HomeMy WebLinkAbout2016-00685 - plumbing „ CITY OF ORONO * 2 0 1 6 — 0 0 6 8 5 *
, 2750 KELLEY PARKWAY DATE ISSUED: 06/15/2016
'' ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 654 SANDSTONE CIR
PIN : 33-118-23-I1-0053
LEGAL DESC : STONEBAY
: LOT 004 BLOCK 002
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: NEW FIXTURES:4 WATER CLOSETS,5 LAVATORY,2 BATHTUBS,2 SHOWERS, 1 ITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,
1 FLOOR DRAIN, 1 WATER HEATER
VALUATION OF PLUMBING 10500
APPLICANT PLUMBING FIXTURE FEE 131.25
STATE SURCHARGE PLBG(VALUATION) 5.25
PRECISION PLUMBING&HEATING INC. TOTAL 136.50
4124 MACKENZIE CT
ST.MICHEAL,MN 55376 Payment(s)
(763)497-7486 CREDIT CARD 7760 136.50
Minnesota State License#:plbg-PC643806,mech-MB004099
OWNER
Essay Holdings
2110 LYNDALE AVE S
MINNEAPOLIS,MN 55405-
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 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 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 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 / �i/
revoked at any time for due cause.
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Appli Permitee Signature te Issued By Sig re Date
�p^d City of Orono FOR CITY U E ONLY .
O P.O. Box 66 Date Received: ��--f�"�'�v
2750 Kelley Parkway
Crystal Bay, MN 55323 Permit# � �
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kfSH04 (952)249-4616—Fax �p y'
Amount$:
CITY OF ORONO — PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http:/lwww.dli.mn.qov/CCLD/PDF/pe plumbplanrevapp.pdf
GENERAL IN�ORMA`�ION
1. You may apply for plumbing permits by mail or in person at the City offlces. Applications will 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 VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTtL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY 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 obtained.
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 bF PERMIT(Check All That Appty)
❑ Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB]
�New ❑ Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site /�Owner In#ormation:
Site Address: Y�� � 4�ov►-r� �Jl 12
Owner:� n�� Mailing Address:
City: 01�0�1.(� Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: Contact Person: l��'� f IUtI�°2�
Address: ����d��. ��- �" 0 State Bond #: ����°�,�
City: �, ����Q��MI� Zip: �� 3�f°Expiration Date: �
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Phone: ��')� � l ' ���� Alternate Phone:
❑ Insurance — Current:
Page 1
FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet 2 Floor Drains
Lavatory � 3 Sewer Ejector
Bathtub 2 Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)
� � 1 ��� x .0125 $
(contract price) (minimum $50.00)
2. STATE SURCHARGE
x .0005 $
(contract price)
3. POSTAGE � HANDLING (Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $
"' CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to
the customer for the work done. If any material, equipment, labor or installations are furnished by the
owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request the submission of a signed copy of the actual contract.
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 City and the regulations of the State of Minnesota, and
certifies that all statements made on this application are complete, true and correct.
Applicant's Signature: Date: � ��
Building O�cial/ Inspector: Date:
Page 2
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED to— I ��-iL-'o • :�r L
PERMIT NO. S COMPLEfED
ADDRESS �r�c y SQ i'1�_C 7�l`Y�Q- �.IZ-�
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Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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Call for the next inspection 24 hours in advance. 49-46��
OwnerlContractor on site:
Inspector.
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DATE TIME
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INSPECTION N I SCHEDULED =�
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OWNER TELEPHONE NO.
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41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContraator on site:
Inspector: �
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CITY OF ORONO CALLED IN �'/
INSPECTION NOTI E �"SCHEDULED `� d ' ' ' ��
PERMR NO. -� � "�-� !'�",COMPLETED
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� DESCRIPTION ,/ �/ L!%'���—�����?��' �
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Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
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� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN
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❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTIONREWIRED.CALLTOARRANGEACCESS_
Ca11 for the next inspection 2a hours in advance. (g52) 249-4f10�
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Inspector: ��G '
Whits Copy►Inspector's File Cenary CopylSite Notice