HomeMy WebLinkAbout2013-00082 - plumbing ` � CITY OF ORONO
* 2 P1 1 3 - 0 0 0 B 2 *
2750 KELLEY PARKWAY DATE ISSUED: OU3U2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2789 PHEASANT RD
PIN : 21-117-23-32-b005 ��-. � � ' � � � '
LEGAL DESC : REG.LAND SURVEY NO.0310 �
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500) , .
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES:
(6)WATER CLOSETS,(7)LAVATORIES,(1)BATHTUB,(4)SHOWERS,(4)KITCHEN SINKS,(1)DISPOSAL,(4)DISHWASHERS,
(3)SILLCOCKS,(5)FLOOR DRAINS,(2)LAUNDRY TRAYS,(2)WASHERS,(1)WATER HEATER AND 91)WET BAR
VALUATION OF PLUMBING 46750
APPLICANT PLUMBING FIXTURE FEE 584.38
STEWART PLUMBING,INC. STATE SURCHARGE PLBG(VALUATION) 23.38
13025 GEORGE WEBER DR TOTAL 607.76
SUITE#1
ROGERS,MN 55374 PAID WITH CC# 3122
(763)428-1833
OWNER
TEYNOR,GAIL&JOSEPH
13225 CARDINAL CREEK RD
EDEN PRAIRIE,MN 55346-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due caus .
/ /3/ / �3 / i�.11 �3
Applicant Permitee Signa ure Date ssu y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Jan.31 13 01:17p 'I Stevaart Pfur'�bing Inc: 763-428-1733 p.2
�
FQR CITY USE OPILY
%"`�'� Ci of Orono
�4���� P.O.Box 66 Dale Rxeived: Permitil
Ir 2750 KeUey Parkwey
I` ��`'F•:' ►�` Crystal Bay,MN 55323 Approved By: Arnount$:
� s � � �dr� (952)249-4600—Main �
��_�.. (952)249-4616—Fax I
° CITY OF ORONO—PLUM�3ING PERMIT
( l Commeccial Permits Mnst be Approvec� by the State Prior to City Approval)
�tt ://www.dl�.mn. ov/ CLDIPDF/ e lumb lanreva . df
cErrE �oR.NtaT�oN
I 1. Y u may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit witl be issued within two working days.
2. Permit csrds wiU be sent by return mail afler a review is completed. PERMITS ARE NOT
V ALID UNTfL YOU RECENE A PERMIT. WORK MUST VOT BEGiN UNTIL TPE
PERMIT CARD LS POSTED ON THE JOB 5I'fE.
3. Plumbing pertnits may be issued ONLY to licensed piumbing contractors and to property owncrs
residing in the dwelling.
� 4. R�hen any new canstruction or remodeling is involved,a separate building permit must be
,�, �, � .n�.,�-,., o,, ��,�1r,;•._,� ��^ �� '"^-17''.� ��.;�
' S.�A�work must�e done in accordance with State Code reqairements.
6. All work must be inspected and air tested before it is cavered_ Call(952)249-4600.
(24-a8 hour notice required)
� ;::`p� �-;; , TYPE OF PERMIT
�� � ',', '' Check Al1 That A l , ' ;'�' _ A
. �.
_ ....
r _
.I ... .. ...i ' ... �.-.... , 1.1. .� � .��. ...... %1...�.1�7t.�i. . . .
� _
�Residential '� - ❑Commercisl(Appmval Required} --. _ _ _
_ _., ..,.
� �
]New ❑Additional . . ❑�Repa'i�rs ��R�place
,;i� .0�I,:21E,t ,. . NYc .. t ��� .i. . '.7 i�i:�i
Ill ACCCSSaI]r:IJSilCtU[C7 !' : +� . , 1? ��
�. Q_ .... .... � ..��... . ... _. .._ __ . __ ,
" �`You'�ll't'�'e�l��i-ior��nrovnl and may n�d,C'l!P.(Per Orono City Codc.Chapter 78,Article 1V)
Job Site I{D�r1���Iinfonnation: . � � r,. ,. �, ,
. . . . , . ,� ,
, i� ,�. , � ,. �
Site Addt�ss��1�.�^�`�:,. ��1PCay�1�� ��C� ' ',,,, �:
� 1�t t i: . _ _�; .
—,.�__ _._ _
Olwrier ''� i������5�' h �� � pY 'l'Vlailing't�ddress: 't3���' ���'�'�C��`+'1'Q� ��P.�
� city: ' 1`i� 'I,�'Cu,�r:�.�: �. ;�>i � :zip:-''' �. -. � ., 55��'�n �� r' .
