HomeMy WebLinkAbout2013-01082 - plumbing CITY OF ORONO * 2 0 1 3 - 0 1 0 S 2 *
2750 KELLEY PARKWAY DATE ISSUED: 10/16/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 325 CRESTVIEW AVE
PIN : OS-117-23-14-0031
LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK
; LOT 000 BLOCK 005
PERMIT TYPE : PLUMBING (> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMF3ING FIXTURES: (�4)WATER CLOSETS,(4)LAVATORIES,(2)BATHTUBS,(3)SHOWERS,(1)KITCHEN SINK,
(2)DISPOSALS,(2)DISHWASHERS,(2)SILLCOCKS,(1)FLOOR DRAINS,(1)LAUNDRY TRAY,(1)WATER HEATER
AND(1)WE"T BAR.
VALUATION OF PLUMBING 35750
APPLICANT PLUMBING FIXTURE FEE 446.88
STEWART PLUMBING, INC. STATE SURCHARGE PLBG(VALUATION) 17.88
13025 GEORGE WEBER DR
SUITE#1 MAIL-IN FEE 2.00
ROGERS, MN 55374 TOTAL 466.76
(763)428-1833 PAID WITH CC# 3122
OWNER
SULLIVAN, WENDY
P.O. BOX 581774
MINNEAPOLIS, MN 55401-
AGREEMENT AND SWORN STATEMENT
The work fbr which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is �
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due caus .
� ` �� �l�� ,/3 �Gt�- /o i �lo� /3
Applicant Permitee Signature Date Iss d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
, Oc,16 13 09:18a Stewart Plumbing Inc. ., , , ,, 763-428-1733 p.5
F R C�USE ONLY
City of Orono
,/��ONO P.O.Box66 DateRecei��: �� � Permit�i Ol _ /0 �a"'�
2750 Kelley Parkway _ )
� 1 Crystal Bay,hiN 55323 Approved By: Amount$:�1 �••�
(952}2d9-4600—Maic:
Is � � � (952}249-4616—Pax
�' �� CITY OF ORaNO—PLUMBING PERMIT
{�'�FS H��� (All Commercial Permits Must be Approved by the State Prior to City Approval)
htt :/hv�vti�•.dli.nin.ao��lCCLn�PpF/ c �u�nb lanrer•a . df
GENERAL INFORMATION
1. �'ou may apply for plumbing permits by mail or in person at the City offices. AppEications will be
reviewed and a permit wil]be issued within two working days.
2. Pertttit cards will be sent by return mai�after a review is comp(eted. PERMITS AKE VOT
VALID U7V"I'IL YOU RF.CEiti'E A PERM[T. WORK MUS'1'VOT BEG W UNTIL THE
PERibt[T CAI2D IS POSTED ON THE J08 51TF..
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in t�ie dwelling.
�. When any new construction or remodeling is involved,a separate building permit must be
obtained.
�. All work must be done in accordance with State Code requiremenrs.
6_ All work m�st be inspected and air tested before it is covered. Cakt{9�2)249-4600.
(24-48 hour notice required)
TYPE OF PE}2?b1IT
Check Ali That A 1
�Residential ❑Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
�'You wi11 need prior auproval and may need CUP.(Per Orono City Code;Chapter 78,.'�riicle IV}
Job Site/Owner Information:
Site Address: 3a� C1'1P�1J���(,� ��/�.
Owner: � SU��,VQ1`l MailingAddress: ��J� ��(c°3�"1i�P� �ue,
City: � Zip: J�S��
Home Phone: Alternate Phane:
Coniractor Information:
Contractor: ���;(1'�� 1'�t,1»la�►� Contact Person: �hrirt��f t�tQ�(t71(��r'
�
Address: �. ''+2u�'r �J � State B�nd#: �(`_.O���1�-
City: Zip:rJ�7`t �xpiration Date: _ �a-�` -�?j
Phone: ���3--�2�-�r�3�j Alternate Phone:
� Fnsurance—Cureent:
1
Oc;16 13 09:18a Stewart Plumbing Inc. 763-428-1733 p.6
. ��� � ,
PLVMBING FIXTURES BEING INSTALLED
F1X"I'URE BSMT 1 2ND OTHER F[XTURE BSM1 1 T 2 OTHER
T�'PE F�, EL TYPE FL FL
Water Closet � � Floor Drains y
�
Lavatory � � Sewer Ejector
E3athhib i � Laundry Tray
� �
Shower � � 1l�rasher
Kitchen Sink � r Vt'ater Heater .
; 1
Disposal � Water Sofiener
Dishwasher � VY'et Bar �
Sillcocks � I Miscellaneous '
PERMIT FEE CALCULATION(8)
BASED OF'E' -2002 STA'TE STATUE
❑ Yes,this section applies
The repEacernent of only one Residential fixture or appliance that meets a31 three of the following
requirements:
1. Does noi require modification to electrical or gas service.
2. Has a total cost of$500.00 or less; excludine the cost of the fixture or app(iance: and
3. Ts improved,installed or replaced by the homeowner or licensed plumbing contractor.
SkFp next section,if this applies; Cost of Permit $ 15.00
State Surcharge � 5.00
Mail-1n Fee(If Applicable) $ 2.00
Total Permit Fee �
(Permit Fees Continued On Next Page)
2
Oct 16 13 09:18a Stewart Plumbing Inc. ., , „ 763-428-1733 p,7
_ PERMIT FEE CALCULATION S)—.TOBS OVER$5�0.00
If above does not apply;follow guideiines below:
]. COl\TRACT PRTCE *is 1.25%of contract price with a(Mi�imum Fee of$50.00)
3�, '�15G X.o�zS$ ��.��
(contrect price) (minimum 550.60)
2. BTATESURCHARGE
�5,�15Q_ x.Q005 S_ I ����
(conttac[gncc) ^�
3. POSTAGE&HANDLING(On(y o�Maii-ln Applicatioc�s) S 2.00
4. TOTAL PERMiT FEE(Add Lines I-3 Above) $ ����'��,�
• ' CON'I'RACT PRICE or JOB COST means the actual or estimat�ed dollar amount charged for the
permittetl w�ork including materials,labor,pro6t, and other fixed costs. it is the amount to be charged
to the customer for the work done_ lf any material, equipme�t, labor or instailations are furnished by
the owner,tenant or any othec party,the reasonable markek value of s�ch items must be added to the
estimated cost or contract price for permit fce 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 aetual contract.
ALUMBING PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City far issuance of a Piumbing Permit, agrees to do alI
work in strict accardance 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 an�
correct.
�
Applicant's Sigr►ature: Q',�- 1/'L �a�: !C -j(p-I J'
3