HomeMy WebLinkAbout2011-00140 - plumbing CITY OF ORONO PERMIT NO.: 2011-00140
r ' - 2750 KELLEY PARKWAY
ORONO, MN 55356- DA'rE tSSU�D: 03/OU2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 735 FERNDALE RD N
PIN : 36-118-23-12-0008
� LEGAL DESC : JANET ACRES
: LOT 002 BLOCK 001
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NO"1'E: 1 S"I�FLOOR:3 W'C.3 LAV, 1 TUB, ] SHOWGR, 1 KITCHGN SINK, 1 LAUNDRY TRAY
VALUATION OF PLUMBING 6990
APPLICANT PLUMB[NG FIXTURE FEE 87.38
STEWART PLUMBING, INC. STATE SURCHARGE PLBG (VALUATION) 5.00
13025 GEORGE WEBER DR
� SUITE#1 MAIL-IN FEE 2:00
ROGERS, MN 55374 MISC FEE 3.84
(763)428-1833 TOTAL 98.22
OWNER
FISH c�. MARY SNYDER, 1RVING
735 FERNDALE RD N
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for�vhich this permit is issued shall be pertormcd according to
the approved plans and specifications,applicable City approvals,and thc
Stale Building Code. This permit is for only the work described and docs
not grant permission for additional or related work���hich requires separate
permits. All provisions of la�cs and ordinances governinc this type of work
shall be compied�vith���hether or not specitied hcrcin.This permit will
ezpire and becomc null and void if construction authorizcd is not
commenced�vithin 180 days of the date of issuance,or if construclion is
suspended for a period of 180 da�s at any time atter work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance���ith the State Building Code.This permit may be
revoked at any time for due cau�e.
`�'-vt,Cu� � l i p i i
Applicant Permi�ee Signature Date Issued By Sig ture Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB
, _ FOR C'ITT PSE ONLl
` O¢��O Cit� of Orono --
P.O.Box 66 Datr Recei�ed: Yeimit=
2750 Kelley Parlcway
a ' h Crystal Bay,MN 55323 �prro�cd B�: �mo»nt 4:
�e ' c` (952)249-4600 ----- — ---
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CITY OF ORONO—PLUMBING PERMIT
(All Commereial permits musl be approved by ihe Building Ot1"icial or Inspector)
GENERAL INFORMATION
L You may apply for plumbing pernvts 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/\ItE NO'I'
VAI,II)UNTIL YOU RECEI VL:A PERNIIT. WORK MUST NOT BEGIN UNTIL THE
PERM[T CARD IS POSTED ON THE JOB SITE.
3. Ylumbing permits may be issued ONI.Y to liccnseci plumbing�ntractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate building petmit must Ue
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be ins�ec;ted and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required}
TYPE OF PERMIT
Check All That A 1 )
Q Re�iJential ❑Commercial(Approval Required)
❑ Ne�� ❑Additional ❑Kepairs ❑Replace
❑ In Accrsu>r�� titructure''
�`Yuu��ill nrrd nrN�r aanro�al anJ ma� nee�i (Per Orouo Cih C�xie.C1ial�ter 7ti,Article IV�
Job Site/Owner Information:
s�te aaar�s: �35 Ferndale Road North
Irving Fish & Mary Snyder same as above
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Stewart Plumbing, �n�. Jennifer Harmer
Contractor: Contact Person:
13025 Gearge Weber Dr Ste#1 61344p m
Address: State Bond#:
Ro ers 55374 . .
City: g Zip: Exp�rat�on Date:
Phone: (763� 42H-1833 Alternate Phone:
❑ Insurance—Current:
1
PLLJMBING FIXTCJRES BEING INSTALLED
FIX'I'URE BSMT 1 2 OTHER FIXTURE FiSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet 3 Floor Drains
Lavatory 3 Sewer Ejector
Bathtub 1 Laundry 'Tray 1
Shower 1 W asher
Kitchen Sink 1 Water Heater
llisposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATION{S)
BASED OFF- ?00? STATE STATUE
❑ Yes,this section applies
The replacement of a 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;excludine the cost of the fixture or appliance: and
3. Is improved,installed or replac�;d by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Pemut $ I 5.00
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 $500.00
If above dces not apply;follow guidelines below:
l. CONTRACT PRICE *is 125%of contract pnce with a(Minimum Fee of 550.00)
6,990.00 X.ol2s$ 87•38
(contract pnce) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�5.00)
6,990.00 X �5 $3.50
(conlract price) (minimum$ 5.00)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $92•88
■ * CONTRACT PRICE or JOB COST means the actual or es�imated dollar amount charged for the
pernutted 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 bv
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 pe�nit fee putposes. 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 SURCI IARGE is.0005 of the contract pnce under$1,0OO,OtlO or$5.00—whichever is
greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
PLLJIVIBING 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. _
�
i
Applicant's Signatur\ � , (,G� ' � Date: 2�2H�11
C
Reset Form
3
L` � :a'.�—_ DAT TIME ✓
CITY OF ORONO CALLED IN �l ��
INSPECTION NOTICE SCHEDULED / __y3 :�
PERMIT NO. � -��� COMPLETED
ADDRESS �3.5 �� �
OWNER TELEPHONE NO.��3��`Z�-�$3�
CONTRACTOR ��
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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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDAT.ION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU�YES_NO .
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❑CORRECTUNSAFECONDITIONW�THIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP OFDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector. � �
White Copyllnspector's File Canary CopylSite Notice
`-� � �� _ ATE TIME V
CITY OF ORONO CALLED IN �
INSPECTION NOTIC SCHEDULED �
PERMIT NO QJ `��� COMP TED �
ADDRESS �"� /��—�
OWNER T LEP NE NO. � ��
CONTRACTOR �l �5 !� d 4�
>; DESCRIPTION �� 61�L
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� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMP(AINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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GW �lORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP OADER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIONREOUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46��
Owner/Contractor on site:
Inspector. ��/� �
White Copyllnspector's File Canary CopylSite Notice