HomeMy WebLinkAbout2012-00541 - plumbing CITY OF ORONO * 2 0 1 Z - 0 B 5 4 1 *
� 2750 KELLEY PARKWAY DATE [SSUED: 06/15/2012
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2215 BAYVIEW PL
P[N : 17-117-23-44-0026
LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: 1ST FLOOR: 1 WC, 1 LAV, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER
BASEMENT: ] F1,00R DRAIN, 1 WATER HEATER
SECOND FLOOR:2 WC,2 LAV, 1 LAUNDRY TRAY
2 SILLCOCKS
VALUATION OF PLUMBING 12300
APPLICANT PLUMBING FIXTURE FEE 153.75
STEWART PLUMBING, INC. STATE SURCHARGE PLBG(VALUATION) 6.15
13025 GEORGE WEBER DR
SUITE#1 MAIL-IN FEE 2.00
ROGERS, MN 55374 TOTAL 161.90
(763)428-1833
OWNER
DUNN,TIMOTHY
3010 BROOKS LANE
WAYZATA,MN 55391-
AGREEMENT A1vD SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and [he
State Building Code. This permit is for only the work described and does
not grant pem�ission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within I 80 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[he State Building Code.This permit may be
revoked at any time for due cause.
`7`�� � i i i i
Applicant Permitee Signature Date Issued y nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO E.
FOR CITT LTSE ONLT
` Cih-of Orono
, O�O�O P.O.Box 66 Dat�krcei�eJ: — - PCnuit= ---------
2750 Kelley Parkway
a � Crystal Bay,MN 55323 ap�xu�eJ B}: amount'�:
t�< � ' y` (952)249-4600-Main
'�'tEexa�` �952�'-19-�ili1G-Fas
CITY OF ORONO— PLUMBING PERMIT
(All Commercial Pemiits Mast be Appro��ed b��the State Prior to Cih Appro��al)
GENERAL INFORMAT`ION
1. You may apply for plumbing�,�rmits by mail or in person at the City offices. Applications will be
reviewed and a percnit will be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PIItMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON TI�JOB STTE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new eonstruction or remodeling is involved,a separate building pemiit must be
obtained.
5. All work must be done in aecordance with State Code requirements.
6. All work must be inspected and air tested befare it is covered. Call(952)249-4600.
(24-48 hour ooHce required)
TYPE OF PERMIT
(Check All That A lv)
�Ke,iJeutial ❑Commercial(Approval Required)
❑Ne�� ❑AdJitional ❑Re�?airs ❑Replace
❑ I�i Acce�x�R �tructurr''
*Y��u nill need prN►r appro��:►1 and ma� need tYer Or��ni�Cih C�x1e.Chapter 7`.Arti�le IV)
Job Site/Owner Information:
Site Address: �����-� ���i��,�'G�.� �
��. " L'(Gr1C
Owner: ��t�;;`�c.; �i,t,Y� Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Llformation:
Contractor: ���'v: � f� � ...�rL Contact Person: � ' � rM
Address: �31��5 =� �• �. '�'�, State Bond#: l� '-� �_
<
City: - Zip: 53]�-Expiration Date: �a-31- I�
Phone: 7�3-��Z'� ��'33 Alternate Phone:
� Insurance—Cunent:
1
PLLTMBING FIXTURES BEING INSTALLED
FIXTi.JRE BSMT 1 2 OTHER FIX`CURE BSMT 1 2 OTHER
TYPE FL FL TYPF, FL FL
Water Closet I � Floor Ihains �
Lavatory I � Sewer Ejector
Bathtub Laundry Tray ,
Shower Washer
Kitchen Sink I Water Heater �
Disposal I Water Softener
Dishwasher � Wet Bar
Sillcocks � lviiscellarteous
PERMIT FEE CALCULATION(S}
BASED OFF- ?00? STATE STATUE
❑ Yes,this section applies
The replacement of only orn Residential fixture 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;excludin�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 Pemut $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
.
PERNIIT FEE CALCLTLATION(S)-JOBS O�'ER $SOO.QO
If above dces not apply,follow guidelines below:
1. CONTRACT PRICE *is 125%of contract ptice with a(Minimum Fee of$50.00)
1a.3��.�� X.oi2s$ 153.`lS
(contract price) (minimum$50.00)
2. STATE SURCHARGE �
�a.3� o �� X.�S $ c� �s
(contract price)
3. POSTAGE&I IANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ ` lU�• ��
• * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials,labor,pmfit, 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 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 pemiit fee puiposes. 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.
