HomeMy WebLinkAbout2015-01496 - plumbing CITY OF ORONO * Z 0 1 5 - 0 1 4 9 6 *
� ' 2750 KELLEY PARKWAY DATE ISSUED: 1U20/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3422 LIVINGSTON AVE
PIN : 17-117-23-43-0022
LEGAL DESC : NAVARRE HEIGHTS
: LOT 021 BLOCK 002
PERMIT TYPE : PLUMBWG(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (2)WATER CLOSETS,(2)LAVATORIES,(1)BATHTUB,(1)SHOWER,(1)D[SPOSAL,(1)LAUNDRY TRAY,(1)WATER HEATER
VALUATION OF PLUMBING 2500
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 1.25
STEWART PLUMBING, INC. MAIL-IN FEE 2.00
13025 GEORGE WEBER DR
SUITE#1 TOTAL 53.25
ROGERS, MN 55374 Payment(s)
(763)428-1833 CREDIT CARD 3122 53.25
Minnesota State License#: plbg-PC000474,mech-MB003262
OWNER
ANDERSON&MATT LABODA, LUKE
3422 LIVINGSTON AVE
WAYZATA, MN 55391
AGREEMENT AND SWORN STATEMENT
The 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 gran[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 ifconstruc[ion authorized is not
commenced within l80 days of the date of issuance,or if construction is
suspended for a period of I80 days at any[ime afrer 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.
�����
// � ►ZG/ /S
Applicant Permitee Signature Date Issued By ature Date
Stewart Plumbing, Inc. 7634281733 p.1
FOR CiTY USE ONLY
�O�a Gtity of Oroao
P.O.Box 66 Date Received: Permit#
2750 Kcllcy Parkway
Crystal Bny,MN 55323 Appmvcd By: Amount�:
(952)?49�600—hiain
y � (952)249-4616—Fax
�' c.` CITY OF ORONO—P�.UMBING PERMIT
(�'�E5H 04�` (All Commcrcial Permits Must be A��roved by the State Prior to City Arrroval)
h :/lwww.dli.mn dov/CCLDiPDF/ e lumb lanreva . df
CTENERAL INFORMATION
1. You mxy apply fox plumbing permits by mail or in person at the City offices. Applicarions will be
reviewed and a perrrvt will be issued within tivo working days.
2. Perrnit cards will be sent by retum maiI after a review is com,pletcd. PERMITS ARB NOT
VALTD UNTIL YOU RECENE A PERMIT. WORK.I�tUST VOT BEG[N UNTFL THE
PER1�iIT CARD IS POSTED ON THE JOB SITE.
3_ Pi�nbing permits may be issued ONL,Y to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new consiruction or remodeling is involved,a separate buiiding permit must be
obtainad.
5. Al[work must be done in accordance with State Codc requirements.
5. All work mu.st be ins�cted and air tested before it is covered. Call(952)249-4600.
{24-48 hour notice required)
TYPE�F PERMIT
Check All 1'hat A 1
�Residential ❑Commercial(Approval Required)
❑New ❑Addirional ❑Repairs ❑Replace
❑ In Accessory Struci�ne?
*You wal need nrior annrovai and may need CUP,(Per Orono City Code,Chaptcr 78,!�-ticle N)
Job Site/Owner Informarion:
Site Address: J�i a� �I ��t � ,� ��� �
Owner: �LL�� �����t� Mailing Address: �' ��
City: Zip:
Home Phone: Alternate Phone:
Coniractor Information:
���,txt r�--�, '�il �'�.
Coniractor. /� l�� Contact Person: CC�(i(, �'��
Address: f��j���-���P/Dr� ����State Bond#: ��'I��7
City: UG tr5 Zip:�j''y Expiration Date: I��3I - 1�
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Phone: 7/!�`���1'���� Altemate Phone:
Insurance—Current: �f I Z �/� ,l9C�
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1
Stewart Plumbing, Inc. 7634281733 p.2
. '
PLUMBING FIXTURE� BEING IN5TALLED
FIXTURE BSMT l 2 OTHER PIXTLTRE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet I � Floor Drains
La��atory � � Sewer Ejector
Bathtub � Iaundry Tray �
Shower � Washer
Kitch�Sink Water Heater �
i
Disposal Water 3oftener
�
Dishvvasher Wct Bar i
Sillcocks Miscellaneous
PERMIT FEE CALCULATION(5)
BASED OFF-2002 STATE STATUE
❑ Yes,this section applies
The replacement of only one Residentiai fixture or analiance that meets all three of the following
requirements: '
l. Dces not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excl in the cost of the fix#ure or appliance:and
3. Is improved,installed or replaced by tt►e horneowner or licensed plumbing contractor.
Skip next section,if this applies; Cost of Pem�►it $ 15.00
State Surcharge $ 1.00
Mail-In Fee(If Applicabie) $ 2.00
Totat Permit Fee �
(Permit Fees Cantinued On Next Page)
2
Stewart Plumbing, Inc. 7634281733 p.3
, .
