HomeMy WebLinkAbout2014-01444 - plumbing ' , CITY OF ORONO * z 0 1 4 - 0 1 4 4 4 *
2750 KELLEY PARKWAY DATE ISSUED: 12/18/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3135 NORTH SHORE DR
PIN : 09-117-23-32-0018
LEGAL DESC : REG. LAND SURVEY NO. 1113
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES
(3)WATER CLOSETS,(5)LAVATORIES,(3)SHOWERS,(1)DISHWASHER,(1)FLOOR DRAIN,(1)WATER HEATER(1)WET BAR
VALUATION OF PLUMBING 29000
APPLICANT PLUMBING FIXTURE FEE 362.50
STATE SURCHARGE PLBG(VALUATION) 14.50
STEWART PLUMBING, INC. MAIL-IN FEE 2.00
13025 GEORGE WEBER DR �
SUITE#1 TOTAL 379.00
ROGERS, MN 55374 Payment(s)
(763)428-1833 CREDIT CARD 6686 379.00
Minnesota State License#:plbg-PC000474,mech-MB003262
OWNER
MARX,KELLY
3135 NORTH SHORE DR
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 Ciry 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 construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
i
� � �'7-`�/�
App�cant Permitee Si re at Iss By Signature Date
Dec 171404:33p Stewart Plumbing Inc. 763-428-1733 p.2
FOR CfTY U5E ONLY
�O�r City of Orono
1 y P.O.Box 66 Date Re�ived: Pcrmit N
0 2750 Kellcy Parkway
Crystal Bay,MN 55323 Approved IIy: Amount S:
� (952)249-4600—Main
5, � (952)249-46 F6—Fax
i L� CITY OF ORONO—PLUMBING PERNIIT
�'rF5 H�4t (A11 Co�nmercial Permiis M�st be Approved by tLe State Prior to City Approval)
htt :/hr���w.dii.mn.Qov;CCLD/PllF/ lumb lanrei�a , df
GENERAL INFORMATION
l, You may apply for plumbing permits by mai]ar in person at the City offices. Applications wi11 be
reviewed and a permit will be issued within two working days.
2• Permi�cards will be se�t by return mai{after a re�iew is completed. PERMITS ARE NOT
�rALID UNTII,y0U REC67��A PERMIT. V�'ORK MUST NOT BEGIN UN'CIL THE
PERMIT CARD IS POSTED ON THE JOB SITE
3. Flumbtng pertnits may be issued�NLY to licensed plumbing contractors and to property owners
residing in the dweiling.
4. When any new construc[ion or remodeling is involved,a separate building pemvt must be
obtained. .
5. Al]work must be done in accordance with State Code requirements.
6. A11 work must be inspected and air tested before it is covec�ed. Call(952)249-4600.
(24-48 hoar notice reqaired)
TYPE OF PERMIT
Check All That A t �
�Residentiat ❑Cornmercial(Approval Reqair�
❑New Q Additional ❑Re us
�� ❑Replace
❑ in Accessory�Structure?
*You vvill need nrior anproval and may need C'IJP.(Per Ororto City Code,Chapter 78,Article IV)
.�ob Site!Owner Information:
Site Address: 3�3� ��OYZ I �I _S�Q2E ��11;�
Owner: hE�-�-Y I�'��C Mailing Address: 1 �r�f�13 STr2 ` �....
city: I`1ot�K�NS zip: r'J�30 �
Home Phone: Alternate Phone:
Contractar Information:
Contractor: ���'�`�1 �7..��1(��lU����NL Contact Person: �I C�C
Address: t3�s5 �Coc E ��;t�Q 4�,� State Bond#: � 4 �_
C►rS': ���R� Zip:55374 Expiration Date: �a- 3 a �
Phone: 7�'3 '4�-�- � �(33 Altemate Pho�e:
❑ Insurance—Current:
t
- - ---- - r �w;z — -
Dec 171404:33p Stewart Plumbing Inc. 763-428-1733 p.3
PLU�VIBING FIXTURES BEING INSTALLED
FIXTURE BSMT f ' 2 ° OTHER FIXTURE BST�iT 1 2" OTF�R
TYPE FL FL TYPE FL FL
Water Closet � � Floor prains �
I..avatory r� � ' Sewer Ejector
41
Bathtub Laundry Tray
Shower I � V✓asher
1
Kitchen Sink Water Heater �
Disposai 1Nater Softener
Dishwasher , �Vet Bar �
Sil lcocks Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
❑ Yes,this section applies
The replaoemern of only one Residential fixture or appliance that meets all three of the following
�cquiremenLs:
i. Does not require modification to elecVical or gas service.
