HomeMy WebLinkAbout2015-01317 - plumbing . , CITY OF ORONO * Z 0 1 5 - PJ 1 3 1 7 *
2750 KELLEY PARKWAY DATE ISSUED: 10/12/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 664 SANDSTONE CIR
PIN : 33-118-23-11-0058
LEGAL DESC : STONEBAY
: LOT 009 BLOCK 002
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES:
(4)WATER CLOSETS,(5)LAVATORIES,(2)BAT'HTiJBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(1)
SILLCOCK,(1)FLOOR DRAIN,(1)WASHER AND(1)WATER HEATER.
VALUATION OF PLUMBING 10500
APPLICANT PLUMBING FIXTURE FEE 131.25
STATE SURCHARGE PLBG(VALUATION) 5.25
PRECISION PLUMBING&HEATING INC. TOTAL 136.50
4124 MACKENZIE CT Payment(s)
ST.MICHEAL,MN 55376 CREDIT CARD 8 ,��� 136.50
(763)497-7486 ��
Minnesota State License#:plbg-PC643806,mech-MB004099
OWNER
Stonebay Builders LLC
14870 BROCKTON LANE
DAYTON,MN 55327-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
wmmenced within l80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Buil ' Code.This permit may be
revoked at any time for due cause.
LO l lo`-�I L�
Applicant Permitee Signature Date Iss ed y Signature Date
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• , R C Y USE�NLY
� �O� City of Orono /L� /p�,,,,;t#�� 3�/
O P.O.Box 66 Date Receiv
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:��R
(952)249-4600—Main
(952)249-4616—Fax
y�'�� ��`� CITY OF ORONO—PLUMBING PERMIT
kFSH��` (All Commercial Permits Must be Approved by the State Prior to City Approval)
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GENERAL 1NFORMATION
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 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 l
�Residential ❑Commercial(Approval Required)
�,New ❑Additional ❑ Repairs ❑Replace
❑ In Accessory Structure?
*You will need nrior aanroval and may need CUP.(Per Orono City Code,Chapter 78,Article I�
Job Site/Owner Inforn;ation:
�/ �
Site Address: !�� `7' � ���_ C: 1 �
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractar Information:
Contractor: I �G fc�SJo� ��Uu�,.y� ���� Contact Person: ���
Address: 'f1o�� �h�Z�+cc�'IU�—State Bond#: �C �y���
City: �c�./L1j�c�.f Zip�.3?(o Expiration Date: �i�"3���
Phone: `�6 3` �l `�`7�{� 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 � Floor Drains
Lavatory � t � Sewer Ejector
1
Bathtub � Laundry Tray
Shower t Washer �
Kitchen Sink ` Water Heater I
1
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks � Miscellaneous
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❑ Yes,this section applies
The replacement of only one Residential fixture or a�pliance that meets all three of the following
requirements:
1. Does not require modification to elech-ical 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:
l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
x .0125$
(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.
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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.
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Applicant's Signa �� Date: �^��^�
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION y0I1�.E��.-� SCHEDULED ��
PERMIT NO. �<<� COMPLEfED
ADDRESS ��`t ��Cl-�f?-� - �_
OWNER TELEPHO O.
CONTRACTOR ���-G1��� L
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�; DESCRIPTION
4~i ❑ 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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ S TIC INSTALL
2 OWNERICONTMCTOR TO MEET YOU: YES_NO
c�n COMMENTS:
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W/�NGM1�SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (g52) 249-4600
OMrneHContractor on site:
Inspector: ��
YVhite Copyllnspecto�'s File Canary CopylSite Notke
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DATE TIME
CITY OF ORONO CALLED w �
INSPECTION OTICE _ SCHEDULED �,��j�
PERMIT NO. �3 � � COMPLEfED
ADDRESS -—� �? .
OWNER TELEPHONE NO�� � � ����
CONTRACTOR ��C'�.C�c���u�.-�
C,
� DESCRIPTION
w ❑ FOOTING - NA4, ❑ SEPTIC FINAL
�
Q ❑ POURED WALL rl PLUMBi�l�F� ❑ EXCAV/GRADING/FILLING
O ❑ 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: /�P✓'av �vj pJ Saw� �9 �i��.'e�
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� CORRECT WORK&PROCEED ❑ ISSUE CERT�FICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED_CAIL TO ARRANGE ACCESS.
Ca11 forthe next inspection �urs in advance. (g52) 249-4600
OwneriContractor on site:
Inspector. ��'-'
White Copyllnspector's File Canary CopylSite Notice
� �
�/ DATE TIME
CITY OF ORONO cnLLED IN
INSPECTION OTICE SCHEDULED
PERMIT NO. �� � COMPLETED
ADDRESS �o Lv �I ���c��Q �/Z
OWNER TELEPHO E NO.�h � Y����1�,�
CONTRACTOR `-�� �` • �(.c/Yt.�
�; DESCRIPTION �� ���v-� �l��
t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF �LUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL 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
_
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
? 01NNERICONTRACTOR TO MEET 1f�U:_YES NO
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� COMMENTS: /I'cOvID ' �h Of�� °tS
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� ❑WORKSATISFACTORY`.PROCEED �Iib,IECT COMPLETE
�RRECT NfORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECd1/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContraator on site:
Inspector:
ts CopyAnspectw's Fils Canary CopylSke Notke