PERMIT FEE CALCULAT'ION S —J4BS OVER$500.�0
Tf above does not apply;follow guidelines below:
1_ CUNTRACT PRiCE '' is 1.25%of contract price with a(Minimum Fee of$50.00)
�� X.o�zs$ 50 , O�
contract price) (roinimun SSO.OU)
2. STATE 9URCHARGE
��� � x.000S $ I� � �
Contructpricc)
3_ POSTAG�&HANDLING(Only on Mait-In A.pplications) $ 2.0�
4. TOTAI.PERMIT FEE(Add Lines 1-3 Above) $ � � � ��
■ * CONTRACT PRiCE or JOB COST means the actual or estimated dollar amount charged for the
permitted wo�ic including materials,labor,profit,and other fixed costs. It is the amount to bc charged
to the customer for the work done. If any material, equipment, labor or insCallations are fiunished by
the owner, tenant or any other party, the reasonable market value of stich items must be aclded to the
estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the
amaunt of the job cost, the City may request the submission of a signed copy of the actual contTact.
PLUMBING PERMIT APPLICATION AGREEMENT
The undersigned h�reby applies to the Ciry for issuance of a Plumbing Permit, agrees to do a�l
work in strict accordance with the ordinances of the City and tbe regulations of the State of
Minnesota, and certifies that all statements noade on this application azc comptete, f:rrue and
correct.
7
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A}�plicant's Signaiure• � Date: /� 't
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/ /DAT�,,� TIME /
CITY OF ORONO CALLED IN ,/� D�-� �V
INSPECTION NQT�I`E _��,/y SCHEDULED `/( � � �
PERMIT NO. vC. 7/ COMPLETE4
ADDRESS ,
OWNER LEP E N07b3�����$�3
CONTRACTOR
� DESCRIPTION
�
W ❑ FOOTING EMO- NA ❑ SEPTIC FINAL
� ❑ POURED WALL PLUMB G ❑ EXCAV/GRADING/FILLING
Q
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
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO �-_ /
y COMMENTS: �
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W WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS_ p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou 'n advance. 9-460�
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Cenary CopylSite Notice
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� ATE TIME
CITY OF ORONO CALLED IN ^ ^
INSPECTION NOTICE SCHEDULED s�T1� '.�
PERMIT NO. o LErED
ADDRESS ' ���
OWNER Tf¢.�P ONE NO? "3 "�37
CONTRACTOR ��`��
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� DESCRIPTION
t~y ❑ FOOTING ❑ DEMO- IN L ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBI RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF f�PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ��❑MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 01MNERICONTRACTOR TO MEET 1f�U:_YES_NO
� COMMENTS: Oe�r.te�s-/- ���s�.fl.
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� ❑WORKSATISFACTORY`.PROCEED �OJECT COMPLEfE
W �CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑(�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOWERING PERMANENT
❑CARRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN
INSPECTOR YVILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call ir�spection 2a hours in advance. (g52) 249-4600
Owner tractor on si ���¢
Inspector.�� � 7�—
White CopyAnspectoPs File C�nary CopylSMe Notke
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DATE TIME
CITY OF ORONO CALLED IN `
INSPECTION NOTIC���j(4��; SCHEDULED --+�' �`"
PERMIT NO. ` �� COMPLETED
ADDRESS ��-�'Z- 2- L ( � i ✓�GS �y? I�._
OWNER TELEPHONE NO.���`� -��33
CONTRACTOR _ ����=�-i?C��1-fi �Ium.�
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� DESCRIPTION �/ �11�-� � -� i F')c� !
lL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ��1MBING 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
_ ❑ AS BUILT-SURVEY ❑ $E1(VER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ PTIC INSTALL
2 OWNERICOHTRACTOR TO MEElY�N� YES_NO
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� COMMENTS: �
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a ��r,� a°a Nc.. a�isc �
W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W/�861ECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
OV �RRECT WORK CALL FOR REINSPECTION TEMPORARY
V-�FORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContra r on site:
Inspector: � �`— `�'`'�
White Copyflnspector's Ffle Canary CopylSite Notke