurance—Current:
1
PLUMBING FIXT[_TRES BEING I�ISTALLED
FIXTURE BSMT 1 2 OT'HER FIXT�JRE BSM'I' 1 2 OTHI:R
TYPE FL FI, TYPE FL F�L
Water Closei � ] � Floor Ihains %
I
Lavatory � � j� Sewer F,jector
Bathtub � � Laundry "I'ray �
Shower f ' W asher !
I
Kitchen Sink i Water Heater �
Disposal f Water Softener
Dishwasher f Wet Bar �
l
Sillcocks � Miscellaneous
�
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixtwe or appliance that meets all three of the following requirements:
I. Does not require mai�cation to electrical or gas service.
2. Has a total cost of$500.00 or less;excluciin�the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section,if tt�is applies; Cost of PermiE $ I5.00
State Su�charge $ 50
Mail-In Fce(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
PERMIT FEE CALCULATION(S)—JOBS OVER $500.00
' If above dces not apply;follow guidelines below:
1. CONTRACT PRICE *is 125%of c;ontract pnce with a(Minimum Fee of�50.00)
�� ���,��i x .0125$ ���� ��
(contract price) (minimum�SQ00)
2. STATE SURCHARGE **Add the State Bldg Cocie Div. Surcharge(!�tinimum Fee ot 5.50)
x .0005 $ , � �
(contract price) (minimum$ .50)
3. POSTAGE&F IANDLING(Only on Mail-In Applications) $ 2.�p
4. TOTAL PERMI'T F'EE(Add Lines 1-3 Above) $ ` � �°� �
• * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, iabor,protit, and other fixed costs. It is the arnount to be charged
to the customer for the work done. If any material,equipment, labor or installations are fumished bv
the owner, tenant or any other party, the reasonable market value of such items must be added to the
estimateci cost or contract price for permit fee purposes. In the event that there is a dispute on the
xmount of the jab cost, the City may request the submission of a signed copy of the actual contract.
■ ** The STATE SIIRCHARGE is .0005 of the contract price under$1,000,000 or$.SO—whichevei-is
greater. For valuations over$I,0(X),000 cal] the I3uilding Department at(952)249-4E�0 for the pnce.
PLL)MBING PERMIT APPLICATION AGREEMENT
T'he 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.
_�
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Applicant's Signature: � Date: � �
Reset Form
3
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D� TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE ,/ SCHEDULED �o_l_a� �%�
PERMIT NO.��-�'lr�� COMPLETED
ADDRESS ��Z7 �� �f �
OWNER CONTR. �C'.LI�L��t-��pl�t �
TELEPHONE N0. CD�� ��o�P IOOS�
� DESCRIPTION l� ��� ��i ��
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. � FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WlIL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 torthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
`�`'"� D 9T T I M E �
CITY OF ORONO CALLED IN '1
INSPECTION OTI E SCHEDULED � �
PERMIT NO.��� �� � COMPLETED '�
ADDRESS 3I Z7 ��,S�.D � �
OWNER CONTR.���U�L�.�" C�:,�in��
TELEPHONE NO. �� � `�Zo '� (�33
� DESCRIPTION_�G�11 K.aL-
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FiNAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FiNAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8�PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-46QQ
s
OwnedContractor o
Inspector. --- � `
White Copyllnspector's File Canary CopylSite Notice
�"� C � �� �A TIME �
CITY OF ORONO CALLED IN -� ��U
INSPECTION OTICE SCHEDULED �
PERMIT NO � �� �C1 COMPLETED
ADDRESS ��-��!
OWNER TE E HONE NO.� Z���--�
CONTRACTOR � "
>; DESCRIPTION � � � -
�
� ❑ FOOTING LUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ 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
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PL fIV I SE TI FINAL ❑ FOUNDATION/REMOVAL
� ACTOR TO ME6Ta'i)U: YES_NO
� MENTS:
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W��1p�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWfTHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIOfV RE�UIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-4600
OwnedContractor on sit :
Inspector. � �
White Copyllnspector's File Canary CopylSite Notice