HomeMy WebLinkAbout2012-01102 - plumbing . � CITY OF ORONO * z 0 1 z - 0 1 1 0 z *
' 2750 KELLEY PARKWAY DATE ISSUEU: 10/30/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3980 DAHL RD
PIN : 08-117-23-23-0001
LEGAL DESC : UNPLATTED 08 1 17 23
: LOT 000 BLOCK 000
NERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTG:: PLliMl3(NG FIXTURf?S:
(6)WA"I'ER CLOSE"I�S,(6)LAVA"I�OKIh'S,(2)I3ATH"I�U13S,(3)SHOWERS,(2)KITCHEN SINKS,(1)DISPOSAL
(2)DISHWASHERS,(6)SILLCOCKS,(3)FLOOR DRAINS.(2)WASHGRS,(I)WATGR HEATI�,R&(1)WET BAR
VALUATION OF PLUMBING 290�30
APPLICANT PLUMBING FIXTURE FEE 363.00
STEWART PLUMBING, INC. STATE SURCHARGE PLBG (VALUATION) 14.52
13025 GEORGE WEBER DR
SUITE#1 MAIL-IN FEE 2.00
ROGERS, MN 55374 TOTAL 379.52
(763)428-1833 PAID WITH CC# 3122
OWNER
MCGLYNN, THOMAS&TONI
3980 DAHL RD
MOUND, MN 55364-
AGREEMENT AND SWORN STATEMENT
1'he work Ibr which this permit is issued shall be performed according to
th�approved plans and specifications,applicablc City approvals,and the
State Building Code. This permit is for only the work dcscribed and does
not grant permission 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."I'his permit will
expire and become null and void if construction authorized is not
commcnced within 180 days of the date of issuance,or if construction is
suspended for a period of I 80 days at any time aCter work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This pennit may be
revoked at any time for due cause.
L�iff-t.L� /l� �3� i /�--- /� ��O � /Y.
Applicant Permitee Sign re Date ssue y Signature Date
SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Oct 3012 02:14p Stewart Plumbing Inc. 763-425-1733 p.2
FO�C1TY L'SE ONLY
City of Orono
Og��O Y•U.Box66 Da[cRcceivcd: PcrmitS
2750 Kelley Parl.'ws}•
.+ •'� R Crystal E38y,Ml�f 55=23 ApEmoved By: Amount S:�
ye � c` (9S2)249-4600—I�fain
�aiaao��" (952)249-�616—FaC
� CITY OF ORONO—PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to Ciry A.pprovaO
GENERAL INFORMATIOI�
1. You may apply for plumbing permits by rnail or in person at the Ciry offices. Applications wil[be
zevie�ved and a permit will be issued within lwo��orking da5�s.
2_ Pemut cards will be sent by�retum mail after a review is compleled. PERMI"I�S ARE NOT
VALID UNCTL YOU RECEIVE A PERIVIIT. VS'ORK MUST NOT SE�iN UI�ETIL THE
PERMTT CARD IS POSTED 01�TEIE dOB SITE_
3. Plumbing permits may be issue�ONLY to licensed plumbing contractors and to pcc,perty owners
residing in the d4vclling.
4. When any new construciion or remodeling is involved,a sc;parate building permi#must be
obtsined.
5. All work musl be done in accordance wilh Siace Code requErements.
6. All work must be inspected and air tcsted befare it is covered_ Call(9�2)249-�600.
(24-48 hour�otice required)
TYPE QF PERNIIT
Check All That A 1
�❑Residential ❑Commercial(Approval Rcquireci)
�-New ❑Addivonal ❑Repairs ❑Rcplace
❑ In Accessory Structure?
