HomeMy WebLinkAbout2010-00046 - plumbing CITY OF ORONO PERMIT NO.: 2010-00046
_ 2750 KELLEY PARKWAY
, ORONO, MN 55356- DATE ISSUED: 02/OU2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 3355 GRAHAM H[LL RD
PIN : OS-117-23-II-0008
LEGAL DESC : GRAHAM HILL PRESERVE
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING (> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: � WA"I�I:R CLOSF."l�S, 7 LAVnTORY,2 BATI�TUB,3 SHOWERS, I KITCHEN SINK, I DISPOSAL, I DISHWASFIER,3 SILCOCKS.3
1'LOOR DRAINS, 1 LAUNDRY TU13, 1 WASHER. 1 WnTGR HI�i1TER, 1 WATGR SOFTNER,2 WE"C BARS
VALUATION OF PLUMBING 25000
APPLICANT PLUMBING FIXTURE FEE 312.50
STEWART PLUMBING, INC. STATE SURCHARGE PLBG (VALUATION) 12.50
13025 GEORGE WEBER DR
SUITE#1 TOTAL 325.00
ROGERS, MN 55374
(763)428-1833
OWNER
BPS Properties, LLC
201 LAKE ST E
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
"I�he work for�vhich this permit is issued shall be performed according to
die approved plans and specifications,applicable Ciry approvals,and the
State E3uilding Code. 'I�his permit is for only the work dcscribed and does
not grant pennission lor additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with���hether or not speciticd 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 after work has conunenced.
I'he applicant is responsible for assuring all required inspections arc
requ�,sted in confonnance with the State Building Codc.This permit may be _
r�,voked at any time for due cause� � ��"� � � � � � ���:��� >. � ,_ � ('
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�hcant�ermi � ignature Date Issued By Signature Date
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SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
TOR CITY LTSE ONLl
O¢��O Cit}�of Ornno
' P.O.Box 66 Date Rccci�rd: f'rrmit�=
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2750 Kelley Parkway - -- -
� � ' � Crystal I3ay,MN 55323 .appro�cJ B�, �muunl�:
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CTTY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may appiy for plumbing pennits 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 completc�. PERMITS A1ZF NOT
VALID UNTII, YOU RECEI Vf:A P�.RMIi'. WORK MiJST NOT BEGIN UNTLL THE
PERMIT CARD IS POSTED ON T'HE JOB STTE.
3. Plumbing permits may be issued OM�Y to licensed plumbing contractors and to property ot��net;�
residing in the dwelling.
4. When any new constniction or remodeling is invoived,a separate building pennit must be
obtained.
5. All work must t�:done in accordance with State Code requirements.
6. 1111 work mus�t be inspected and air tested before it is covered. Cali(952)249-4600.
(24-48 hour notice required)
TYPE OF PER.MIT
Check All That A 1 f)
Re.-deutia! ❑Gommercial(Approval Required)
Ne��� ❑Additionai ❑Repai�s ❑Repiacc:
❑ Iu Acce�x�n titn��ture''
*You n�ill need nrH�r annro��al and ma��need � � �','. (Y�r Orcxx�Cih Cude_Chapter 7S.Arti�le NI
Job Site/Owner Infornlation:
S ite Address: ��;�r�rJ �`�ft?.h G�Y Y� '�� �� �<.►Cl<t
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: Stewart Plumbing, Inc. Contact Person: Pam Baker
Address: 13025 George Weber Dr#1 State Bond#: 061344-PM
City: Rogers Z�p: 55374 Expiration Date: 12�31/09
Phone: (763)428-1833 Alternate Phone:
❑ Insurance—Current:
1
PLLJMBiNG FIXTi.7RES BEING INSTALLED �
FIXTURE BSMT 1 2 OTHER FIX'I'IJRE BSM"I' 1 2 O"I'HER
TYPF. FI_ FL TYPE FL FL
Water Closet � i ') Floor Drains `�
;
Lavatory i ' r- Sewer Ejector
Bathtub ^ Laundry Tray �
Shower � W asher
i /� �
Kitchen Sink 4 Water I Ieater �
Disposal � Water Softener ;
Dishwasher I Wet Bar � i
� �
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:
I. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludina the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licenscd contractor.
Skip next section,if this applies; Cost of Perrnit $ 15.00
State Surcharge $ Sp
Mail-Fn Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
PERNIIT FEE CALCULATION(S)-JOBS OVER $500.00 �]
lf above dces not apply;follow guidelines below:
t. CONTRACT PRICE *is 125%of contract price with a(Minimum Fee of$50.00)
����C.� i� � C�- X.ol2s $ �����..�-�.
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(M;nimum Fee of 5.50)
<��, CCt ��, �;�_�� Y .0005 � 12-�-�:��
(coniract price) (minimum$ .50)
3. POS'TAGE&HANDLING(Only on Mail-In Applications) $ �—�BE�-
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 2�/-�;� �-'L�
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials,labor,pmfit, and other fixed costs. It is the amount to bc charged
to the customer for the work done. If any material, equipment, labor or installations are fiimished by
the owner, tenant or any other parly, the reasonable market value of such items must be added to the
estimated cos[ or contract price for permit fee pucposes. In the event �hat there is a dispute on the
a�nount of the job cos-t, the City may request the submission of a signed copy of the actual contract.
■ ** The STA'I'E SURCHARGE is .0005 of the contract price under$1,000,000 or$.50-whichever is
greater. For valuations over$1,000,000 call ihe Building Department at(952)249-46(X)for the pnce.
PLIJMBING 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 certi6es that all statements made on this application are complete, true and
correct.
��— � � �
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Applicant's Signature: ��,��.�� ,.�� �� ,� Date: �Z-�I/1 G�
Reset Form
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INSPECTION NOTICE SCHEDULED � C� �
PERMIT NO. lC'l C CX`C`���' COMPLETED
ADDRESS _"� _� ? � �� i'�< <'"7lt f'"r� l�l I l l�c�I
OWNER CONTR. ��� '«-'Ct i'f-�/�t�����
TELEPHONE NO. N� �'" - � r - �' � �
� DESCRIPTION � ��� ��� �� C-�t_I�����I�'C'�
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ P�UMBING FINAL �)/ ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOUv�(�YES_NO
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '] CITATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor on site:
Inspector. ,, _;,_�r� ;��'�
White Copyllnspector's File Canary Copy/Site Notice
� DATE TIME V
CITY OF ORONO CALIED IN �� ��
INSPECTION NOTICE SCHEDULED �'�6'�� /...�0
PERMIT N0. ���D"ODD ��p COMPLETED
ADDRESS -�.35� �9'?�c�'-�Q�''�� ��-e
OWNER TELEPHONE NO. 7�� �z� `��
CONTRACTOR dL'���-7` �L•
>; DESCRIPTION �1�� �'�
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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
Q
i ❑ DEMO-FINAI ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46��
Owner/Contractor on sit :
Inspector.
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White Copyllnspector's File Canary CopylSite Notice
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ITY O ORONO CALLED IN �� ��
INSPECTION ,�� SCHEDULED �
PERMIT NO. C'`�'�� COMPLETED
ADDRESS
OWNER TEL PHONE O.
CONTRACTOR �' — — �
�: DESCRIPTION
�
� ❑ FOOTING �"'PCU ING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ ME ANICAL 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
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL tNSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-460�
Owner/Contractor on site:
Inspector. �/
White Copyllnspector's File Canary CopylSite Notice