HomeMy WebLinkAbout2012-00705 (plumbing-fixtures) ` { CITY OF ORONO * 2 0 1 z - 0 0 7 0 5 *
2750 KELLEY PARKWAY DATE ISSUED: 07/24/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3165 CASCO CIR
PIN : 20-117-23-43-0026
LEGAL DESC : SPR]NG PARK
: LOT 036 BLOCK 000
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: PLUMB]NG FIXTURES: (6)WATER CLOSETS,(6)LAVATORIES,(2)BATHTUBS,(3)SHOWERS,(2)KITCHEN SINKS
(2)DISPOSALS,(1)DISHWASHER,(4)SILLCOCKS,(4)FLOOR DRAINS,(1)LAUNDRY TRAY,(1)WATER HEATER,
(1)WE'T BAR AND(2)FAUCETS
VALUATION OF PLUMBING 40100
APPLICANT PLUMBING FIXTURE FEE 501.25
STEWART PLUMBING, INC. STATE SURCHARGE PLBG(VALUATION) 20.05
13025 GEORGE WEBER DR
SUITE#1 MISC FEE 0.00
ROGERS, MN 55374 MAIL-IN FEE 2.00
(763)428-1833 TOTAL 523.30
OWNER
ARMSTRONG, WARD& KATHLEEN
6898 EDGEBROOK PLACE
EDEN PRAIKIE,MN 55346-
AGREEMENT AND SWORIV STATEMEIYT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
S[ate E3uilding 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.
�.�,� � � � /02 / a--
Applicant Permitee Signature Date [ssu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
F R(' 1 L�tiE ONLl�
� Cih of Oruno 7 z yO 7
O� �O P'O.Box 66 I)atr Rt�ti�� : [?�Yenuit=�C_��-' /�
2750 Ke11ey Parkway �
a ' � Crystal Bay,MN 55323 lprro�e�t Bc: amoiint�:54�,
�� � �c` (952)249-4600—Main
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CITY OF ORONO— PLUMBING PERMIT
(All Commercial Perniits Mnst be Approced b� the St.►te Prior to Cit� Appro�al)
GENERAL 1NFORMATION
]. You maY apply for plumbing pemuts by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued withirt two working days.
2. Permit cards will be sent by return mail after a r�view is c;ompleted. PE?RM['CS AI2I:NOT
VALID t_1N'I'II. YOU RECEIVE A PIIZMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONI,Y to licensed plumbing contractors and to property owners
residing in ihe 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)
T�c'PE OF PERMIT
(Cl�eck All That A Iv)
�.IZesidential ❑Commercial(Approval Required)
❑Ne�� ❑Adilitional ❑Repairs ❑Replace
❑ In accea,i,r�� Struchire''
*You nill nred pricir xpnro��al�md ma� need (Per Oronu Cit� (:�kie.Cha�ter 7S.Article N)
Job Site/Owner Information:
Site Address: �J��P� l�Q5C.c7 �,��C12.
Owner:�`fvQYa �- f�(km�P�t1 �--lCt`r15�Yb� Mailing Address: ���I� ��1Q:�GLK PL•
J
c�ri: �de Y, `��r�e, z�p: �53��
Home Phone: Alternate Phone:
Contractor Infor�nation:
Contractor: JTe�.7r� Plumb�nq,SnL Contact Person: �PrY��aF�( �Qr'('rl2'(�
✓
Address: I S (.'c�.,t a� W�.��( �v.State Bond#: P�. ��Oy 1�
City: � (S Zip:55�7� Expiration Date: Ia-31'13
Phone: 1�3-�ZX` I�33 Alternate Phone:
�Insurance—Current:
1
PLiJMBING FLXTLJRES BEING INSTALLED
I�IXTUI2E BSMT 1 2 OTI-IER FIXTURE BSMT 1 2 OTHI�R
TYPE FL FL TYPE FL FL
Water Closet � *� � Floor Ihains � 2
J J
Lavatory 1 � � Sewer�jector
I
Bathtub I � Laundry Tray �
Shower S + � Washer
� �
Kitchen Sink � Water Heater �
Disposal n Water Softener
v'�
Dishwasher I Wet Bar �
Sillcocks llane us �
� ���
PERMIT FEE CALCULATION(S)
BASED OFF - ?00? STATE STATUE
❑ Yes,this sec;tion applies
The replacement of only one Residential f5xture or appliance that mcets all three of the following
requir�,�cnents:
1. Does not require maiification to electncal or gas service.
2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor.
Skip next section,if this applies; Cost of Pernut $ 15.00
State Surcharge $ 5.00
Mail-In�ee(If Applicable) $ 2.00
Totat Permit Fee $
(Permit Fees Continued On Next Page)
2
PERMIT FEE CALCULATTON(S)-JOBS OVER$500.00
If above dces not apply;follow guidelines below:
1. CONTRACT PRICE *is 125%of contract price with a(Minimum Fee of$50.00)
�T�'i ��� x.0125$ �D�• � 'J`J
(contract price) (minimum$50.00)
2. STATE SURCHARGE 2.�D� I�d x.0005 $ a� ��
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMTI'FEE(Add Lines 1-3 Above) � 5,�3.�C�
• * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chargad for the
permitted work including materials,labor,profii, 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 fumished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or contract pnce 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�c � Date: '/ ��(�'��''
Reset Form
3
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CITY OF ORONO CALLEO IN
INSPECTION OTICE SCHEDULED �
PERMIT N�/�-G�U7� co PLETED �--
ADDRESS 3� �P-5 C�---��
OWNER TE��NE N .7 3� a - ��3
CONTRACTO ��� �-
a DESCRIPTION G
�
� ❑ FOOTING ❑ PLUMBING FI A EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL R ❑ 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
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on sit
Inspector. r
White Copyllnspector's File Canary CopylSite Notice
� � � '�� �
� DATE TIME
CITY OF ORONO � CALLED IN I�3����
INSPECTION NOT/ICE SCHEDULED a 1 a- �
PERMIT N0. ,-�C'!� -C���j COMPLET�
ADDRESS �J��O S < <`-� �C`�>
OWNER TELEPHONENO. �� �a����33
CONTRACTOR � ;{--�=z,l �l' t lUI'YI�,
�; DESCRIPTION PI(,�.vY►h i`�A ��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SE�FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� �ORKSATISFACTORY:PROCEED [� PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
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. (g52) 249-4600
OwnerlContractor on site:
Inspector. C�t � t�''t't��.s
White Copyllnspector's Fite Canary CopylSite Notice
� �/ � ,�=�� _ ATE TIME , /
CITY OF UFiONO CALLED IN / �—� � 1�
INSPECTION IOTICE SCHEDULED J_�,� �� '�
PERMIT N . -� c PLETED �
ADDRESS `
OWNER TE ONE NO.!%�������/���
CONTRACTOR � -
� DESCRIPTION ��✓
�
� ❑ FOOTING ❑ PLUMBI G INAL ❑ EXCAV/GRADING/FILLING -
Q ❑ POURED WALL ❑ MECH NI AL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECH ICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 �CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDIT�ON WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site•
Inspector. �� • � �
White Copyllnspector's File Canary CopylSite Notice