HomeMy WebLinkAbout2015-01318 - plmbing CITY OF ORONO * 2 0 1 5 - 0 1 3 1 8 *
2750 KELLEY PARKWAY DATE ISSUED: 10/12/2015
, ' ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 660 SANDSTONE CIR
PIN : 33-118-23-11-0056
LEGAL DESC : STONEBAY
: LOT 007 BLOCK 002
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: 4 WATER CLOSETS,5 LAVATORY,2 BATHTUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 SILCOCK, 1
FLOOR DRAIN,
1 WASHER, 1 WATER HEATER
VALUATION OF PLUMBING 10500
APPLICANT PLUMBING FIXTURE FEE 131.25
STATE SURCHARGE PLBG(VALUATION) 5.25
PRECISION PLUMBING&HEATING INC. TOTAL 136.50
4124 MACKENZIE CT Payment(s)
ST.MICHEAL,MN 55376 CREDIT CARD 9 8 C�--��p lQ 136.50
(763)497-7486
Minnesota State License#:plbg-PC643806,mech-MB004099
OWNER
Stonebay Builders LLC
14870 BROCTON LANE
DAYTON,MN 55327-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction suthorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be � ,/J
revoked at any time for due cause. ���
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'Applicant Permitee Signature Date Issued By Si ature Date
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. �O A TO City of Orono / 3 1 �
<y P.O.Box 66 Date Received: t D ermit# ���`� O
� ' 2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$: ��r
(952)249-4600—Main
(952)249-4616—F�
y�^�' �c�� CITY OF ORONO—PLUMBING PERMIT
kESHo� (All Commercial Permits Must be Approved by the State Prior to City Approval)
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GENERAL iNFO1tMATION -
1. You may apply for plumbing permits by mail 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 return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL 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 OF PERMIT
, , Check All That A 1
�Residential ❑Commercial(Approval Required)
� New ❑Additional ❑Repairs ❑Replace
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❑ In Accessory Structure? �
*You will need prior auproval and may need CUP.(Per Orono City Code,Chapter 78,Article I�
Job Site/Own�r Information:
Site Address: 0 0 , ��1 �f�h� G � I�
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information: -
Contractor: �r�C�d�,,.� ln�G�f*s � �Contact Person: /'` ��G
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Address: ���� c�-�� c�A'�State Bond#: ! G ���0l0
City: 5�.��4c�1 Zip:S-�1.GExpiration Date: �`��` �
Phone: 7(4.�T�'7—?SF�� Alternate Phone:
❑ Insurance—Current:
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet j � 11 Floor Drains �
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Lavatory t � Sewer Ejector
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Bathtub � Laundry Tray
Shower ' Washer �
Kitchen Sink I Water Heater �
Disposal I Water Softener
Dishwasher � Wet Bar
Sillcocks J Miscellaneous
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❑ Yes,this section applies
The replacement of only one Residential fixture or appliance that meets all three of the following
requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 1.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
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If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
x .0125 $
(conhact price) % (minimum$50.00)
2. STATE SURCHARGE � � 1��'1
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 esrimated 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 fumished 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.
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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: �� � �1
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` DATE TIME
CITY OF ORONO LED IN
INSPECTION N�TICE SCHEDULED J �j/� �
PERMIT NO. �^�c-'�� ��'�i�COMPLETED �
ADDRESS �� '
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OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION �L �-YYII�-- ���
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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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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2 OWNERICONTRACTOR TO MEET YOU:_YES_NO �
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C��CGRfi�CT WORK,CALL FOR REINSPECTION TEMPORARY
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CI7ATION ISSUED
INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46�0
OwnerlContractor on site:
Inspector. ►— �
White Copyllnspector's Flle Canary CopylSite Notice
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CITY OF ORONO CALLED IN ��_
INSPECTION NOTICE SCHEDULED � �
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OWNER �� TEJ����F}ONE N07 ' 0�
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� DESCRIPTION �v J �
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� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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V EFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in adv . (952� 249-46��
OwnerlContractor on site:
Inspector.
White Copyflnspector's File Canary CopylSite Notice
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` DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO������ U SCHEDULED ��
PERMIT NO.o�l� � COMPLETED
ADDRESS C,� } ��"�� -�- '
OWNER TELEPHONE N
CONTRACTOR � t `��
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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 ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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2 OWNERICONTiiACTOR TO MEET YOU: YES_NO
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector: �"�i ��
White Copyllnspector's FHe Canary CopylSite Notice
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DATE ME
CITY OF ORONO cnLLED IN �'7'�� �
INSPECTION D)�� SCHEDULED �i�![�1�
PERMIT NO. ' � c P � ' �
ADDRESS
OWNER TELEPHONE .- �b�'"�� ���o
CONTRACTOR ���
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� DESCRIPTION
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❑TREE REMOVAL
Z ❑ RADON SLAB ❑ CHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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2 OWNERICONTRACTOR TO MEET Y�OU:_YES_NO
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V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED_CALL INSPECTOA ��TATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRAN(iE ACCESS.
Ca8 for the next inspection 24 hours in advarx;e. ) 249-4600
owr�erlC�omractor o�site:
�nspector
WMte CapyAnspector's File Camry CopylSNs Notkx