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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 � r-� 1 � �_ 1 � .�� �- �_�- —�. � �� . :ti c � � ._ ! � ! __ � f�,r. 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 � 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: f��, ' � , � 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 � � ✓ � �� 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 k 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 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� _ ,�� W a j �wV �vC �� � O / _n . � � � 4.r L�e,f� �s /1d�GL�fY ° �pro�,a G bear�,�t -�o,. C�.-r�.� �.,Kr Q 1.��!/ d�t k/ e s� r.�Q �N L .L_ 4,S 2 s6's ciss.�� � w � W � j W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � �ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY w O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 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`� W ❑ FOOTING ❑ MO-FINAL ❑ SEPTIC FINAL � � Q ❑ POURED WALL PLUMBING RI ❑ EXCAV/GRADING/FILLING 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 v ❑ DEMO-SITE SE TIC INSTALL 2 OWNERICONTRACTOf�TO M _YES_NO y COMMENTS: �� ' � -, a � � O � � ` 0 � W � Q � 2 W � w � J d � RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑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. ;� 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: � ►`n01�1i - /5 110! �K S � � � � � 5 �i(a r.c�e✓ /��.c03 � �•z� /f��3 l�to�_ � ° /�2 5't�El/�� r� 7`�j.s fs.�P W �� �,t , � . . � — �L'Lf� /�l/"� it 4r ��0 fi/I�S � Q � li- • ,�/' S��lC I?D� l��t �li� � � '"' ',s "� f'v� /�t r. �/!t/�� �� ��s`'g l(� � � . � � l�c•� S 40.�/<<s r�t �.�s�.e L/�✓ ��r W ❑WORK SATISFACTORY:PROCEED `�.G PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ��� �o��ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION ��_TEMPORARY � BEFORECOVERING �C�����f' PERMANENT ❑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 y COMMENT'� � � o �- L�?J��IA, 7/s,,�.11 ' �. � 0 W � Q � � W � J ��1NORK SATISFACTORY:PFiOCEED �PROJECT COMPLETE 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