HomeMy WebLinkAbout2015-01275 - plumbing �, � CITY OF ORONO � 0�p� i z 7 5 *
a 2750 KELLEY PARKWAY DATE ISSUED: 10/02/2015
ORONO, MN 55356—
952 249-4600 FAX: 952 249-4616
ADDRESS : 835 HUNT FARM RD
PIN : 30-118-23-43-0003
LEGAL DESC : HUNTINGTON FARM
: LOT 001 BLOCK 003
PERMTT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (6)WATER CLOSETS,(7)LAVATORIES,(3)BATHTUBS,(3)SHOWERS,(1)KICHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(6)
SILLCOCKS,(3)FLOOR DRAINS,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WET BAR AND(3)MISCELLANEOUS
VALUATION OF PLUMBING 45000
APPLICANT PLUMBING FIXTURE FEE 562.50
STATE SURCHARGE PLBG(VALUATION) 22.50
STEWART PLUMBING,INC. MAIL-IN FEE 2.00
13025 GEORGE WEBER DR
SUITE#1 TOTAL 587.00
ROGERS,MN 55374 Payment(s)
(763)428-1833 CREDIT CARD 3122 587.00
Minnesota State License#:plbg-PC000474,mech-MB003262
OWNER
STILLMAN,ANDREW
835 HLJNT FARM RD
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
1'he work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described 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.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 consWction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issue B Signature Date
Oct 02 15 09:46a Stewart Plumbing Inc. 763-428-1733 p.2
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��_ FO CIT USE 03VLY4
/�� . _ Cityotorono 'I; � ��� ���'
% 1�/ P.O.Box 66 Datc Rcceive`�' Petmi:i�_�
� 1 2750 Kclley Parkway
'' Crystal Bay,MN 55323 Approvcd By: Amount S:_��
} (952)249-4600—tvlein
� �� (952)2A9-Q616—Fax
�^ � CITY OF ORONO—PLUMBING PERMIT
(AkESH��� (All Commercial Permits Must be Appro��ed by�the State Prior to Ciry Approvai)
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1_ You may apply for plumbing pemtits by mail or in person at the City offices. Applications w�ill be
reviewed and a perrnit will be issued wit6in two workin�days.
2. Pertnit cards will be sent�y retum mail after a review is completed. PERMITS ARE NO'�
VALID UNTIL YOU RECEIV�.A PEI2MIT, WORK NiUST ri�T B�GiN LINTiL TfIE
PER'VIIT CARD LS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to ticensed plutnbing contractors and to property owners
residing in the d�veiling.
<7_ When any new consiruction or remodeling is inv�Eved,a sepa:ate building permit must be
obtained.
i. All work must be done in accordance with State Code requirements.
6. All work�nust be iaspected aad air tested before it is covered. Call(9S?)249-4600.
(24-48 hour notice required)
� TYPE OF PERMIT
(Check All That Appty)
�Residential ❑Commercial (Approval Required)
�New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Strucrure?
*Yot:wilt need prior apUroval and may need CUP.(Per Orono Ciry Code,Chapter 78,Article I�'}
Jab Site/Owner Information:
�35 I.-�.� �+ ' �^ � � �����
Site Address: LY r�{,I 1��l (j�,
Owner: Maili�g Address:
Cit}r: Z.ip:
Homc Phone: Alternate Phone:
i C�ntractor Information:
,
Contractor: ����U���' ���.�I�7L�?t+`��Ti'�C- Contact Person: �LL���1
Address: ����� ''��'�'�1f��'�'�-'State Bond#: ���l,'����
�
City: J lx� �5 Zip:�._� Expi�ation Date: �
Phone: I�1�"���" ���� Alternate Phone: _
� Insurance—Current: ''�I 1.fi1� .���U
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1
Oct 02 15 09:47a Stewart Plumbing Inc. 763-428-1733 p.3
� .