*You v�ifl need a�io r approval and may need (1'er(hono City Code,Chapter 78,Article I�
�ob Site/Owner Information:
Site Address: �`-��V .�ah� �G�
Owner:�Y��1�'1C�5� �c�10i�(1��. ����JrAd'ailing Address: 3q� ��hl �
.�—
ci�y; �1;•� zip: 56 3��{-
Home Phone: Altemate Phone:
Contractor Information_
Contractor:
�'U�Q'�� ��l.i`I�Y►�1G�1nC. Contact Person: '�r��i��( '� �
Address: �= 5 — ; 2 !� ��( �Yate Bond#�: ���L����
City: � Zip:J�:S-`��'-�Expirat�on Date: �a-3����
Phone: ��C3-'-k�-`��I J�3 3 Alternate Pt�one:
QInsurance—Current:
1
Oct 30 12 02:15p Stewart Plumbing Inc. 763-428-1733 p.3
PLLTMBING FIXTURES BETNG IN5�'ALLED
FIXTiTRE BSMT 1 2 OTHF.R PIXTURF. $SM"T 1 2� OTI-IER
TYPE FL FI. TYPE Fl. FL
Water Closoi � � I I�7oor Ihains �
Lavatory � � � Sewer Ejector
Rathtub ( I Laundry Tray
Sl�ower � I W�sher � i
�
Kitchen Sinl: � Water�Ieatcr �
Disposal I Water Softener
Dishwasher ' ` Wet Bar
Sillcocks � Miscellaneous
PERMIT FEE CALCLTLA�'ION(S)
BASED OFF- 2002 STATE STATUE
❑ Yes,tlus section applies
The replacement o r only�one Rcsidential fixture or a,�liance that meets all three of the follo�ving
re c{uiremen[s:
l_ Does not reqwre modification ta electrical or gas service_
Z. Has a toial cost of$500_00 ar Iess;excludinQ thc cost af the fixture or appliance:and
3. Is impro�ed,insfalicd or replaced by the homeo�rner or licensed plumbing contractor_
Skip next sec�on,if this applies; Cost oFPermit $ 15.00
State Surchar�e $ 5.00
Mail-In Fee (If Applicable) $ ?.00
Total Permit Fee $
(Permit Fees Continued On Ncxt Pagej
2
�
Oct 3012 02:15p Stewart Plumbing Inc. 763-428-1733 p,4
.�I
PERNIIT FEE CALCULATION S —JOBS O�ER $SQ0.00
If above does not apply;follovv guidelines below=
1_ CON'I'RACT PRICE • is].25%oFcontract price wiih a(Minimum Fee nfS50.f10)
aq,��-�� X.o�zS� 3�3. c��
(oontract price) (�nimum 550.00)
2_ STATE SIJRCHARGE , I
�Q��`�U.C�I� x.0005 $ I`i•5o�
(contrsct priee)
3. POSTA�r�&HANDLING(Only on Mail-In Applicalions) � 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S � r r •��
■ y CONTRACT PRICE or JOF3 COST means the actual or estimated dollar acnount charged for the
" permitted work ineluding materials, ]abor,pro6t,and other fised costs. It is the amount co be charged
to the customer for the work done. If any rrtatcrial, equipment, labor or installations are fiunished by
the owner, tenant or any other party,the reasonable markct value oE such items mus[be added to the
estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the
f amount of the job cost, the Ciry may request the submission of a signed copy of the actual confract.
�
PLUMBING PERNIIT APPLICAT�ON ACrREEMENT
The undersigned hereby applies to the City for issuance of a Plwnbing Permit, agrees ta do al�
work in stnct accordance with the ordinances of thz City and the regulations of ti►e State of
Minnesota, and certif�es that all statements made o� this application are complete, lrue and
comcct.
Applicant's Signature: �•� Date: ! � ".3��"��
Reset Form
3
� 7`� �;� DATE TIME V
CITY OF ORONO CALLED IN S �9��/
INSPECTION N TIC SCHEDULED�.�� -/� �•"�
PERMIT NO. D��-D /D�o LETED
ADDRESS ��� ��
OWNER T��PHONE NO�'�-��-����
CONTRACTOR �C�� /' / �J
>; DESCRIPTION ��
�
� ❑ FOOTING ❑ PLUMBI INAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHA AL RI ❑ LAKESNORE/WETLANDS
� ❑ 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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ 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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� �,�TISFACTORY:PROCEED I l PROJECT COMPLETE
W O CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. ��t
White Copyllnspector's File Canary CopylSite Notice
8� C�`- � D� TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED � �� ��D
PERMIT NO. ��I a -O� �OZ COMPLETED
ADDRESS 3g g� ���- �
OWNER TELEPHONEN0.��3 T� ���
CONTRACTOR ���'� ��
>; DESCRIPTION /�� v �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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t�KSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL�NSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (Q52� 249-46��
OwnerlContractor on sit -
Inspector.
White Copy/inspector's File Canary Copy/Site Notice
� �� C� DAT TIME ` /
CITY OF ORONO CALLED IN �D �
INSPECTION NOTICE SCHEDULED � �� ���
PERMIT NO.���--�� I�� COMPLETED
ADDRESS �'D �
OWNER T PHONE N0.7���Z S " �b-�J
CONTRACTOR � -
�: DESCRIPTION �
�
� ❑ FOOTING ❑ PLUMBIN FI AL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANI L RI ❑ LAKESHORE/WETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAI
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP O PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CO ECT WORK 8 PROCEED rl ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ���CITATION ISSUED
❑ STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 2,4 hours in advance. �952� 24Q-46QQ
OwnerlContractor on si :
Inspector. l�
White Copy/lnspector's File Canary CopylSite Notice