PLI.JMBING PERMIT APPLICATTON AGREEMENT
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do a11
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 Signature: � + � Date: (p"�1"��
Reset Form
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LABQR & INDUS'��= _ __ �; __ ---
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Construction Codes and Licensing Division Licensing artd Certification Services 443 lafayette Road N 5t Paul,MN 55155
= WebsRe:www.dti.mnaav E-mait: Dl.tdice��se(�state•mn.us Tetephooe: 651-284-£r896
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This is to�cz�tify thaf the cerq�icata holder is in compliance with Mirir�se�a�u�:�-��i97f��ie`period 08115t2011 tk�rough 08/15/201z : �
and rria�`engage in mechani�al contracting in atl areas of the sta�o#Mu�r�ota.= - - ��
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STEWART PLUMBING'WC Certificate ID: MB 3262 - �
13025�EORGE WEBE�DR , = :� = s:�
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Bond ID: 69571087 Effective Date: 8/15/2011
WESTERN SURETY CO Expiration Date: 08/15/2012
c�ty of�naeapot� 612-s�3'�2 Cut alon onter lines,fold on center line for wallet size.
Insgections Division
250$4�St Mpls�N 55415 2 O 12 City of Saint Psal Piease cail for inspactions
Departrna►t of Safety betwe�730 and 9:00 am.
CERT`IP'ICATE OF CO�PE1'ENCY �� Monday-Friday
g��card ia yvur posse�sion�the job• CERTTF7CATE OF COMPETFdVCY _
This is to cert3fy tha� SCQTT STEWBRT 'It�is is�o certify�har. Et�af ��`2G6-9oo3
holds the foIlowing competendes= SCOTT R STEWART "'
holds the foibwing comp�encies: Plumbing 2G6-9005
PCt�i781 MASTSR PI.II�SR/C�USSFITTSR M�PUGF 16126 :::
- M�,�� 266-9004
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Wartn AirNa�t r 246-9006
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24 bau tnfoLine 266-9096
'(hese rnmpetaKaes e�cpirc i?J012012 : � � �"� � �`
R�CSi'(10 X.CCivAIitCS Ttade Lic�e/ 266-9090
THESE CO��PETE1�iQE3 EgPIRE: xoP• o i, a o i a p;, �o, ��'�
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_— STATE OF �A : -
wist�t � � �
t s��orc�r;�a c�a Haa�
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lss�d O�e �411B11994 +
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SCOTT R STEMART .�
. 13025 6EOR6E NEBER DR i
STE 1 " �
R06ERSs 1'!N 55374 �
'F��.� [.9NNE56T1lDEPl►RTMEMiQP PLUMBi�NG CONTRACTOR � �
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LABQR & 1NDUSTRY
ConstrucUon Codes and licensing Division Licensing and Certification Services 443 Lafayette Road N St Paul,MN 55155
Website: www.cNi.mn.aovJccfd.aso Email: dli ' siate mn us Phone: 651284.5034
This is to certii'y that the certificate holder is licensed as a PLUMBING CONTRACTOR in the state of Minnesota and is in compliance with
Minnesota Statutes 326B.46,and may perform or offer to perform plumbing work'in alt areas of the state during the license period;
provided the responsible indiv�duai is at all times a MAS'TER PLUMBER and the certificate holder maintains compliance with the required
'bond,general liability insurance,and workers'compensation laws.
License : PLUMBING CONTRACTOR L
Lic Number : PC000474 STEWART PLUMBING INC s
Effective Date : 01/01/2012 13025 GEORGE WEBER DR �
c
Expiration Date : 12/31/2013 Np 1 'r
ROGERS, MN 55374
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INSPECTION����E SCHEDULED �� i3 �-�3�
PERMIT N0. L�����I COMPLETED
ADDRESS 2 � � ��'1 N�-� I����
OWNER TELEPHONE NO.�O�2 "3�� ��'(� �
CONTRACTOR r� �
a DESCRIPTION ���""�'��� ���°'-�
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Z
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
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY
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� ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOA � CITATION ISSUED
❑ INSPECTION REQUtRED.CAIL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-46�0
OwnerlContractor on site:
Inspector. ,
White Copyllnspector's File Canary Copy/Site Notice
S� DATE TIME �
CITY OF ORONO CALLED IN L���
INSPECTION NOTICE ,//SCHEDULED /— � �
PERMIT NO�Dl��`z' PLETED �� �
ADDRESS �
OWNER T �HONE NO������
CONTRACTOR
>; DESCRIPTION �
� ❑ FOOTING ❑ PLUM FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MEC ICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O p TREE REMOVAL
Z ❑ INSULATION ❑ 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
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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��ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CQRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (g52) 249-460�
Owner/Contracto
Inspector.
White Copyllnspector's File Canary CopylSite Notice
(� DATE TIME V
CITY OF ORONO CALLED IN ~
INSPECTION NOTICE `'/ SCHEDULED '�� .3 ; �
PERMIT NO. �DD J'7''I COMPLETED
ADDRESS o�aI�� G�'iK����'Q--
OWNER TELEPHONE NO. ��� .3� ��� l
CONTRACTOR S�P�1�a-�-t ��• �
�; DESCRIPTION �� �� ��s C'����i'��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARO COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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KSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
0 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site: r
Inspector. �
White Copyllnspector's File Canary CopylSite Notice