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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