HomeMy WebLinkAbout2013-01287 - plumbing CITY OF ORONO * 2 0 1 3 - 0 1 2 8 7 *
2750 KELLEY PARKWAY DATE ISSUED: 12/12/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2975 CASCO POINT RD
PIN : 20-117-23-31-0045
LEGAL DESC : SPRING PARK
: LOT 089 BLOCK 000
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTF.: PLUMBING FIXTURES: (�)WATER CLOSE'I'S,(�)LAVATOR[ES,(1)BATHTUB,(4)SEIOWrRS,(1)K1TCH�N SINK,(1)
D[SPOSAL, (2)DISHWASHERS,(3)SII.LCOCKS,(4)FLOOR DRAINS,(1)L�IUNDRY TRAY,(10 WASEIER,(1)WATGR HEATER,AND(1)
WET BAR.
VALUATION OF PLUMB[NG 34950
APPLICANT PLUMBING FIXTURE FEE 436.88
STATE SURCHARGE PLBG (VALUATION) 17.48
STEWART PLUMBING, INC. MA[L-IN FEE 2.00
13025 GEORGE WEBER DR
SUITE#1 TOTAL 456.36
ROGERS, MN 55374 Payment(s)
(763)428-1833 CREDIT CARD 6686 456.36
OWNER
GOODW[N, KURT& BARBARA
7310 KURVERS POINT ROAD
CHANHASSEN, MN 55317-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City 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 with H�he[her 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 mquired inspections are
requested in contbrmance with the State Building Code.This ermit m be
revoked at any time for due cause.
J Z 1 � � 1����, ��
Applica t Pe itee Signature D te [ssue By Signature Date
Gec 11 13 03:39p Stewart Plumbing Inc. 763-428-1733 p.2
�.III 1�1 II
F CITY SE ONLY
CiY ofOrono J � / / /
�/�O� P.Q Box 66 Da[c RecCivc : v ermit# {'�� / ��
� Q � 2750 Kelley Parkway
� �� Crystal Bay,MIV 55323 Appro�ed By Amount S:���,
(9S2)z49-4600–Main
(952}249-AG 16–Fax
� �' � CITY OF OROYO—PLUMBING PERMIT
`�KES H��� (All Commercial Permits Mast be Approved by the State Prior to City Approvai)
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GENERAL 1NFORMATION
1. You rnay appiy for plumbing permets by mail or in person at the City offices. Applications�•ill be
rev�ewed and a permit will be issued within tw�o working days.
2. Permit cards will be sent by return mail after a review is compleied. PERMITS ARE NOT
VALID U1�TIL YOU RECEIV�A PERMIT. WpRK MUS'�'NOT BEGIN iJNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumhing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is inti�olved,a separate building permit rriust be
ohtained.
5. All work must ba doRe in accordance with State Code requirements.
6. All work mus[be inspected and air tested before ic is covered_ Call(952)249-4600.
t24-48 hour notice required)
7'YPE OF AERMIT
Check AEl That A 1 �
�Residential ❑Co�nmercial(Appro��al Required)
�Ne�a ❑Additional �]Repairs ❑Replace
❑ In Accessory Structure?
"You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: c�q 7�J �U�,cS �n;� t�l
Ow�ner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor[nformation. � ��
Cantractor: �Qi.�Q'C�C ��l�.�in� Contact Person: � �tler MQ:'�
Address: ��S (:� �: ��2�Q�( State Bond#: ��. �D'-}1�
�Y.
City: 1��C5 Zip_5Jj7�Expiration Date: 1�-�1 - 1.3
Phone: ��p.3��-�g3� Aiternate Phone:
[� Insurancc—Currcnt:
1
__i�—r�*r�n-.. . _
'Uec 11 13 03:39p Stewart Plumbing Inc. 763-428-1733 p.3
!�6 1 III I� I
PLUIVIBING FIXTURES BEING INSTALLED
FIXTURE BSMT I 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
R'ater Closet I � � Floor Drains � �
Lavatory I � � 5ewer Ejeaor
Ba[htub � Laundry Tray }
}
Shower ` � � Washer �
t
Kitchen 5ink ` ; Water Heater I
i
Disposal ` Water Softener
I
Dishwasher � ` Wet Bar 1
I , 1
Sillcocks � Nliscellaneous
PERMIT FEE CALCULATIQN(S)
BASED QFF -2002 STATE STAT'UE
❑ Y-es,this section applies
The replacement of only one Residential fiature or ap�liance that meets al(three of the following
requirements:
l. Does not require modification to electrical or gas service.
2. Has a total cost of$500.0�or less;excludina 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 Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit E'ee $
(Permit Fees Cootinued On Next Page)
2
- I-;i-l..r:T.' i x'i'.. ._ . . . _. . -
"Dec 11 13 03:40p Stewart Plumbing Inc. 763-428-1733 p.4
� . ��:� �, �
PERMIT FEE CALCULATION S —JOBS OVER$500.00
lf above does not appIy;foIlow guidelines 6eEow:
1. CONTRACT PEtICE *is 1.25%of contract price with a(Minimum Fee of$SQ.60)
3�,Q5a.0o a.oi�s$ �-�-31�.��
(conVact pricc) (minimam$50.00)
2. STATESURCF#ARCE 3� ��,ca X.�os $ r�� �8
(conVact price)
3. A�STAGE&HANDLTNG(Only on A4ail-Tn Applications) $ 2.00
4. TOTAL PERiYi1T FEE(Add Lines 1-3 Above) $ ��•�w
� * CONTRACT PRICE or JOB COST means the actual or estimated dol�ar amount charged for the
perntitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged
to the customer for the work done. [f any material, equipment, la6or or installations are furnishad by
die ow�ner, tenant or any other party, the reasonable�narket value of such items must be added to the
estimated cost or contract price for permit fee purposes. In ihe event that there is a dispute on the
amount of the job cost,che 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 Pennit, 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 Sio ature. .Y1 r�. �C V� Date: ��'1� ���
r
3
- - — -i .i �rF'T'�_TT_.. - — -.�
��v � D E TIME
CITY OF ORONO CALLED IN J�—o��-/
1NSPECTION NOTICE SCHEDULED — i
PERMIT NO.o�l�/.3"D��87 OMPLETED
ADDRESS O�% 7� / �
OWNER TELEP E NO. 7��8��1�-3
CONTRACTOR S'LL�GL
� DESCRIPTION
P/,b ~ �
�
� ❑ FOOTING ❑ PLUM FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MEC AL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
� p TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W� RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. � ) 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSfte Notice