HomeMy WebLinkAbout2012-00231 - plumbing CITY OF ORONO * 2 0 1 2 - B 0 Z 3 1 *
2750 KELLEY PARKWAY DATE ISSUED: 03/28/2012
' ORONO, MN 55356-
' 952 249-4600 FAX: 952 249-4616
ADDRESS : 2755 CASCO POINT RD
PIN : 20-117-23-23-0007
LEGAL DESC : AUDITOR'S SUBD.NO. 265
: LOT 007 BLOCK 000
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE : F[XTURES- MULTIPLE
VALUATION OF PLUMBING 8950
APPLICANT PLUMBING FIXTURE FEE 111.26
STEWART PLUMBING, INC. STATE SURCHARGE PLBG (VALUATION) 4.47
13025 GEORGE WEBER DR
SUITE#1 MAIL-IN FEE 2.00
ROGERS, MN 55374 TOTAL 117.73
(763)428-1833
OWNER
BASKFIELD, M[CHEAL& SHARON
2755 CASCO PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
"1'hc work for which this permit is issued shall bc performed according to
the approvcd plans and specifications,applicable City approvals,and the
State Quilding Code. This permit is for only the work described and docs
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied wi[h whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due.�ause.
`'�'YtX,�-c,P- v►'�- l l l l
Applicant Permitee Signature Date Issued By nature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO .
FOR('ITI LTSE ONLI �
O¢O�O Cit}-of Oruno — -
P_O_Box 66 Dat�Reczired: F'ermit=
2750 Kelley Parkway
a � Crystal Bay,MN 553?3 .�prroced Bc: �moiiut$:--- —
�e ' i c` (952)249-4600—Main
t°k+e�xoffb �9;?�'�9-�G1G—Fas
CITY OF ORONO— PLLIMBING PERM[T
(All Commercial Permiis Mnst be Ap�iro�ed b� the State Prior to Cit� Appro�al)
GENERAL INFORMATION I
1. You may apply for plumbing pennits by mail or in person at the City offices. Applications will be
revieweci and a permit will be issued within two working days.
2. Petmit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT
VAI,ID UNTIL YOU RECEIVE A PERMIT. WORK MiJST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing permits mav 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 perrnit 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 )
�Residential ❑ Commercial(Approval Required)
❑Ne�� ❑AJditional ❑KePairs (�Replace
❑ In A��e„�,n titru�hire?
*You«ill need nrN�r annro��al and ma� iieed (Per Otono Cit�- C�xie.Ch.irter 7S.Article IV>
Job Site/Owner Information:
Site Address: <��5 S .0�`=L.0 ��- �C� .
n
Owner: �.aS���e�G� Mailing Address: `X.�M2 CJ�S D�v£.
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: JTei,JQC� F�u�,�c� Contact Person: � hn�t�Y �('i`n2r
Address: �3U�1S ���t IN.Q.,�E��(State Bond#: �C-Cjl7C}�1�
City: f'� Zip:553�� Expiration Date: 1a-31 -1_�j
Phone: �1�P'�-�Z`�- 1�3 3 Alternate Phone:
[� Insurance—Current:
1
/
�
PLI7MBING FIXTL)RES BEING INSTALLED
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � i Floor Drains
Lavatory S I Sewer Ejector
�
Bathtub Laundry Tray I
snoW� i w�n�
Kitchen Sink � Water Heater
Disposal � Water Softener
Dishwasher I Wet Bar i
Sillcocks Miscellaneous
PERMIT FEE CALCULATION(S}
BASED OFF - ?00? STAT'E STATUE
❑ Yes,this section applies
The replacement of only o�Residential fi�cture or appliance 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;excludine the cost of the fi�cture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor.
Skip next section,if this applies; Cost of Perrnit $ 15.00
State Swcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Contioued On Next Page)
2
.
PERMIT FEE CALCULATION(S)-JOBS OVER $500.00
If above dces not apply;follow guidelines below:
1. CONTRACT PRICE *is 125%of contract pnce with a(Minimum Fee of 550.00)
Q (� tJ U
VI I�Q X .�125$ ���r�s
(conh-act price) (minimum$50.00)
2. STATE SURCHARGE
��q�`J X.000s $ � ��
c�►�t��>
3. POSTAGE&I-IANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �I 7. `�3
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials,labor,profit, and other fixed cos[s. 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 pemlit 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
conect.
Applicant's Signature. Date: �'v?3'�a-
Reset Form
3
C '� (n D T � TIME �/
CITY OF ORONO CALLED IN . "' � `� ��
INSPECTION NOTICEl SCHEDULE� � 0�- ��
PERMIT NO.�C: I�" �-'��� COMPLETED
ADDRESS =� �j� C�-��C �+ • ��-
OWNER TELEPHONE�O. ���� ���3�
CONTRACTOR �����'�-� l�
>; DESCRIPTION �� �-� � � � �� �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION D 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
v ❑ PLUMBING RI ❑ SEP�FINAL. ❑ FOUNDATION/REMOVAL
� OWNER/CONTHACTOR TO MEET YOU: YES_NO
� COMMENTS:
�
W
C
�
�
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CdRRECTUNSAFECONDiTIONWITHIN HOURS. � pHOTOTAKEN
�NSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
O INSPECT�ON REQUIRED.CALI TO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContractor on site:
Inspector. �o/ �L:��
White Copyllnspector's File Canary CopylSite Notice
�� DAT � TIME �
CITY OF ORONO CALLED IN ��
INSPECTION OTICE D ��/ SCHEDULED ��
PERMIT NO. �'� ��•��� OMPLETED
ADDRESS C7�7� � � �D ��
OWNER TELEPHONE NO. � �
CONTRACTOR ' �L.��
>; DESCRIPTION — C'��
�
� ❑ FOOTING ❑ PLUM N FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MEC ICAL 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 ❑ COMPIAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
>.
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d 1
W� �1jQ(QRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDiTION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
�STOP OROER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46�0
OwnerlContractor on s'te: '
Inspector. � �
White Copyllnspector's File Canary Copy/Site Notice