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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 ----- — --- <�k�xo�i. 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 �� >; DESCRIPTION �j� Ov � � ❑ FOOTING ❑ PLU NG FINAL ❑ EXCAV/GRADING/FILLING 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 . � COMMENTS: l CL S �!� UY! � W a � J O � � O � W � Q � Z w � W � � � �WORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑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 � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � 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 � COMMENTS: � W a � � O >. � � � � ��C �� W � Q � 2 W � W � � GW �lORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED 1 J ISSUE CERTIFICATE OF OCCUPANCY W 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