HomeMy WebLinkAbout2013-01074 - plumbing �
CITY OF ORONO * z 0 1 3 - 0 1 0 7 4 *
2750 KELLEY PARKWAY DATE ISSUED: 10/14/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 360 NORTH ARM LA
PIN : 06-117-23-24-0012
LEGAL DESC : NORTH ARM ESTATES 4TH ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: FIXTURES: (6) WATER CLOSETS,(6)LAVATORIES,(4)BATHTUB,(2)SHOWERS,(1)KITCHEN SINK,(I)DISPOSAL,
(1)DISHWASHER,(3)SILLCOCKS,(2)FLOOR DRAINS,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,
(1)WET BAR
VALUATION OF PLUMBING 32200
APPLICANT PLUMBING FIXTURE FEE 402.50
STEWART PLUMBING, INC. STATE SURCHARGE PLBG(VALUATION) 16.10
13025 GEORGE WEBER DR
SUITE#1 TOTAL 418.60
ROGERS, MN 55374 PAID WITH CC# 3122
(763)428-1833
OWNER
HEDEEN, BRIAN & EMILY
360 NORTH ARM LA
MOUND, MN 55364-
AGREEMENT AND SWORN STATEMENT
The��ork Ybr which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This pemiit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit wili
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked a any time for due cause.
� � � � 1�L-Q--a'�-- /G'l � ll_3
Applicant ermitee Signature Date Issue By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
nct 14 1•3 01:57p Stewart Plumbing Inc. 763-428-1733 p.2
/F�C(T USE ONLY /
Ci#y of Orono � �_� d 7�
/,��.�.I�IO p,o.oaX 66
DateReceived. � Pcrmit#� . l/ /
27�D Kel!ey Park�vay
Cryscal Bay,MN 55323 Rpproved By: Amount$: �
� (952)249-4660—Main
y \f (952)249-4616—Fax
CITY OF ORONO—PLUMBIPTG PER��IT
���KxsH��`�� (A[1 Commercial Permits Must beApproved by the State Prior to City Approval)
ltitt :/iw�v�v.dli.mn.00v/CCLI}/PDFI c lumb lanre��a . df
GE�I�RAL]NFORMAT'[ON
L You may appiy for plumbing permits by mai]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 completed. PERMITS ARE NOT
VALID U7+iTTL YOU RECEIVE A PERM[T. �'ORK 11'IUST NOT BEGIN UIYTIL THE
PERMIT CARD 15 PO5TED Uh THE JOB SITE.
3. Plumbing permits may be issued oNLY to licensed piumbing contractors and to property owners
residing in the dwelling.
4. Wlien any new construction or remodelit►g is involved,a separate buildic�g perrnit must be
obtained.
5. Alf work must be done in accordance with State Code requirements.
6. A(1 work ntust be inspected and air tested before it is covered. Calt(9�2)249-4600.
(24-�38 hour natiee required)
TYPE�F PERMIT
Check All That A 1
`�.Residentia) ❑Commercial(Approval Required)
�eN, ❑Additional ❑Repairs ❑Replace
❑ In Accessory StrucEure?
*You will need nrioraouroval and may need CUP.(Per Orono Ciry Code,Chapter 78,Article IV)
Job Si�e/Owner lnformation:
Site Address: 3l� ��=�`�'� � ��� �Y�
Owner:��C1rl �`�m��� ��� '1Cl MailingAddress: �G ����� �►�1—�
c�ty: ��unr� z►p: 55���
Home Phone: Alternate Phone:
Contractor information:
Cantractor: ����'��f �'U�c�.�iYIOJ Contact Person:
Address: 1� 1::�����12 l��'�'`�''�� State Sond#: �C `�: 1`�
C�ty: � i"5 Zip`�3_� Expiration Date: ja'31"��
Phone: � 3��Z�- ��33 Alternate Phone:
� Insurance—Current:
1
.Oct 1413 01;57p Stewart Plumbing Inc. 763-428-1733 p.3
PLUMBING FIXTURES BE1NG�NSTALLED
FIX'I'(JRE BSM'I' 1 2 OTHECZ FIXTURE BSMT FL FL O�R
Typg FL FL `T'YP�
Waber Closet ^ � Floor Drains r�
� �� di
Lavatory ' a 3 SewerBjector
Bathtub � l � Laundry Tray �
Shower i ( Washer �
Kitchen Sink 1 Water Heater �
Disposal I Water'Softener
Dish�vasher � Wet Bar �
Sillcocks 7 Miscellaneoas
J
PERMIT FEE CAL,CULATJON{S)
BASED�FF-2002 STATE STATUE
❑ Yes,this section applies
The replacement of only o,e Residential fixture ar aaplianc;e that meets all three ofthe following
requiremer�_
l. s not require modification to electrical or gas serveca.