PLUMBL�TG FIXTURES BEING INSTALLED
FiXTURE BSMT 1 2N OTHER FIXTURE BSMT 1 2 OTHER
'�'yp� FL �L TYPE FL FL
Water Closet a a r� Fivor Drains I �
C75
Lavatory � i � ;' � Sewer Ejectar
Eathfizb � � : l Laundry 7ray f
i
Shower � � ( Washer i
i
Kitchen Sir�t: I Water Heater I
�
Disposal + Water Softener '
Dishwasher 4 �'e1 B� �
I
Sillcocks ! _ Misceflaneous � �
Ly
PERMIT FEE GALCULATION(S)
BASED OFF-2002 STATE STATUE
❑ Yes,this secrion applies
The replacement of only one Residential fixture or apgLi_ance that meets all three of the fviinwinD
requirements:
I. Does not require modification to elecdical or gas service.
2. Has a totai cost of 5500.00 or Eess;eaccludin�the cost of the fixture or appliance:and
3. Ls improved,installed�r replaced by the homeowner or licensed pCurnbing contractor.
Skip next section,ifthis applics; Cost af Perrnit $ 15•
State Surcharge $ 1.a0
Mail-In Fee{If Applicable) $ 2_00
Tntal Pormit FeP $
Oct 0215 09:47a Stewart Plumbing Inc. 763-428-1733 p.4
. , .
P�RMIT FEE CALCULATI4N S —JOBS OVER$50Q.00
If abave daes not apply;fol�ow guidelines below:
1. C(JNTRACT PRICE *is J.25%of coatract price with a(Mi�imum Fee of$5Q.00)
�y.�� on0. �� X.o��$ ��a. 5�
(contraci price) (minimum 550.60)
2. STATE SURCHARGE �f���� „ ,-, O�
`t C,��� x.�aos $ �� . 5�
(contract pricc)
3. POSTAGE&HANDLII�IG(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above} $ ��� . C(�i
• * CON7'RACT PRICE or JOB COST means the actua] or estimated doilar amaunt charged for the
permitted work ineluding materials,iabor,profit,and other fiYed costs, It is the amount to be chazged
to the customer for the work done. If any materia�,equiprnent, labor or installarions are furnished by
the owner,tenant or any other party,the reasonable market vafue of such items mast be addecf to the
estimated cost or contract price for pertnit fee purposes. In the event that there is a dispute on the
amounE of the job cost, the City may rc�uest the submission of a signed copy of the actual contract.
PLUMBING PERMIT APPLICATION AGREENIENT
The undeisigned hereby applies to the City for issuance of a Plumbing Pernvt, agrees to do all
work in strict accordance with the ordinances of the City and the reguIations of the State of
Minnesota, and certifies that all statements madc on this a�plicat�on are complete, true and
correct.
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Applicant's Signature- C�,�C, �ti'\ � ���,� ` e Date: J�
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE �CHEDULED � �Z ;
PERMIT NO. � � COMPLETED
ADDRESS - � �
OWNER TELEP ONE N0.��3" '�� �$�
CONTRACTOR `���W���" `t��l,i�
� DESCRIPTION {—� I (d �f}'�� '
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL MBING RI
Q �PtU ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SE ER HOOK-UP ❑ FOUNDATION/REMOVAL
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� ❑ DEMO-SITE ❑ PTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
v�i COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
��ORBECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 �CORRECT WORK,CALL FOR REINSPECTION TEMPOHARY
V BEFORE COVERINCa PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 2a hours in advance. (952) 249-4600
OwnerlContractor on site: �rr y
Inspector: r �
White CopyAnspector's File Canary CopylSfte Notke
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, DATE TIME
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CITY OF ORONO CALLED IN �I ��
INSPECTION NOTICE 7 SCHEDULED _=�
PERMIT NO. ?-+- ��" �-'I L r��COMPLETED
ADDRESS �y �:�� � I �� i \�- ��Z-%�.%�l l '�C '�
OWNER TELEPHO E NO. ��� � ���-I�3�
CONTRACTOR ,��i f- �-�-� �� r'�t►��►1L�
`' DESCRIPTION ��� �-�-���� ��
Ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_ ❑ DEMO-SITE ❑ SEPTIC INSTALL
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? OWNERICOKTRACTOR TO MEET YiOU:I \ YES_NO
y COMMENTS:
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��WORK SA FACTORY:PROCEED ❑PROJECT COMPLEfE
� ��
W ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CAIL FOR REtNSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-46�0
o���o�si� L
�nspector: �
VYhite CopyAnspeetor's Flle C�nary CopylSfts Notke