HomeMy WebLinkAbout2014-00189 - plumbing ' CITY OF ORONO * z 0 1 4 - ?1 0 1 B 9 *
•• 2750 KELLEY PARKWAY DATE ISSUED: 03/06/2014
ORONO, MN 55356-
952 249-4600 FAX: (952 249-4616
ADDRESS : 1065 FERNDALE RD W
PIN : 02-117-23-43-0021
LEGAL DESC : REG. LAND SURVEY NO. 1372
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: 1 ST FLOOR: 3 WC,3 LAV, 1 SHOWER,2 KITCHEN SINKS,2 DISPOSALS,2 DISHWASHER, 1 LAUNDRY TRAY. 1 WASHER, 1
WATER HEATER, 1 WET BAR
2ND FLOOR:3 WC,3 LAV,2 TUB, 1 SHOWER,
1 LAV, 1 KITCHEN SINK
VALUATION OF PLUMBING 32900
APPLICANT PLUMBING FIXTURE FEE 411.25
STATE SURCHARGE PLBG(VALUATION) 16.45
STEWART PLUMBING, INC. MAIL-IN FEE 2.00
13025 GEORGE WEBER DR
SUITE#1 TOTAL 429.70
ROGERS,MN 55374 Payment(s)
(763)428-1833 CREDIT CARD 3122 429.70
OWNER
DETOR, ELIZABETH&LUCAS
1065 FERNDALE RD W
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 grant permission for additional or related work which requires sepazate
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 Stat`Building Code.This pertnit may be
revoked at any time for due cause.
�
,� �„ `�� �' / /
Applicant P�ee Signature Date Issued By S' ature Date
Mar 06 14 04:52p Stewart Plumbing Inc. 763-428-1733 p.2
�
FOR CTCY USE ONLY
City of Oro�o
���/� P.O.Box 66 Date Received: Permit#
, V 2750 Kellcy Parkway A roved B Amount 3:
� Crystal Bay,M�I 55323 � y�
(952)249-4600—Main
a �. (952)249-4616—Fax
'`'F c,� CTTY OF OROl�iO—PLUMBI�iG PERNIIT
l�KESHOa� (pil Commercial Permits Must be Approved by the State Priorto Ciry Appcnval)
htt ://v��•�r.dli.mn. m•/CCLDIPDF/ e lumb lanre��a , df
GENERAL INFORMATION
l. You may apply for plumbing petmits by mail or in person at the City offices. Appl'scations will be
reviewed and a permit will be issued within two working days.
2. Permit cands will be sent by return mail after a review is completied. PERMITS ARE NOT
VALID UT(TIL YOU RECEIVE A PERJ�4[T. WORK MUST iYOT BEGiN UIYTIL 7HE
PERMIT CARD IS POSTED OV"C'AE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed piumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
S. All work must be done in accocdance with State Code requic+ements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4b00.
(24-48 hour notice required)
TYPE OF PERMIT
Check All That A 1
�Residential ❑Comrnercial(.4pproval Required)
❑New �,Additional []Repairs ❑Replace
❑ [n Accessory Structure?
*YOu W111 n� eCd DR�!'aDDroVsl and may need Cl.l'.(Per Orono City Code,Chapcer 78,P�rticle]l�
Job Site/Owner�nformation:
SiteAddress: �O�prJ --t-��nC�A'� �G� � -
Owner: ���-0.S ��� Mailing Address: �Q�R� �'��-�-���1`�
c��: ��� zip: 5539 i
Home Phone: Alternate Phone:
Contractor Information:
Co�ttractor: cJ�E'L'.�Q�"t �I Ll�'�.`r1G Contact Person: � arm¢ar
����'L,�_
Address: � " �`� �^cOf y�-1��( State Bond#:
�7"✓•
C�ty; S Zip:5�37� Expiration Date:
Phone: ��3'�Z�-��33 Alternate Phone:
❑ Insurance—Current:
1
Mar061404:53p StewartPlumbing Inc. 763-428-1733 p.3
PLUMBING FIXTURES BELNG INSTALLED
F(XTIJRE BSMT I 2 OTHER FIXTURE BSMT 1 2 OTHER
�g FL PL TYPE FL FL
�Vater Ctoset � � Floor Drains
Lavatory 2 2 � Sewer Ejector
J J
Bathtub � Laundry Tra.y �
Shower ` � Vl%asher �
I
Kitchen Sink � Wat�Heate�r �
Disposal � 1Nater Softener
Dishwasher � Wet Bar '
Sillcocks Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OFF-2002 STATE ST�ITUE
❑ Yes,this section applies
The replacement of only ooe Residential fixture or app{iance that meets all three ofthe following
rec}u�rements:
1. Does not require modification to electrical or gas sec�ice.
2. Has a tota cost oF�500.00 or less;excludina the�ost ofthe firdure or appliance:and
3. Is improved,installed or reptaced by the homeowner or licensed plumbing contractor.
Skip next section,if this aQplies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Eee(If Applicable) $ Z.Q�
Total Permit Fee $
(Perrnit Fees Continued On IYext Page)
2
Mar061404:53p StewartPlumbing Inc. 763-428-1733 p.4
,. . ,
PERMIT FEE CALCULATION S —JOBS OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRiCE * is 1.25%of conttact price with a(Minimum Fee of SSO.OIF}
3a,9oo-0o x.o�zs$ �Ir.zS
(contract price) (miaimum SSU.00)
2. STATESCJRCHARGE Z� ��Da��
.� X.000s � 1��`�
(coniract price)
3. POSTAGE&f{ANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PE1tMlT FEE(Add Lines 1-3 Above) S �T� !� /v
■ '" CONTRACT PR10E or JOB COST means the actua[ or estimated dollar amount charged for the
permitbed worl:including materials,labor,profit,and other fixed costs. It is the amount to be charged
to the customer for d�e work done. [f any material,equipment, labor o�inshallations are furnished by
the owner,tenant or any other party, the reasonable market value of such items must be adcled to the
estimated cost or contract price for permit fee purposes. In the event that there is a dispute on dte
amount of the job cost, the City may request the submission of a signed copy of the actual contract.
PI,UI��BQiG PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the Cit�� and the regulations of tE�e State of
Minnesota, and ce�tifies that all statements made on this application are complete, true and
correc�
Applicant's Signature: Date: .l"�"1'7
3
v � � DATE TIME "
CITY OF ORONO CALLED IN ' S -
INSPECTION OTIC q, SCHEDULED 3?.�-/<!
PERMIT N -�l�/ COMPLEfED
ADDRESS /�
OWNER TEL PHONE NO " �'�8-�
CONTRACTO `�
� DESCRIPTION T (�
�
� ❑ FOOTING ❑ PLUM FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MEC ICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING O MECHANICAL FINAL
� ❑ TREE REMOVAL
Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP O PROGRESS
� ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERlCONTRACTOR TO MEET Y�OU:_YES_NO
� COMMENTS:
a �
j
O
� O
�
0
W
�
Q
�
W
�
W
�
J
d
Wa RK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
W ❑ RRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COWERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIREO.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in ance. � 9-46QQ
OvvnerlContractor on site:
Inspector:
WhiM Copyllnspector's File Cenary CopylSite Notks
J 5 �`�� TIME�j'�
CITY OF ORONO CALLED IN �
INSPECTION N �C�C �/�SCHEDULED - /a:�
PERMIT N 5` COMPLETED
ADDRESS ���5 ,������_ ��G�-- L�C/
OWNER TELEPHONE NO.� '���5-3-3
CONTRACTOR ��
� DESCRIPTION
W ❑ FOOTING ❑ DEMO AL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLU G 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
e ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERlCONTRACTOR TO MEET Y�OU:_YES_NO
y COMMENTS:
�
W '
4
�
J
O ��
�
O
�
W ^�
�
Q
�
2
�
W
�
�
J
W ❑WORKSATISFACTORY:PROCEED � PROJECT COMPLETE
� �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952 -46��
OwnerlContractor on site:
Inspector.
White CopyAnspsctor's File Canary CopylSite Notiee
✓
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED __ Ty� �
PERMIT NO. �!��D0�8� COMPLETED _��
ADDRESS /DL`J F�•n�e� ��•w •
OWNER TELEPHONE NO.
CONTRACTOR �S�'cw��� �/c .
�: DESCRIPTION -��1 /�'r �ev"`����
�
l� ❑ FOOTING � PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
ti
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ 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
v �LUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
� OWNER/CONTFiACTOR TO MEET YOU:_YES_NO
� COMMENTS: (�cS�R�
� -3 ,�t�ti���� �- ! - 1�4.��
oY�6 L�► - ���v�acf�e l- Q����o.-� o�'t
�' � rti, v PUG sc�i• 70
� • ri
° cel> ��'�o cn.c��«s 1� k�✓ ' ��S ��- �to
W L /� t .
� � C k'S� l/o r.. ' GJ/ ��S�r� L�o�ta�c �
Q
� �` l�G'( l0�Caf�S D ✓��[��d —
� 'b,� �a Co�✓
W
�
J
� �Jy�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
or the nex ion 24 hours in advance. (952� 249-46��
Owne ontractor on site: ��
Inspector_ ✓
White Copyllnspector's File Canary CopylSite Notiee