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Home My WebLink About2015-00402 - plumbing . . CITY OF ORONO * 2 0 1 5 — 0 PJ 4 0 2 * 2750 KELLEY PARKWAY DATE ISSUED: 04/09/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 673 SANDSTONE CIR PIN : 33-118-23-11-0039 LEGAL DESC : STONEBAY : LOT 036 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (4)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(1)SHOWER (1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(1)SILLCOSK,(1)FLOOR DRAIN,(1)WASHER,(1)WATER HEATER VALUATION OF PLUMBING 12500 APPLICANT PLUMBING FIXTURE FEE 156.25 STATE SURCHARGE PLBG(VALUATION) 6.25 PRECISION PLUMBING&HEATING INC. TOTAL 162.50 4124 MACKENZIE CT ST.MICHEAL,MN 55376 Payment(s) CREDIT CARD 9808 162.50 (763)497-7486 Minnesota State License#:plbg-PC643806,mech-MB004099 OWNER Stonebay Builders LLC 14870 BROCKTON LANE DAYTON,MN 55327- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of Iaws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. 1'he applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. `T`�l l� � / / l pplicant Permitee Signature Date Issued Signature Date FOR CITY i;SF,ONLY � �'r� City of Orono '�,.V�� p<� p�X�� Date Received: Permit# 2750 Kelley Parkway ; Crystal Bay,MN 55323 Approved By: Amount$: ( (952)249-4600—Main � �. (952)249-4616—Fax � :` CITY OF ORONO-PLUMBING PERMIT r '�kFs}to��" (All Commercial Permits M�st be Approved by the State Prior to City Approval) ____ ��tE�./Ir�s��c.dli.c�r��.uo��i("(.'t.l)/I'DF/ c 3luatrit��larirev.:a � �. �clt' GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a perniit 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 BEG1N 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 musC be inspected a�nd 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 approval and may need CUP. (Per Orono City Code,Chapter 78, Article IV) Job Site /Owner Information: Site Address: � � � �cz '��'1 S T�� C, i � z Owner:��o�,� !�y �s��,;(r`e�a �� - Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: / .t �i,�-�-l-� j�..L Contractor: ��S�G�. �(v�%�,K> �Contact Person: �� -- Address: � �� Gr�h Z�G-��State Bond #: ��y 3�C�� City: Si�,M�i�i.�-k� Zip:553y�. Expiration Date: ��-3l "�v�S Phone: ��`��7 -?'��'(� Alternate Phone: (� S 1 ' ��' �- U�� ❑ Insurance-Current: 1 PLUMBING FIXTURES BEING INSTALLED � � �� FIXTURE BSMT I��r 2�1D OTHER FIXTURE BSMT 1' � 2�D OTE�IER TYPE FL FL TYPE FL FL Water Closet I I � Floor Drains � � Lavatory 1 � :-� Sewer Ejector I Bathtub � Laundry Tray Shower � Washer i 1 Kitchen Sink � Water Heater + I Disposal I Water Softener Dishwasher � Wet Bar Sillcocks i Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The repiacement 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;excludin�the cost of the fixture or appliance: and 3. ls improved, installed or replaced by the homeowner or licensed plumbing contractor. Skip next section, if this applies; Cost of PenniC $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 . � � PERMIT FEE�CALCULATION S)—JOBS OVER $500��,00 � 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 price) (minimum$50.00) 2. STATESURCHARGE 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, equip�nent, 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 pennit 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. PLUMBING PERMIT APPLI:C�ATION A�T�.�EMENT 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. ;,*� _.__.. �� _ .,.__ I ' Applicant's Signature�� Date: `"� ��1 ` �J� 3 D E TINIE CITY OF ORONO CALLED IN f INSPECTION��'CE ,,,�'/„�SCHEDULED �� PERMR NO�/`•�'� �GU`t� C PLETED � ADDRESS � �� OWNER ' TELEPHO NO3� � g� CONTRACTOR � r `� � DESCRIPTION � � � W ❑ FOOTING ❑ DEMO-F A ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBIN I ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: a� W � � J O � � O � W aC Q � Z � W � J O W RKSATISFACTORY`.PROCEED ❑ PROJECTCOMPLETE � ❑ RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 O CORRECT YYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOMERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN INSPECTOR WFLL RETIJRN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the r►ext inspection 24 urs in adva 2) 249-4600 OwnerlCartractor on site: Inspector: White Capyllnspector's File Canary CopylSMe Nodee �/ � ,/ � DAT TIME M CITY OF ORONO cn� � ��. . INSPECTION N TICE �/.,,� SCHEDULED � �_ PERMIT NO. /S-� �d COMPL ED ADDRESS c�i�S�� OWNER TELEP NO. ^� � CONTRACTOR � � DESCRIPTION � ty ❑ FOOTING DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL UMBING RI ❑ EXCAV/GRADING/FILLING Q Q ❑ FOUNDATION WATERPROOF� ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL • 2 OWNERICONTRACTOR TO MEET 11�U:_YES_NO c�., COMMENTS: � f//-�► r �/l w � / � c/��t• �� G`'� �c s'� !s ��i� — �. .. R�K, r�/i[( 1/�/l� D� Orl 5r�..�r�s�C�t � ° p,� � Got,�✓ ' W � Q � W � W � � � W ,�4(ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE ��❑CORRECT VYORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WFLLRETURN �STOP OHDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. ext inspection 24 hours in advance. (g52) 249-4600 Ow dContractor on sit � Inspect �'�' Whits Copyllnspector's File Cenary CopylSke Notk:e � � �� DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED ' PERMIT NO. cOMPLETED ADDRESS ��.� ��-��'��Q OWNER TELEPH NO.�� CONTRACTOR � � DESCRIPTION � 4� ❑ FOOTING DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ P BING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 Z J ❑ DEMO-SITE ❑ S TIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:�YES_NO c��, COMMENTS: � � W � � J O � � O W � Q � 2 W � W � � J d W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED SUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho in adva . �9 2 49-46�� OwnerlContractor on site: Inspector: White Copyllnapector's Ffle Canary CopylSite Notice