HomeMy WebLinkAbout2016-00055 (plumbing-fixtures) � CITY OF ORONO * Z 0 1 6 - PJ 0 0 5 5 *
' 2750 KELLEY PARKWAY DATE ISSUED: OU15/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3185 CASCO CIR
PIN : 20-117-23-43-0057
LEGAL DESC : SPRING PARK
: LOT MB BLOCK MB
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: NEW FIXTURES:6 WATER CLOESTS,8 LAVATORIES, 1 BATHTUB,6 SHOWERS, 1 KITCHEN SINK, 1 DISPOSAL, 1
DISHWASHER,3 SILCOCKS,
4 FLOOR DRAINS, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WET BAR,2 MISCELLANEOUS
VALUAT[ON OF PLUMBING 46950
APPLICANT PLUMBING FIXTURE FEE 586.88
STATE SURCHARGE PLBG(VALUATION) 23.48
STEWART PLUMBING,INC. MAIL-IN FEE 2.00
13025 GEORGE WEBER DR
SUITE#1 TOTAL 612.36
ROGERS,MN 55374 Payment(s)
(763)428-1833 CREDIT CARD 3122 612.36
Minnesota State License#:plbg-PC000474,mech-MB003262
OW1vER
YAFFE,HARRY&BELLE
2300 ARCHERS LA
MINNETONKA, MN 55305-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry 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 wi[h 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. 1�'K�
1
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Applicant Permitee Signature Date Issued By Signature Date
Stewart Plumbing, Inc. 7634281733 p.2
�
�"�p City of Orono � FOR C�TY USE OIVLY
� � �Q p.p_Box 66
Date Received: V �- I �— !�y'
�! ', 2750 Kelley Parkway Permit# � ��L'�� —�-�'
' ^,+ Crystal 8ay,MN 55323
��F� (952)249�600-Main Approved By:„� ����
�''�F����` (952)249-4616-Fvc �, �J�='
Amount$:
CITY OF ORONO — PLUMBING PERMIT
{All Commercial Permits Must be Approved by the State Prior to City Approva{}
http.11www dli mn aov1CCLDlPDF! e lumbplanrevapp-pdf
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the Gity offices. Applica#ions will be
reviewed and a permit witl be issued within two wofking days.
2 UNT1L OU RECEIV�A PERMI�. W�ORK M1JST NOT BEGINtUNTII. HE P RMIT COARD Sp
POSTED ON THE JOB S1TE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling_
4. When any new constructi�n or remodeling is involved, a sepa�ate building permit must be obtained.
5_ Alt work must be done in accordance w�th State Code requirements.
�_ 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�ply)
j�Residential ❑ Commercial (Approval Required)
�New ❑Additianal ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You witl need rior a roval and may need CUP. {Per Orono City Gode, Chapter 78, Article IV)
Job Site 1 Owner Information:
Si#e Address_����� �� � �'�����- I
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Owner: ��1,rr ��C � Mailing Address: a�X��� ��[^``�.�� (.1'CE��
Cit : 'I (���-����� Zip: �7�'J� �7�.�J
Y�l L'1
Home Phone: Alternate Phane:
Contractor Information: �
C4ntractor: ���.��f 1�����i?�Y���1..,, ��C. Contact Person: f� ��
Address: �1':������U���?� r� �!�• 5�����- State Bond #: ���1�`�`�
,� r��� �
City: 1� �C t�S Zip: ��.?✓ / _Expiration Date:
Phone: � ����/� �-���� _ Alternate Phane:
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tn�urance--Curre�t�. �I u I 2 � E �
Page 1
Stewart Plumbing, Inc. 7634281733 p.3
.
. PLUMBING F4XTURES BEING iNSTALLED
FIXTURE ' BS1V1T 1sr 2ND OTHER FtXTURE ! SS�T F�oor �� Floor OTHER
lNp� �Floor Fl��or TYPE
l
Water Closet I 3 � � �loor Drains �
Lavatory � ✓� Sewer Ejector '
Bathtub � Laundry Tray 1
Shower j � a`�i� Washer �
Kitchen Sink l ! Water Heater �
Water Sof�ener
Disposat ` -
Dishwasher � � Wet Bar I
�
'� 5illcocks � Miscellaneous J
�
�'ERMiT FEE CALCULATIC�f� �
1. CONTRACT PRLCE * is 125°10 of contract price with a (Minimum �ee of$50;00)
� �� ��� . o e x .0125 � � � c�. �
(contract price) (minimum $50.40}
2. STATE SURCHARGE
��� �, �� o, �� x .0005 $_ ��, y �
(contract price)
3. POSTAGE � HANDLING (Only on Mai�-In Applications) � 2•a� ���
� 1 ' �
� �� ✓,.