2. Has a wial aost of$500.00 or less;exciudi'n�;the cost ofthe fixture or appliance:and
3. Is improved,installed or seplaced by the homeowner or licensed plumbing oontractor.
Sidp next section,if this applies; Cost of Permit $ �$,pp
Scate Surcharge S 5.00
Mail-In Fee(lf Applicable) $ 2.d0
Total Permit Fee s
(Permit Fees Continued On Next Page)
2
_ . r�a ,�
Dec 1714 04:33p Stewart Plumbing Inc. 763-428-1733 p.4
PERMiT FEE CALCULATCON(S —JOBS OV�R�SOUAO
If above dces not app]y;follow guidelines below:
1. COIVTRACT P[tICE * is].2�°!0 of contract price with a(l�finimum Fee otg50Ad)
`� �°! � (,`�VO X.o�zs� 3(�. �U
(contract pricc) (mioi�orr 550.00)
2. STATE Si1RCHARGE �� �Q� ' .�,1 1 II �
S �1.. � xA�05 $ ( `t- . �� .
(comh-act pnce)
3. P�STAGE&HANDLING(Only on Mail-in Applications) $ 200
4. TOTAL PERMTI'FEE(Add Lines 1-3 Above) $ �� ` �i O�
• " CONTRAGT PRiCE or J�B COST means the acfual or estimated dollar amount char�ed for the
permitted wo�ic including materials,labor,profrt; and other fixed costs. It is the arnount to be charged
to the customer for the work done. If any material,equipment, labor or instailations are furnished by
the owner,te�ant or arry other party, tfie reasonable market value of such items must be addad to the
estunated cost or vontract price for permit fee purposes. In the event that�ere is a dispute on the
amount of the job cost, the City may request the submission of a sigted copy of fhe actual c�ntract.
PLUMBING PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Plurnbing Perrnit, agees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Mirutesota, and certifies that all statements made on this appiication are complete, true and
correct.
�.
Applicant's Signature: � ��� Date: I � � � � �
3
- _- ----
• r �a:,� -
� / -, �—tJ ► �"DATE TINI�
CITY OF ORONO CALLED IN
INSPECTION No�f� ,O f�U.�( SCHEDULED s �S \\�
PERMIT NO. -` � COMPLEfED
ADDRESS 3\ 3 b �at-� �'Rc�'��� .
OWNER TELEPHONE NO.
CONTRACTOR S�'e-vox'� ���,
� DESCRIPTION ��v�cr�vh`C� ��
W ❑ FOOTING ❑ DEMO-FINAL v ❑ 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 ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET 11'�U:_YES_NO
ti COMMENTS:
a ��-c�-< — °7L�3 --'���' `� 3��
�
0
o� �
0
W
�
Q �_
�
2
�
W
�
�
J
d
W WORKSATISFACTORY PROCEED ❑PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PF�CEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN
iNSPECTOR WFLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 5 49-46��
OwnerlContractor on site:
Inspector:
White Copyllnapactor's File Canary CopylSite Notice
�j� `��``a6oG/{
ATE M
CITY OF ORONO CALLED IN ' � �
INSPECTION NO�lC� _�/ y,�c,rfEDULED / '
PERMIT NO. ol `'�MPLETED
ADDRESS l �'V• �`1 G�'�
OWNER TE ONE N0.�7`���Z ���
CONTRACTOR �
� DESCRIPTION
t~N ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF �pLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB v� MECHANICAL RI ❑ SITE 1NSPECTION
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
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 01NNERlCONTFiACTOR TO MEET YOU:_YES_NO
� COMMENTS: .
� <S 6t�l�
0 2L'�''�x1�,�L' �/�U✓�5 S¢��F Sc�.v�,AU
�
¢ �
o � �./I.K�C Se4/,.� /�'�S• �5�i�,b. �lp —
W
�
Q
2 �c$� d�
�
� �.�-� ���
�
a
� �WORKSATISFACTOFlY:PROCEED MPLETE
� ❑CORRECT 1MORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in�dvance. (952) 249-4600
OwnerlContra site:
Inspector:
White Copyllnspector's Fi� Canary CopylSke Notke