HomeMy WebLinkAbout2017-00817 - plumbing � CITY OF ORONO * 2 0 1 7 - 0 0 s 1 7 *
2750 KELLEY PARKWAY DATE ISSUED: 07/17/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 540 BIG ISLAND
PIN : 22-117-23-42-0001
LEGAL DESC : KATE B PLUMMERS SUBD KITCHELS
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOPI TYPE : FIXTURES-MULTIPLE
NOTE: (3)WATER CLOSETS,(4)LAVATORIES,(3)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2)SILLCOCKS,(1)
FLOOR DRAIN,(1)WASHER,(1)WATER HEATER,(1)WATER SOFTENER,(1)MISCELLANEOUS
VALUATION OF PLUMBING 20900
APPLICANT PLUMBING FIXTURE FEE 261.25
STATE SURCHARGE PLBG(VALUATION) 10.45
STEWART PLUMBING,INC. MAIL-IN FEE 2.00
13025 GEORGE WEBER DR
SUITE#1 TOTAL 273.70
ROGERS,MN 55374 Payment(s)
(763)428-1833 CREDIT CARD 3122 273.70
Minnesota State License#:plbg-PC000474,mech-MB003262
OWNER
WISCHI�IEIER,SHAWN
2851 WASHTA BAY ROAD
EXCELSIOR,MN 55331-
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 dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This pertnit 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 I80 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 pertnit may be
revoked at any time for due cause.
C`�'V� a,�-�/�) / � � 7/ / 7/ ��
Applicant Perrr►itee Signature Date Issued By Si re Date
. Stewart Plumbing, Inc. 7634281733 p.1
�/ p City of 4�ono FOR CITY llySE ONLY
� N� P.o. Box 66 Date Received; "�� �
2750 Keiley Parkway --i
��� � � �� Crystaf Bay,MN 55323 Permit#�,�� I ��
5\`�^ ;.�/ (952)249-4600—Main Appraved By:
\"�f5��o`,��� (952)249-4fi16—Fax r- /)
'—`- Amaunt$: !/
CITY OF ORONO- PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to Ciry Approval)
http•llwww.dli.mn.qovICCLDIPDF/pe pl umbplan revapp.pdf
GENERAL INFORMATION
1. You may appiy for plumbing permits by mail or in person ai the City offic�es. Applications wili be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed_ PERMITS ARE NOT VAL1D
UNTIL YOI� RECEIVE A PERMIT, WORK MUST NOT BEGIt� UNTIL THE PERMIT CARD iS
POSTED ON THE JOB StTE.
3. Plumbing permits rnay be issued QNLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4, When any new construction or remodeling is involved, a separate building permit must be�btained.
5. All work must be done in accordance with State Code requirements.
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 Al! That Apply) '
�
�Resident�al ❑ Commercial (Approval Required) [Backttow�evice: Q�vB [}PVB�
[�New ❑Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
"You will nesd prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
Job Site ! �wner Information:
Site Address: 5`�� r�►(S 15 f�n �, -
Owner. S}"lE'i�nln � �11�� L�i5��7mtJ�tr MailingAddress: ���1 bti'[�5�1F� �[.�� F�t.l
c�ty: ���c:��s;cY ztp: �55� l
Home Phane: �5�- q 35--y�(��i Alternate Phone:
Contractor lnformation:
Confiractor: ��l�Ul�y� ����+L'� :�''tC Contact Person: KPf"�-� �t.�r
Address: 13D�C� �'i�� �U.�12�Y �- � � State Bond #: �� . 3�1�:�
City: �- ''�"5 Zip: ��3 7`� Expiration Date: � !S /F
J
Rhane: ���� y Z�`� 9��� � Alternate Phone:
�] insurance-Curcent: ��:,U i�.G� � ��'���� �-f-����u�
Page 9
, . Stewart Plumbing, Inc. 7634281733 p.2
PLURABING FlXTURES BEING INSTALLED
FIX7URE BSMT �sr 2ND OTHER FIXTURE BSMT '!ST 2ND OTHER
TYPE Floor Floor TYPE Floor Flaor
Water Closet � � Floor Orains
Lavatory � � Sewer Ejector
Bathtub Laundry Tray
Shower Wasfi�er (
Kitchen Sink , Water Heater �
�isposal ' Water Sflftener
Dishwasher Wet Bar
Sillcocks � Miscellaneous
PERMIT FEE CALCULATI(3N I
�E. C�NTRACT PRICE "'is 1.25% of contract price with a{AAinimum Fee of�50.00)
��a.Go�.nn x.a�z5 $ ��f� aS
�(contract price) (minimum$50.00)
2. 5TATE SURCHARGE
` x .0005 $ /a� �-�
(contract price)
3. P�STAGE 8�HANDLING (Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above} $ ��3• ��
* CONTRACT PRICE or JOB COST means the actual or estimated dallar amount charged for the
permitted woric including materials, labor, profit, and other flxed costs. It is the arnount to be charged ta
#he customer for the work done. If any material, equipment, labor or installafions are furnished by the
owner, tenant or any other party, the reasonable market val�e of such items musE be added t� the
estimated cost or contract price for permit fee purposes. In the event that tt�ere is a dispute on the
amount of the job cost, the City may request the submission of a signed copy of the actual contract.
PLUMBING PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees ta do all work in
strict accordance with the ordtnances of the City and the regulations of the State of MEnnesota, and
certifies that all statements made on this applicai�on are complete,true and correct.
ApplicanYs Signature: ��/ �t-�'C� � `Xf n" Date: �l y'"��
Building Official!Inspector: Date:
Page 2