4. T�TAL PERMIT �EE (Acid Lines 1-3 Above) � _
� CONTRACT PRICE or JOB COS7 means the actual or estimated dallar amou�t charged for the
permitted �vork including materials, labor, prafit, 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 ather party, khe reasonable market value af such items must be added to the
arrtount of t�e job costathePCity may�r quest the s�ubmission tof a s gned copy of the acltualtcontract
PLUMBING PERMIT APPL1CATl�N AGREEMENT �
The un�ersigned hereby applies to the City for issuance of a Plumbing Permit, agrees fo do all work in
strEct accardance with the ordinances af 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: (� ! �—l �('�
Buildir�g Officiall lnspector: oate:
Page 2
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DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION TI E /�SCHEDULED
PERMIT NO. � � l�-�COMPLETED
ADDRESS 3 � '�J l�sC O �{� •
OWNER - ELEPT�D E NO��O���`g I��
CONTRACTOR ���e�`�-� �" ���V�b
� DESCRIPTION �� ��J R
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
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Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINA� ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ PTIC INSTALL �
Z OWNERICONTRACTOR TO MEET YOU: YES_NO t
� COMMENTS: ��Q� _ ,��
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WFLI RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerfContra or on site:�r
�
Inspector. '"'
White Copyllnspector's Ffle Canary CopyfSite Notice
:� � i �-� �
DATE TIME '
CITY OF ORONO CALLED IN
INSPECTION NOTIC� ���scHE�u�E� -=��� ' ,
PERMIT NO. "��' �' "�- � COMPLETED
ADDRESS ">� ��c� CCLr��'� ' C� -
OWNER TELEPH NE NO. ���� `3c\�� ��I�7
CONTRACTOR ��L�'l,t���� � �C�i�YI�.
� DESCRIPTION � ��-f'1'1l� f`�
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y ❑ FOUNDATION WATERPROOF ' ❑ P UMBING 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
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2 OWNERICONTRACTOf�TO M _YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECWERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
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Call for the next inspection 24 hours in advance. ��) 24g-46��
OwnerlContractor on site: � ' �
Inspector. �
White Copyllnspector's File Cenary Copy/Site Notice
� - � � �� __ ,
� TE1 J� TIME �
CITY OF ORONO -yy�C� CALLED IN � ��
INSPECTION NOTICE �-�""" EDULED � _1. '�
PERMIT NO. nnP�ErE� `
ADDRESS ��f�� �,Q.���
OWNER T EPHONE N0 7� � �g��
CONTRACTOR
� DESCRIPTION
� `
lN ❑ FOOTING ❑ DEMO-FI ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBI I ❑ EXCAV/GRADING/FILLING
y ❑ 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
J ❑ DEMO-SITE S PTIC INSTALL
Z OWNERJCONTRACTOR TO MEET YOU• YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED `�.G PROJECT COMPLETE
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN �CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
/'-9�M6�RECTION REQUIRED.CALL TO ARRANGE ACCESS.
V
C t inspection 24 hours in advance. (952� 249-4600
Ow rfContractor on ' . L'�'�c
Inspector.
White Copy/lnspector's File Canary CopylSfte Notiee
� �� �
TE /� TIME
CITY OF ORONO CALLED IN -i
iNSPECTION I �jr���-�CHEDULED � � �
PERMR NO. ���'� JCO LETED
ADDRESS � �� ��`'��
OWNER TE NE N0.�3� z8���
CONTRACTOR ��'��'�� � �
�1 DESCRIPTION ��'""�
❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(3
O ❑ FOUNDATION WATERPROOF �,�tUMBING 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
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMfNEqICO1�ITMCTOR TO MEET YWI:_YE8_NO
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W ❑CORRECT WORK A�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERIN(i PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS- O PHOTO TAKEN
INSPECTOR WILL RETURN
❑GTATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CaN for the next inspectfon 24 hours in advsnce. (952) 249-4600
OwnerlContracto e:
inspector:
Whib CopYAnspector's F0� C�nary CopylSit�Notke