2. Has a total cost of$SOO.UO or less;excludins�the cost of the fi�cture or appliarwe:and
3. Is improved,insta�led or replaced by the homeowner or IicEnsed plumbing contr�cctor.
Skip nezct section,if this applies; Cost of Permit � 15 0
State Surcharge � S��
Mail-In Fee(lf Applieable) $2•QQ
Total Permit Fee S
(Permit Fees Coatinued On Nezt Psge)
2
— — — --r—1 i'TT����'-r� — - — --
�Oct 14�3 01:58p Stewart Plumbing Inc. 763-428-1733 p.4
PER�IT FEE CALCULATION S -7aBS OVER$5()0.00
If above does not appty;follow guidelines below:
1. CONTRAGT PRiCE "is 1.25%of contract price with a(Minimum Fee oi$50.00)
3���ov X.oj2ss `-�D�.�C
(coMact price) (miaim�n SSO.OU)
2, STATE SURCNARGE �a, ,�. �O
,�l�� x.0005 $
(canvact price)
3. POSTAGE&HANDLING(Only on Mail-In Appfications) $ - 2.00
4. TOTAL PERMTT FEE(Add Lines]-3 Above) $ ��g��a
• * CONTRACT PR10E or JOB COST means the actual or estimated dolfar amount charged for the
permitted work including materials,labor,profit,and other fixed costs. tt is the amount to be charged
to the customer for ttte work done. If any rnaterisl,equipment, labor or inscaliations are furnished�y
the owner,tenant or any orther party, the reasonable market value of such iterns must be added to the
estimated cost or contract price for permit fee purposes. [n the event that there is a dispute on the
amount of the job cost,t43e City may request the submission of a signed copy of the actual contract,
PLUMBING PERMIT APPLICATION AGREEMEI�'T
The undersigned hereby a}�plies to the City for issuance of a Plumbing Qermit, agrees to do all
work in str�ct accordance with the arciinances of the City and the regulations of the State of
Minnesota, and certiftes ittat all statements made on tliis application are complete, true and
carrect.
AAPlicant's signature: c �L ' nace: l U-1`�-l.3
3
---_ _ _ .- �r..T„r -�rrr-
_.. —.__ _
��� � ��
L j���� jDATE TIME
CITY OF ORONO CALLED IN I �1 ����
INSPECTION NOTICE SCHEDULED '� C�C-�
PERMIT NO.-�_C�l�"{'I C��y COMPLEfED
ADDRESS �L�%�= �� . � I'��'L�� � �-
OWNER TELEPHONE NO.��"�y���l�3�
�„__
CONTRACTOR �-� � ��': rf--_�l„rvi�
� DESCRIPTION '� ' G C
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ AV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVEfLANDS
y O FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ �NSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
�
W
a
� -,� � -}- ,�
0
�.
�
0
�
W
�
Q
�
2
W
�
W
�
�
�
O
W� �'0�7RR�5ATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILLREfURN ❑CITAT�ON ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContractor on sit^:
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice
� ^ � DAT TIME ' /
CITY OF ORONO CALLED IN IO- ��
INSPECTION NOTICE SCHEDULED J /O=�D
PERMITNOr� �l� COMPLETED
ADDRESS ��� N . � �l v`�-. �
OWNER T RHONE NO. g '
CONTRACTO �
�; DESCRIPTION r� ���
�
� ❑ FOOTING ❑ PLU ING INAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ ME HANIC RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MEC AL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP O 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/flEMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
�
W
�
o S �'� S �-- ri�
�
�
�
0
�
W
�
Q
�
2
W
�
W
2
�
J
d
�RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WFLL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContractor on s' e:
inspector.
White Copyllnspector's Flle Canary CopylSite Notice
���{� DATE TIME V
ITY OF OR NO CALLED IN
INSPECTION NOTICE SCHEDULED S- - %G
PERMIT NO.�!�/�,����,/ COMPLETED
ADDRESS � �m C- -
OWNER TELEPHONE NO. L ���3
CONTRACTOR �'�'�-z�� � EJ
� DESCRIPTION {/' J����i� �/��
�
� ❑ FOOTING �"PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORFJWETLANDS
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 O DEMO-SITE ❑ SEPTIC MAINT. p FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTI I STALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPT INAL ❑ FOUNbATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU: ` YES_NO
� COMMENTS:
a `Yl4Kd - Is �111� �
o -` , nc��,ef - Scz` -+ s�4/�IJ
� �� pro��� � -��� �ct�ss �'a� 11.L. � �"�C2�
� /oc� �it�t� I �r�yG'��c/�. ��
W �' �
Q r rs� a� ���s� K co N^a��fe
Z � (.`I.�C Csrrc�-�[eh.� �G7� Ol�lc-u- 'r�NC�
� �,,,
W
�
�
�
� ❑1NORK SATISFACTORY:PROCEED � �PROJECT COMPLETE
W ❑CORRECT YVORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (g52) 249-4600
Ownerl ontractor on site: l
Inspecto �
e Copyllnspector's File Canary CopyfSite Notice