HomeMy WebLinkAbout2014-00438 - plumbing � CITY OF ORONO * 2 0 1 4 - 0 PJ 4 3 8 *
• 2750 KELLEY PARKWAY DATE ISSUED: OS/13/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1645 BOHNS POINT RD
PIN : 17-117-23-11-0007
LEGAL DESC : REG. LAND SURVEY NO. 0565
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES - MULTIPLE
NO'1'E: E3SM"C: 1 WC, 1 LAV, 1 SHOWER, 1 FLOOR DRAIN,2 WASHER, 1 WA'1'I;R HEA'I'ER, 1 WATGR SOFTNER,3 SILLCOCKS
1S"I'FLOOR: 5 WC, 5 LAV, I TUB, 1 SI��OWGR,2 KITCH�N SINNK, 1 D[SPOSAL, 1 DISHWAS(IF.R.
2ND FLOOR:4 WC,4 LAV, 1 "I�iJB,3 SI[OWF.R,
VALUATION OF PLUMBING 81860
APPLICANT PLUMBING FIXTURE FEE 1,023.25
STATE SURCHARGE PLBG(VALUATION) 40.93
STEWART PLUMBING, INC. MA[L-IN FEE 2.00
13025 GEORGE WEBER DR
SUITE#1 TOTAL 1,066.18
ROGERS, MN 55374 Payment(s)
(763)428-1833 CHECK 12276 1,066.18
Minnesota State License#: plbg-PC000474,mech-MB003262
OWNER
CHURCH,JOHN& KLERISSA
1645 BOHNS PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed accordine to
the approved plans and specifications,applicable City approvals,and the
State[3uilding Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separa[e
pennits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This pennit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or iY construction is
suspended for a period of 180 days at any time after wark has commenced.
The applicant is responsible for assuring all required inspections are
requcsted in conformance with the State E3uilding Code.This permit may be
revoked at any time for due cause.
\_'�' �/� / /
Applicant Ycrmitec Signature Date Issued By Si ature Date
�
FOR CITY USE ONLY
' � City of Orono
/��ONO P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
I' ' ' ` Crystal Bay,MN 55323 Approved By: Amount$:
I (952)249-4600—Main
> % (952)249-4616—Fa�c
� f :`� CITY OF ORONO—PLUMBING PERMIT
\�q'����r����`� (All Commercial Permits Must be Approved by the State Prior to City Approval)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit 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 PERMIT. WORK MUST NOT BEGIN UNT[L THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing 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 involved,a separate building permit 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)
❑ New ❑Additional ❑Repairs ��Replace
❑ In Accessory Structure?
*You will need arior approval and may need+, ' '! .(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information: �
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Site Address: i��`" \.��t ;���� ��. �C'��
Owner:_f; '� Mailing Address: �—`��� � S��l:�-�Q.����`�,� ��
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City: 'o.,�; ��y�1�� p: �
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �3�; _, �,4,�� � ;`._�`, N-a',CContact Person: '=�-`h���f:^
Address: �� ���'��:�i �`u��`�tate Bond#: �,:' '�X�����
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City: -�� � Zip:..;��_�•�Expiration Date:
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Phone: �� , Alternate Phone:
❑ Insurance—Current: �4 � � �,; � '`� .�.(-�1..,
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PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1'T 2 ° OTHER FIXTURE BSMT 1 T 2N OTHER
TYPE FL FL TYPE FL FL
Water Closet `�' • Floor Drains
�-
Lavatory � (; i [,,.I Sewer Ejector
Bathtub � � Laundry Tray
Shower `' Washer �
� L--
Kitchen Sink Water Heater
Disposal i Water Softener I
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Dishwasher Wet Bar
Sillcocks •� Miscellaneous
y
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
❑ Yes,this section applies
The replacement of only one 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;excluding 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 Fee $
(Permit Fees Continued On Next Page)
2
���:,: � :
PERMIT FEE CALCULATION(S)—JOBS OVER$500.00
If above does not apply;follow guidelines below:
l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
:�. �., ,-�
,,l ..'l ' L_ x.0125$ ��; /�r__��'_-' _._
(contract price) (mmimum$50.00)
2. STATE SURCHARGE ` ' �� '
;- ;. •
� 1. ' `���� ;'��x .0005 $ 4�U �` �
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
3 `,.`' ,..1 ^��
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRiCE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor,profit, 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 furnished by
the owner,tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or contract price for permit 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
correct.
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Applicant's Signature: Date: �� ,
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DATE TIME ,/
CITY OF ORONO CALLED IN
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INSPECTION NOTICE SCHEDULED
PERMIT NO. 2ot'SI� G��$� COMPLETED ��
ADDRESS fbs� ����'�` �
OWNER TEI EPHONE NO.
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Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIHED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) Z49-46�0
OwnerlContractor on site:
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Inspector. � �
White Copyllnspector's File Canary CopylSlte Notice
�J� DATE TIME �
CITY OF ORONO CALLED IN —�
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INSPECTOR WILL REfURN
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Cail for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspecto � ~"�
White Copyllnspector's File Canary CopylSite Notiee
`^ �� `� DATE TIME�t�
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PERMIT NO. � �E
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forthe next ins ion 24 hours in advance. (952) 249-4600
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White Copyllnspector's Ffle Canary CopylSite Notice
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OwnerfContractor on site:
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White Copyflnspector's Ffle Canary CopylSfte Notice
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Ca11 for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector. _ �
Wh Copyllnspector's File Canary CopylSite Notice