. w'
�� �� t ta;"k r ��, , , �3e �
• , ,., . , ,. : ;,
Horne Ph ne��� �� � ,, -� � ���klterna.te Phone: ��-a�,;�
T �� you� , �, �
Gontract _Infer�t�atior�:- r. _ _ _ _ .____._ ___... ___ _...
, ,, . ,
—�3t�f;�Q�� ���i �
�Eontra� - �};nc� Contact Person: ��rr��r_ Q+rme�
Address: n �t� 3� 5� ��•� � ���� V �S� te Bond#: '��l:C��1�
� �Yi
� .
City: , . Zi :5�7�ExpiratioAn Date: ���-�\j-13
Phon�: ,�� .����•�-I��J' Ig�✓� , AltematdPhone: , �"�' '�,� "r'
�
_ _._ i
--- - _ � . __ ..
' J. 1'•�(l. �1 .
_ __.__ _ _ Insurance—Current:
,
� . .�;� . .
, , ,;r � ,,. .1 ,.
_ _.
_._ _._. _ ___
' . �� �' F. ' , � . �
�� - ,. , t- � . E' i , � � , � . 'P.r t-�
i
Jan 31 13 01:17p Ste art Plumbing Inc, 763-428-1733 p.3
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 2 OTHER FIJtTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FI.
Water Closet l 2 � Eloor Drains � 1 �.
J i �.,�
i
Layatory � 2 � 'M `ro�? Sewer Ej�tor
�J
Bathtub I Laundry Tray �
Shower ` 1 � Washer � �
� 1
Kitcben Si k � } Water Heater
,.�
," �1 ��'r Disposal+:,-, �C,�` I., �b Water Softeneir ^ �-"'� �-�.
�
Dishwash ' ' � Wet Bar �
Sillcocks ? Miscellaneous
J
___.__---_ _ _ _.__
. . ��� �'
._,. _ . _ ..
. �'. !1 , '':. ,.
i � : t ,
i
_ .. _ __ ..._ . ._ _
..
� '. _ PERMIT FEE CALCULATION(S) `
__ _ __--- _ _ . -- - . ___ _.
� .<<< ; BASED O�F -2002 �T�TE STATL'-E
, _ Y thi$section __ _.
- -
_ .._ _ _ . _
❑_ , aPPlies � ; I � � �� �
. p _ y .__ _ ._ .__. . _,. . _ . _
'I�e're la eirt afqnl oae Residential fixture or agpli'�ance that meets;all three of the foll�owing
r ' ;__ ---- - _ ,-. ,_ _ __ __._ : _- -
requ�re� _ _
�� ._ ,�:�te
1. _.Doss.not regurre modi6cati�n to electrical or gas sen•ice._; � . , . _... _
� �2. Has a total oosc of 5500,00.Pr less;excludi'na the Gb's�of the fixhue or appliance:and
_ 3. _ Is i�n�coved,'installed or r.e�lace�d by the homeowner or Licensed plumbin��oNractor._ _. _
, �., , , , � ,
Skip next se�tion,ifthis ap Eies; Cost ofPermit $ 15.00
_ _ � � State Surcharge ,__ . $ _ 5:00 _
, � ; _;. Maii-[n Fee(If Applica�le) $ 2.00
I __ _ _. _.__.__ _ __._. _ ._ . . . ,._
Total Permit�Fee S
t
(Permit F s Coatinued On Next Page)
. __ . __ . . ._. -- -- __ _ j __. _ . ...._... ._._ .
( ' ., . .i.
. .. '
_ ���.:;:�.��.:�u��� ��,;��� � 2
� �
... . . I l�� ..'11��`,'. '�l'4��. . 1C � i-.;j0j.. -''.. .__ .... . � fl: I �, ;V,' I'_
Jan��� 43(�1:17p Ste art Plumb g Ina I ( 763-428-1733 p,4
�
. . ,
�
: � ..� �
PE T FE C CULATION S -JOBS OVER�500.00
�f above d �appl follo�g idelines beiow:
`' �� l C NT GT PRIC * is,7.25%of contract price with a(lVlinimum Fee of$50.00)
� ���:. ., � �
E:fl. , � �
�t:.:�r� ,, '-� ,�5� C v X.oizs$ 5 s �l .3`�
(conaact price) (winimum ssa.eo}
��o��� ,: ,, �J,' 2 ST TE RCHARGE
I �1�,�'5�-0�: X.oaos $ �3, 3�
(wnQact price)
",; 3. POSTAGE&KANDLING(Only on Maii-in Appiications) $ �
�,����.,.� � �r,
.
4. TOTAL P ,RiVIIT FEE(Add Lines 1-3 Above) S lL�e�•�7�D
, , _._ .
