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Home My WebLink About2012-01267 - plumbing � � CITY OF ORONO . � * ZP112 - 0 1267 * . 2750 KELLEY PARKWAY DATE ISSUED: 12/2U2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3350 FOX ST P1N : OS-117-23-44-0008 LEGAL DESC : FULLERTON ESTATES : LOT 004 BLOCK 00l PERM[T TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NO�TI�,: [3ASEMI:N1`. I WC. I LAV, 1 W1;7�I3AR 1ST PLOOR:4 WC,4 LAV,2 I�U13,3 SHOWf?R,2 KI"I�CHEN SINK 2 DISPOSAL 2 DISHWASHER 1 LAUNDRY 1 PORCH SINK 3 GARAGG FLOOR DRAINS I DOG WASI[ VALUATION OF PLUMBING 36500 APPLICANT PLUMBING FIXTURE FEE 456.25 STEWART PLUMBING, INC. STATE SURCHARGE PLBG (VALUATION) 1825 13025 GEORGE WEBER DR SU[TE#1 MAIL-IN FEE 2.00 ROGERS, MN 55374 TOTAL 476.50 (763)428-]833 PA[D WITH CC# 3122 OWNER BIGOS,NANCY 3350 FOX ST LONG LAKE, MN 55356- AGREEMENT AND SWORIY STATEMENT Thc work for which this permit is issued shall be perfonncd according to the approved plans and specifications,applicable City approvals,and the State 13uilding Code. This permit is for only the work describcd and does not grant permission for additional or related work which requires separate permits. All provisions of la�cs and ordinances eoverning this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuanee,or if construction is suspended for a period of 180 days at any time after work has commenced. 7'he applicant is responsible for assuring all required inspections are rcquested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � (/1�- / / / / � Applicant Pe ite Signature Date [ssued Qy S� ature llatc SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. Dec 21 1?„01:05p , Stewart Plumbing Inc. 763-428-1733 p.2 FOR CI'fY tfSE ONLY ��-' City of Orono , �4�- ,\, Date Receivcd: Pertnit tt ;O P.O.Box 66 �•..,,. '• 2750 Kelley Park�ray p rovcd B Amount�: ;� •�1'J�.. . �.,!� Ctystal Bay,i�IN 5532i PP Y "�SJ �'�:,i�-..�.o�%' (952)249-Q600-Main �{!<saso!�� (952)249�616-Pax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt :!/wn�i•.dli.mn.Qo��/CCLD/PDF/ e tumb lanreva . df GENERAL INFORMATION 1. You may appjy for plumbina�ermits by mai]or in person at the City offices. Applications rvil�be re�riewed and a permit wilE be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VAL[D LNTIL YOU RECEIVE A PERMiT. WORK MUST h0'E'BEGI[�UNTIL THE PERIVI[T CARD IS POSTED ON THE JOB SiTE_ 3. Plumbing permits may be issued OM.Y to licensed plumbing contractors and to property owners residing in the dwelling. 4, R'hen any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with State Code requicements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT (Check All That A 1 �Residential ❑Commerciat(Approval Required) ❑New �.Additiona[ ❑Repairs ❑Replace ❑ I�Accessory Strncture? =You will need �rior appro��al and may nead CliP.(Per Orono City Code,Chapter 7S,Article IV) i Job Site/Owner Information: 5ite Address: �J�S� �x �t Owner:l��1'1 .�1 ��5 _ Mailing Address� �J3� �X �� c�ty:- �ro�,� z�p: 553� 1 I�ome Phone: Alternate Phone: Contractor Information: Contractor: ��l,ti-'�1'fT � i,lM�� Contact Person: ��.Y�`C��C�'� T�IC�`C'M�'� _ � Address: 1'�� r ��r s�.�sona#: p�-- ��D�1�� City� � � 1� Zip5J3�'-�Expiration Date: ��^��-} �J Phone: �)la.�•�2-�-��33 Alternate Phone: � Insurance—Current: 1 Dec 21 12,01:05p Stewart Plumbing Inc. 763-428-1733 p.3 � �i ! PLUMB[NG FIXTLIRES BE[NG INSTACLED FIXTURE BSMT I 2 OTF[ER FIXTURE B�MT 1 2 �TE�ER TYPE FL FL TYPE i FL FL Water Closet F[oor Drains i � L'lC•� Lavatory � Sewer Ejector � � � Bathtub � Laundry Tray I � Shower 2 W asher J I Kitchen Sink Water Heater � �� Disposal � Water Sofr�er Dishwasher �1 Wet Bar �� Sillcocks Miscellaneous � ��,,L��',� u I i � I PERM�T FEE CALCULATION{5) BASED OFF -2002 STATE STATUE ❑ Yes,chis section applies The reptacement of only one Residential fixture or appliar�ce that meets all three afthe following requ i rements: l. Does not require modification to electricaf or gas servioe. 2. Has a tota.l cost of$�00_00 or less;excludine the cost of the fixture or appliance:and 3. Is impraved, installed or repEaced by the homeowner or licensed plumbing contractor. Skip next section, ifthis applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-ln Fee{If Applicable) $ 2_00 Tatal Permit�ee S � i {Permit Fees Coptinaed On Vext Page) 2 Dec 21 12.01:06p Stewart Plumbing Inc, 763-428-1733 p,4 i PERMIT FEE CALCULATION S —JOBS OVER$5�0.00 �� If above does noE apply; follow guidelines below: 1. CONTRACT PR�C� * is L25%of contract price with a(J'Iinimum Fee af$50.00) � 3l� 5��oc`� x .o�zs $ �5(�� (coniract price) (minimum 5.50.00) 2. STA'I'�5U H A RG E 3l�, ,5��;� X.000s � �`� �� (contract pn�e) 3. POSTAGE&HANDLING(Only on Mail-In Applicacions) $ 2.00 � 4. TO�AL PERIViIT�EE(Add Lines i-3.Above) $ `�1�w,� �:� - , - ^ ■ * CQNTR/�1CT PRIGF or. JOB COST means the actual or estimated dollar arnount'charged for the permitted wod:including materials, iabor,profit, and other fixed costs. Tt is the arnount to be charged to the customer for the work done. [f any material, equipment, labor or installations are furnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract price for permit 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. PLi�MBING PERMIT APPLICATIO�I AGREElV1ENT I The undersigned hereby applies to the City for issuance of a Plumbing Pernut, agrees to do all work in strict accordance with the ordinances of the City and the regulaiions of the State of Mipnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature. ,L Date: �� '�j—,o�', 1 Reset IForm � ^ � � 5�� DATE TIME ✓ CITY OF ORONO CALLED IN �°�"a � INSPECTION NOTI E SCHEDULED �� •'��' PERMIT NO. a4/�'D /a!0 7 COMPLETED ADDRESS 3�5� ��i °S� OWNER TELEPHONE NO. 7�� Z� �C��3 CONTRACTOR ��'�� ; DESCRIPTION O �l"`y`� � � � ❑ FOOTING p PLUMBING 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � - S �.� ,� � ��= �..� a � -- o�� ;, � � 0 -�^ � l( / ��7-��/ �C� ►1/l�/IG�.�r•�2.�^�-� O � Q d �J � � � �'� T� � �c�'� z r-- � � ��S �.� � W � W � � � ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. White Copylinspector's File Canary CopylSite Notice