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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(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 4 WATER CLOSETS,5 LAVATORY,2 BATHTUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 SILCOCK, 1 FLOOR DRAIN, 1 WASHER, 1 WATER HEATER VALUATION OF PLUMBING 10500 APPLICANT PLUMBING FIXTURE FEE 131.25 STATE SURCHARGE PLBG(VALUATION) 5.25 PRECISION PLUMBING&HEATING INC. TOTAL 136.50 4124 MACKENZIE CT Payment(s) ST.MICHEAL,MN 55376 CREDIT CARD 9 8 C�--��p lQ 136.50 (763)497-7486 Minnesota State License#:plbg-PC643806,mech-MB004099 OWNER Stonebay Builders LLC 14870 BROCTON LANE DAYTON,MN 55327- AGREEMENT AND SWORN STATEMENT The work for which this pertnit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction suthorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be � ,/J revoked at any time for due cause. ��� �-�- U � C.1 � �2�/ 'Applicant Permitee Signature Date Issued By Si ature Date ♦ r t FQR CITY SE ONLY . �O A TO City of Orono / 3 1 � <y P.O.Box 66 Date Received: t D ermit# ���`� O � ' 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: ��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) htt :/hvww.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df 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 ��� ❑ 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 �� 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: 1 r r � 1_ � � �s q . v � *.��: ^_�� . �"; ''�� s�� �' �r. h�^g r - �` °^' FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet j � 11 Floor Drains � � o� Lavatory t � Sewer Ejector I Bathtub � Laundry Tray Shower ' Washer � Kitchen Sink I Water Heater � Disposal I Water Softener Dishwasher � Wet Bar Sillcocks J Miscellaneous 1 ., . � . � , � �: § ❑ 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) 2 �• �r :�. � - �� ��,.� � ► 'z k �,-: � 'a'��.,� .;�": �:��:y: ;:� e� ;��..�."J".�. �': _ 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. ��sw;� ��, , ,� �,, � �,�. 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 3 � � , � �;- 2 �'/ � ` DATE TIME CITY OF ORONO LED IN INSPECTION N�TICE SCHEDULED J �j/� � PERMIT NO. �^�c-'�� ��'�i�COMPLETED � ADDRESS �� ' v �--�--T OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION �L �-YYII�-- ��� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL C�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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � � COMMENTS: ' �I �� � o � rac� � � � � ° G��C �d �'�cs�J����r Q �/t�K ✓`ea��f � � z W � W � � J d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPIEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W C��CGRfi�CT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑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 / � � � e'"� —I �— D� A,� _ TIME CITY OF ORONO CALLED IN ��_ INSPECTION NOTICE SCHEDULED � � PERMIT NO.�� - � COMPLETED ' ADDRESS �� �� OWNER �� TEJ����F}ONE N07 ' 0� CONTRACTOR �'�%�'�%l/YL.� �� if�� � DESCRIPTION �v J � ly ❑ FOOTING ❑ EMO- ❑ SEPTI I AL � ❑ POURED WALL PLUMBING RI ❑ EXC / ADING/FILLING y ❑ FOUNDATION WATERPROOF MBING 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W C � J O � � J O � W 2 Q � 2 W � W � J a W SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ ECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ RRECT WORK,CALL FOR REtNSPECTION TEMPORARY 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 ��- (�� � ` DATE TIME CITY OF ORONO CALLED IN INSPECTION NO������ U SCHEDULED �� PERMIT NO.o�l� � COMPLETED ADDRESS C,� } ��"�� -�- ' OWNER TELEPHONE N CONTRACTOR � t `�� �, DESCRIPTION '�/�-� � � t~y ❑ FOOTING ❑ DEMO-FINAL ❑ 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ TIC INSTALL 2 OWNERICONTiiACTOR TO MEET YOU: YES_NO v�i COMMENTS: G—� � �.1_ G 4 w ✓ - �°vc �sc�i. 40 . � � O L /f � �7 � /�'�✓ �rr. � /,s /Ea�cQ��iS - �O •� I'�G�- � �G i�r..l�'a� OK1S G� �S4-wl�o�vKf�e.� W � O� �- Go�e ✓ Q � Z � W � j ��KSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 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 � � DATE ME CITY OF ORONO cnLLED IN �'7'�� � INSPECTION D)�� SCHEDULED �i�![�1� PERMIT NO. ' � c P � ' � ADDRESS OWNER TELEPHONE .- �b�'"�� ���o CONTRACTOR ��� � � DESCRIPTION W ❑ FOOTING ❑ DEM - AL ❑ SEPTIC FINAL Q ❑ POURED WALL UMBING RI ❑ EXCAV/GRADING/FILLING Vj ❑ FOUNDATION WATERPROOF PLUMBING FINAL ❑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 _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET Y�OU:_YES_NO � COMMENTS: 4 j 0 � � 0 W __ � Q � � W � W � j d W ❑ SATISFACTOFlY`.PROCEED ❑PROJECT COMPLETE � OORRECT WORK 3 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT NfORK,CALL FOR REINSPEC710N TEMPORARY 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