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Home My WebLink About2009-00 - plumbing * CITY OF ORONO PERMIT NO.: 2009-004�0 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/10/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1500 BRACKETTS POINT RD PIN : 11-117-23-34-0001 LEGAL DESC : BRACKETTS POINT 2ND ADDIT[ON : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1 ST FLOOR: 1 WC, 1 LAV, 1 SHOWER, 1 KITCHEN SINK, 1 DISHWASHER, 1 SILLCOCK, 1 FLOOR DRAIN, 1 WATER HEATER VALUATION OF PLUMBING 7550 APPLICANT PLUMBING FIXTURE FEE 9438 STEWART PLUMBING, INC. STATE SURCHARGE PLBG(VALUATION) 3.78 13025 GEORGE WEBER DR TOTAL 98.16 SUITE#1 ROGERS, MN 55374 (763)428-1833 OWNER PADDOCK, BRUCE 920 SHADY LA WAYZATA, AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved pians and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does no[grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the S[ate Building Code.This permit may be revoked at any time for due cause. �� / / Applicant Permitee Signature Date Issued By S' ture ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. . FOR CITI"USE ONLI -� ��` Cit} of Orono / O¢ `YO P.O.Box 66 Date Recri�cd: _ Prnuit= ----- 2750 Kelley Parkwny � , y_ � Crystsl Bay,MN 5532� -�Fro�ed B��: _ _�mount$:------- ''� ' ' (952)249-4600 c t��o�s CITY OF ORONO—PLUMBING PERMTT (All Commercial pertnits muat be approved by tk�e Building Otficial or Inspector) GENERAL 1NFORMATION l. You may apply for plumbing pennits by mail or in person at the City offices. Applications will be reviewed and a perniit will be issved within two working days. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARFi NOT VALID i.JNI'IL YOU RECEI VE A Pl?2MIT. WORK MUST NOT BEGIN UNTIL'I'�ff,: PERMiT CARD IS POSTED ON TI�JOB STTE. �� 3. Plumbing pe►mits may be issued ONLY to licensed piumbing contractors and to property owner> residing in the dwelling. 4. When any new constnzction 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 eovered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT Clieck Al( Tl�at A t �) �Residentia! ❑Commercia)(Approval Required) ❑ Ne�c ❑Additii,nal ❑Repair� []R�}a�; ❑ lii Acre�vnn� titn►ctnre'' *Y��u��ilt need�rH,►r a�nro�-al and ma��ueed�_�=i'. (Yer Oruni�C'ih� Cixie.Cl�a��ter 7S,Articic 1��1 Job Site/ Owner Infonnation: � Site Address: � ��%C ��►"C�(��LP�}`� �{��^��►'1-{� �Lc�� Owner: ��t'�L`C Y ��-� �� Mailing Address: �li � �� _ c��: l;�ti��i��-r� z�p: ��rl Home Phone: Alternate Phone: Contractor Information: ContraCtor: Stewart Plumbing, Inc. Contact Person: Pam Baker Address: 13025 George Weber Dr#1 State Bond#: 061344-PM City: RO9e� Zip:55374 Expiration Date: 12/31/09 Phone: (763)428-1833 Alternate Phone: ❑ Inswance—Current: 1 PLUMBING FIXT'URES BEING iNSTALLED FIXT'[JRE BSMT 1 2 OTHER FIXTtJRE F3SMT 1 2 O"I';IEI2 TYPE FL FL TYPE FL FL Water Closet , Floor Drains j I Lavatory I Sewer Ejector Bathtub I,aundry Tray Shower I Washer Kitchen Sink I Water Heater � Disposal Water Softener Dishwasher � Wet Bar Sillcocks l Miscellaneous PERMIT FEE CALCULATTON(S) BASED OFF - 200? STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirernents: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;exciudine the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ ]5_00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Neat Page) 2 � rER��IIT FEE CALC[TLATION(S)-JOES OVER 5500.00 If above dces noi apply;follow guidelines below: 1. CONTRACT PRICE *is 125%of contract pnce with a(Minimum Fee of�50.00) ��i C�C�l.� x.0125$ �� (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Su�harge(M;nimum Fee of�.50) i �6--7/ �`7 L' �c.0005 $ ').� � Fy (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �V�! � ■ * CONTRACT PRICE or JOB COST means the actual or estunated 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, lahor or installations are fumisheci by the owner, tenant or any other party,the reasonable market value of such items must be added to the estimated cost or conh�act price for pennit 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. ■ ** The STATE SURCIIARGE is .00dS of the contract price under$1,000,000 or$.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. 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. �� Applicant's Signature: �j� Date: � lD �1`7 Reset Form 3 � � � D E TIME � CITY OF ORONO CALLED IN ID 9 INSPECTION IC ' ` SCHEDULED 7 � PERMIT NO. �dU`� �d co LETED ADDRESS /SdO ZI�LT �� OWNER CONTR. TELEPHONE NO. G(�YrI' � 3 ��S �J � DESCRIPTION � � � � � ❑ FOOTING ❑ M C ANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL � ❑ WALL BD. WATER HOOK-UP Z ❑ ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J '�PLUMBING FI ❑ FOUNDATION/REMOVAL � OWN ONTRACTOH TO ME YO�YES_NO � C NTS: � W 0. Q /v� �}.c o �t �F cf' 2 S fi � (� � J�D �-� !�o u s� 0 � W � Q � Z W � W � � d W� �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ ORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIOIV REOUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector. �.1�'' ✓" r � � White Copyllnspector's File Canary CopylSite Notice e�`�� AT TIME CITY OF ORONO CALLED IN '� INSPECTION E SCHEDULED Z / .� O PERMIT NO. COMPLETED ADDRESS OD ��..5 /�£� OWNER CONTR. � � � • TELEPHONE NO. �� T� <U�� DESCRIPTION � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP 0 PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w a � � ��T �� 0 a � 0 � W � Q � Z W � W � � GW �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� 249-46�� OwnerlContractor on site• Inspector. ��.eJ r"� (��,� White Copyllnspector's File Canary CopylSite Notice AT TIME ' / CITY OF ORONO CALLED IN — V INSPECTION N�OTIC C,L SCHEDULED — � PERMIT NO. oSGY�� / 7� COMPLETED ADDRESS !� r)/`L�Li�C'-� �I� /�L- OWNER CONTR. �f��-7��L� TELEPHONE NO. l��3 �Z� �p �3 � DESCRIPTION �%�L��r�2s� �G%�'(��l � ❑ FOOTING ❑ MECHANICAL RI ❑ CAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � � -fi� � -� � � 0 � W � Q � Z W � W � � d W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. '_ White Copylinspector's File Canary CopylSite Notice