HomeMy WebLinkAbout2015-01316 - plumbing �
• CITY OF ORONO * 2 0 1 5 - 0 1 3 1 6 *
2750 KELLEY PARKWAY DATE ISSUED: 10/12/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 662 SANDSTONE CIR
PIN : 33-118-23-11-0057
LEGAL DESC : STONEBAY
: LOT 008 BLOCK 002
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: 4 WATER CLOSETS,5 LAVATORY,2 BATHTUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 SILCOCK, 1
FLOOR DRAIN,
1 WASHER, 1 WATER I-�EATER
VALUATION OF PLUMBING 10500
APPLICANT PLUMBING FIXTURE FEE 131.25
STATE SURCHARGE PLBG(VALUATION) 5.25
PRECISION PLUMBING&HEATING INC. TOTAL 136.50
4124 MACKENZIE CT
ST.MICHEAL,MN 55376 Payment(s)
(763)497-7486 CREDIT CARD � �,��y�D 136.50
Minnesota State License#:plbg-PC643806,mech-MB004099
OWNER
Stonebay Builders LLC
14870 BROCKTON LANE
DAYTON,MN 55327-
AGREEMEIVT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in confortnance with the State Building Code.This permit may be �„ �
revoked at any time for due cause. ��
�� l �� � Z � <.�
Applicant Permitee Signature Date Issued y Sign re Date
• FOR CTI']'USE ONLY '
City of Orono (� � ��'1���'
�O�O P.O.Box 66 Date Received: _I��iPermit# �
2750 Kelley Parkway �
Crystal Bay,MN 55323 Approved By: _� Amount$:� `
(952)249-4600—Main
(952)249-4616—Fax
y��� ��� CITY OF ORONO—PLUMBING PERMIT
XFstlo�` (All Commercial Permits Must be Approved by the State Prior to City Approval)
htt ://�vH��v.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df
GENERAL INFORMATION
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 retum 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 TAE 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
v —
❑ In Accessory Structure?
*You will need qrior anuroval and may need CUP.(Per Orono City Code,Chapter 78,Article I�
Job Site/Owner Information:
Site Address: �O �Gr. S (�2� � �
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
/�� ,
Contractor: �2G i5io� P��� � �u.��cs Contact Person: �`C���
Address: �/o�� ����Z'� G'�'1��= State Bond#: l G �L{3gd�
City: �l�-�Ck,c�/ Zip:�"3�6 Expiration Date: ���31 —�s
Phone76���y �' ��{� Alternate Phone:
❑ Insurance—Current:
1
;'� � � ,� . �� ., � ^�. �_
f„ �+*� s » -%� � . �..:�b�'�i�...-�, ,,.��.
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � I C� Floor Drains
o(
Lavatory ! � � Sewer Ejector
�
Bathtub � Laundry Tray
Shower � Washer �
Kitchen Sink I Water Heater I
)
Disposal � Water Softener
Dishwasher 1 Wet Bar
l
Sillcocks � Miscellaneous
_ , . . ,, �
y� " � ry��$
❑ 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;excludins 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 Negt Page)
2
f -
/ .
r , -���'�,,� "��� ,." ,,,:� '��� �� �'`j' � � � �-.r YR� '��d a�`��..� � x �.�
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
� x .0125$
(contract rice) (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 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.
,y� � � w� �� � :w
*��+��r•�� ,�,�„ Y�>_� ���.
��
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: l � �/ �� �
3
�� �DATE TI E
CITY OF ORONO CALLED IN
INSPECTION NOTJ���3�� SCHEDULED �C;
PERMIT NO. �� COMP D
ADDRESS C� � ����d�•—J�� .
OWNER TELEP NE NO.
CONTRACTOR `�-����� � ��
� DESCRIPTION LTZ�C�"� -
ly ❑ 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
W ❑ AS BUILT-SURVEY ❑ SEWER OK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ S T INSTALL
� OWNERICONTRACTOR TO MEET ES_NO
c�., COMMENTS:
°` G�. G ,Q aJ r/ ,��/c ��
� -
�
�
o .
� `r � ,�C,,= �c.s�' — k5 �L��,ti�
0
�
W r'�4�� `� /�'j � �/s��� ac�,�- �
�
Q
� �c....�.-/J d�s ka� -
z
W
�
W
� � �" ,��US✓
J
W �6RK5`ATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE COND�TION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector. �
White Copylinspector's File Canary CopylSfte Notice
DATE TIM
CITY OF ORONO ��p CALLED IN
INSPECTION NOTI���(��� SCHEDULED ��-�� ,__
PERMR NO. d'U COMPLETED /0`�O`��.S
ADDRESS ��� Jlgrt.��y2 Ci✓' •
OWNEH TELEPHONE NO.
CONTRACTOR ��'<<S�o�.�, �
� DESCRIPTION �/ - � �
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL �:P1SIMBING 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
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERfCONTRACTOR TO MEEf 1POU:_YES_1�
y COMMENTS:
W �. �. �.�
�
�
° .� r� � � ��� x.�• �rv �
�
° _5� � r- ��� �s if a�� -
W
aC
Q
2 ��
� � �l�Ov<<OG �G�.��,Kc L` CG��S QvC Ss�
W
�
j
W�RlC3ATISFACTORY:PROCEED ❑PROJECT COMPLETE
� O CORRECT WORK 3 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑WRRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS.
Can forthe next inspecti��hours in advance. (952) 249-4600
OwneNContractor on site:
,��«: �1�
WMte CopyAnsp�cM�'s Flle Cenary CopyISIM Notiee
�� c'_
�� DATE TIME .
CITY OF ORONO CALLED IN
INSPECTION N4�1 E�� SCHEDULED � 1' y.. C L
PERMIT NO. o� COMPLETED
ADDRESS � ls -�. `� c�-�,c� ��-�.�s%-�
OWNER �����'�-���-�/ TELEPHONE NO. - /
CONTRACTOR ' � `�-'�-���-c.rl ��.`�.,1�,7�. �l V
� DESCRIPTION � ��'�� ��� - ���� V � C� l �
� __...- _..
� ❑ FOOTING LUMBING FINAL� ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL T1-MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Z
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERfCONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
a �/5f11� "- /�S �Id`���c.c,
o — /1 o u�,�le r ��tl�<< �s�� ' �
�. �
� Se�—v' �.EL— �'N�✓�+ �QrUvi�e 1 h�5,��
o , , � -
� �' k..b r+� �b►'�c� �
Q
�
W
� f c/�'ldve ' ra a� v�w� �a pS
W
�
j
a
� ❑WORKSATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACGESS.
Call f xt inspection 2a hours in advance. (952) 249-46��
Ow rlContractor on ' . �r�n�
Inspector. ��_T'��
White CVpyflnspector's File Canary CopyfSite Notice