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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 3 - - ;� , _� - _ - � -- -- ----- - � 4 r: '� , 3� — — :". � � _ —�� , y �"��oT"o���„�'�"f�- _ = IVfecha��al�Bon .Certi�ca�e _ = , LABQR & INDUS'��= _ __ �; __ --- .,:r":; - --= _ __ --_ 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 ,.. ,_ _ __ __ ... _ — -- =- 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.= - - �� _,.., a, ,,;';r� =—_ —_= :`. STEWART PLUMBING'WC Certificate ID: MB 3262 - � 13025�EORGE WEBE�DR , = :� = s:� . _ 4 ,�.r;� ., . _ — _ _ i�'" t= s � �p� '�� �. _ � q _ _ _ = a - - _ _ ���-� - -- �. 1� � _ � _�— - ��� °��� � ,:'- _ - ____�_ -- r _ .n � — �_. - -- - '�;r,' . �. ' � _ — _ . � � � � -_ � � - — - "� . � . , . . _ �_ —_ = s �: _"" — - - �-- =—.. . . . . . . . , . . �-- .� �_�— .,. i ':.: 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 -- saf:.� Wartn AirNa�t r 246-9006 ass g�-�g 246-9002 ::: 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, ��'� s,. _— STATE OF �A : - wist�t � � � t s��orc�r;�a c�a Haa� �� @61344-PM : Kcev ih�card tu y�wr pos�ioo ae tLei�- THi�S'GAF�D iS 1(OUR REGEIPT t��Q� 32/31l2�12 lss�d O�e �411B11994 + . • i SCOTT R STEMART .� . 13025 6EOR6E NEBER DR i STE 1 " � R06ERSs 1'!N 55374 � 'F��.� [.9NNE56T1lDEPl►RTMEMiQP PLUMBi�NG CONTRACTOR � � � 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 _ -- -- ----.._.....�...�.. �T______.Jt:..�.���../ww1ilA ...v.,.:i..ecn fFNTFR NIIIURERI_ � L . . ,4� i / � JD/F—E�3 ��IIu�E� V CITY OF ORONO CALLED IN � 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 ���""�'��� ���°'-� � � ❑ FOOTING I�PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 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: � W � o M ��l o M a- +-c� -�e S t- d K � ° t,v l � \ ✓ �✓hft i ��( k�� W ' � �cds �� � Q � z w � W � � GW ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY W � ❑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: � a /4r�'� 7���� C� /� � � O � � O � W � Q � Z W � w � � ��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: � W a j � �9 ,{'� t/ � 1 „t . � �����/ I i J " �J���� �% � � W � Q � Z W � W � � �d 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