, � �� ��,•-�., ■ * �O .-, ..�j�IGE.�.4r JOB COST means che actual or estimated�d611�^&aio�J't,it chacged for the� �`.
permi��ed wor�c inc�uding materia(s, labor,profit, and other fixed costs. It is the amount to be charged
to the ustomer for the work doae. If any material, equipment, labor or instailatians are furnished by
the o er,tenazrt Qr any oit►er party,the reasonable market value of such items must be added to the
estimated cost or contiact price for permit fee purposes. ln the event that there is a dispute on the
amo�mt of che job cost,the City ma request the submission of a signed copy of the actual contract.
�;. ,
, . __ _ .
i
; PLUMBING PE T APPLICATION AGREEMEN£
� .. _.. ` .._
� ,,.;
�
� i
� The under�igned hereby applies to City for issuance of a Plumbing Peimit, agrees-;to,do all
work in s�rict accordance with the rdinances of the City and the regulatioris�of ttie S't`ate of
Minneso � and•,certi�es that ati sta errients made on this application are complete, true and
: ,. _ _
I correct � .
i .. _. �
I '
,i .� -� � {_
Applicant,s S�g'natu •�--. •"yl�y� � L� Date: l- J��'��.
J
, . ��.-; , � . f . _.� _
fteset Form
�.�.�, . .,.4..� . . ..
. . I . _ � , �.. � ��Ji 't '.
, !SC� •,;IIc ;�} I , �, .t.
.; 1i . , �`�'��" , , ! � . '.li. . .
,, � �r ,
�rn r,e� ;::i :�-1 �. � I �. � � � a� �,1c.. .
5t� Yi:a �,''. ;� . . . 1 ,
.. �� �'. ��.. �C; � � . _ '� . I r,. , : � � �1?. , �i ct�,i..... ...
I
. . ... . ... ...._... _ I . .
�
.� .i� . ..;Il.'l� `.. � . . � � - .. . . . . ,�;�L. � ,.L � � . �. .
. . � ai��. .. a'��., .... . . L� . �. .��.. . , � : .. .
i
- . , i v . 1.
I 3
. -,i, nau� . - -
�� ✓
t /+LyyT TIME
CITY OF ORONO Q(,�O?/ CALLED IN �'�
INSPECTION N T E SCHEDULED - � ���
PERMIT NO " COMPLETED
ADDRESS aZ�9 `LQQ.dQ�' �
OWNER TE4EPHONE NO.���-O l�3
CONTAACT�A � �J
� DESCRIPTION
�
� ❑ FOOTING '�PLUMBING FI L O EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP � PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
= O DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET Y�OU:_YES_NO
v�, COMMENTS:
W
a �Of1D /S �o��in 4
�
o . �
� - F'����� i76�t e�,.� a f�����- -
o - - `
' /=.n. 6•C �,.risr.r �islLl.res —
W
�
Q
2 „ �S� '����rf 0�
�
W
�
J
W ❑WORKSATISFACTORY:PROCEED I�'.�ROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERINCa PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractoron site: aG �c�Jsrz`�/.
�
Inspector:
Whita CopyAnspector's FHe Canary CopylSite Notiee
%
p�� TIME �
CITY OF ORONO CALLED IN /
INSPECTION NOTICE �/�j,(� SCHEDULED �2" ��
PERMIT N0. 0�0�3^(.C.C/U �COMPLETED
ADDRESS a7�! ���� ,`�
OWNER ` T LEPH NE NO.?��Z `g3��
CONTRACTOR s !�U%�iT �
� DESCRIPTION
Q ��
� ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING
❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y
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
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
�
W
a
�
J
� � �`
O
�
W
�
Q
�
2
W
�
W
�
� /J\��
W��iN913K SATISFACTORY:PROCEED �PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 tor the next inspection 2a hours in advance. (952) 249-4600
Owr�edContractor on site:
Inspector. n
White Copyllnspecto�'s File Canary CopylSfte Notice
� � �� �� �� � �
� %' � �� � DATE TIME
�•i._,. _ ,�
CITY OF ORONO CALLED IN '-�'� � �
INSPECTION NOTICE �,_, SCHEDULED �' !��=J � `�r`-
PERMIT N0.-������ j �'ry�'�"' COMPLETED
r .
ADDRESS "r l ?�r t" F'�� �� �iQ E'T� �-Cy
OWNER TELEPHONE NO. �� ��'� a_�'��'
CONTRACTOR �-~' � , �
>: DESCRIPTION � I � �"��� �`�� ��
�
ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SE C FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
�
W
�
o P(�� ' r.. �' (,1 �fi' ��C(�.w�A/dS
'' ✓V`�AS-�-�� �� �4k-�
�
0
�
°� [ �-�-�-S �f-
Q
�
z
W
�
W
�
�
GW ❑WORK SATtSFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� .�ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V B��FORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor on site•
Inspector. � /'Z �
White Copyllnspector's File Canary CopylSite Notice