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Home My WebLink About2015-00403 - plumbing CITY OF ORONO * 2 0 1 5 - 0 0 4 0 3 * 2750 KELLEY PARKWAY DATE ISSUED: 04/09/2015 � � ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 675 SANDSTONE CIR PIN : 33-118-23-11-0040 LEGAL DESC : STONEBAY : LOT 037 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (4)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(1) SILLCOCK (1)FLOOR DRAIN,(1)WASHER,(1)WATER HEATER VALUATION OF PLUMBING 12500 APPLICANT PLUMBING FIXTURE FEE 156.25 STATE SURCHARGE PLBG(VALUATION) 6.25 PRECISION PLUMBING&HEATING INC. TOTAL 162.50 4124 MACKENZIE CT Payment(s) ST. MICHEAL,MN 55376 CREDIT CARD 9808 162.50 (763)497-7486 Minnesota State License#:plbg-PC643806,mech-MB004099 OWNER Stonebay Builders LLC 14870 BROCKTON LANE DAYTON,MN 55327- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. -� -/ % / �J Applicant Permitee Signature Date Issue Signature Dat � FOR CITY tiSE ONLY � (�"''� � � � City of Orono � ��-�✓�� P.O.E3ox 66 Date Received: Pcrmit# 2750 I�elley Parkway � Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main � � � �. (952)249-4616—Fax �' �` CITY OF ORONO -PLUMBING PERMIT �`�A�st��'� (All Commercial Pernlits Must be Approved by the State Prior to City Approval) ��...___.- IatE �:t/}3re�ro.clli.n��a. c��/(.y(.:'l..l�/I'[�t�"1 ae ylrz�x�b lar�re��a �a. �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 wil] 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 PERM[T 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 �f Residential ❑ Commercial (Approval Required) �] New ❑ Additional ❑ Repairs ❑ Replace ❑ ln Accessory Structure? *You will need prior approval and may need C;t1P.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: �a �'1'� �c.Il��`d�/lC- ��f' Owner: Mailing Address: City: D(a n n Zip: Home Phone: Alternate Phone: ��Contractor Information: `y�� . � Contractor: ��C�,S,,�►r, p�U►��;n` �� Ch��'G 'Contact Person: :M t �L� Address: ''�� 2-�( In'IGtG�tr�t �t/�'� State Bond#: Q L �-1 �0 d�' City: �I• N'�,chc� � Zip:s`,Z� Expiration Date: �Z� 3 � ��5 Phone: 7(0"3 -r-ti,+c� 7 -74�'s� Alternate Phone: � 5� - 3 S�o `G��'� ❑ Insurance-Current: 1 � �� PLUMBING FIXTURES BEING INSTALLED�'�� PIXTURE BSMT Is� 2'��' OTHER FIXTURE BSMT 1 2�D OTHER TYPE FL FL TYPE FL FL Water Closet � � � Floor Drains � Lavatory � 1 � Sewer Ejector Bathtub � Laundry Tray Shower � Washer � Kitchen Sink � Water Heater � y �� Disposal ` Water Softener Dishwasher ` Wet Bar Sillcocks � Miscellaneous � � �� PERMIT T'EE CALCULATION(S�� BASE�D OFF - 2002 STATE STATUE ❑ Yes,this section applies The replace►nent of only one Residential fixture or a�pliance 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 Pennit $ 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 CALC(JLA'TI0�1 S� —JOBS��O�ER $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) � ,�,`j��V x .0125 $ (contract price) (minimum$50.00) 2. STATE SURCI-IARGE x .0005 $ (contracf price) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ Z.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actua] or estimated dollar amount charged for the perrnitted work including materials, labor, profit, and other fixed cosis. 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 pariy, 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. PLUMBING PERMIT APPLICATION AGREEMENT 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: ,i�„�% �� Date: � ��_�� 3 DATE TIME CITY OF ORONO CALLED IN � INSPECTION NQTICE SCHEDULED �'' PERMIT NO. LF� `�J �L�d-� CO Pl ED ADDRESS � � � OWNER �}�.EP ONE NO. CONTRACTOR � f 3L� � . � � DESCRIPTION � ' � � � ❑ FOOTtNG ❑ PLUMBING FINAL� � ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREJWEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT Q ❑ D O-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ EMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OW ERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ¢ W 0. � J O >. � O k W � Q � 2 W � W � � l a W �ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advance. 9 �6�� OwnerfContractor on site: inspector. v' White Copyllnspector's File Canary CopylSfte Notice � � �— D TIME ✓ CITY OF ORONO CALLED IN — INSPECTION NQ C SCHEDUIED =t?�7-1'.�___�� PERMIT NO.4f ' COMP ETE � ADDRESS � OWNER TELE E NO. �7 CONTRACTOR � DESCRIPTION �� 41 ❑ FOOTING EMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL MBING 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 �4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YiOU:_YES_NO c�., COMMENTS: W u„G. ,�4�v� �jC _ ��. /� . a 7` j �'� !�t �i ��s� — S �o l�t �� 0 � � �6yt GJ� � r/��t� �G� ��.rtO��.` W ' aC Q 2 �- � G'd ��/- � w � j a W��ilYOR1ESATISFACTORY:PROCEED ❑PROJECT COMPLEfE W ❑CORRECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS. Call fo be-n� ion 24 hours in advance. (952) 249-4600 Owner tractor on site: � Ins ►^� White CopyAnspector's File Canary CopYlSite Notice DATE TIME CITY OF ORONO '�LLED IN INSPECTION NOT E�r,�b��cHEDULED _ `/ _ PERMIT NO. �� COMPLETED �S ADDRESS �o ?S .��,a�5�a�1� G�;� • OWNER TELEPHONE NO. CONTRACTOR ��5�G n ��a . � DESCRIPTION !�G- � �s51��1/ 4~j ❑ 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET Y�OU:_YES_NO v�i COMMENTS: W ,�� d� �Pvc .�.�- � - a 0 � J�.t� W dfi cr �i n e ��4 s?�i/!it{�6•c.� �n� � �' c � �sas� ��,o� • �a /�f.� .F- 0 � ' Q �� Ka.�ir�i �Ip�1►� � r. � 2 �c�.�,�� .�,�6f-f- � .K./� � W ' d � � r��d �� '`— e�s/ J d W ❑VIFORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE � �GWRE�fi'iNORK&PiiOCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COA/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 2a hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. �-�F/� White Copyllnspector's File Canary CopylSfte Notiee DATE TIME ! CITY OF ORONO CALLED IN � 1NSPECTION NOTICE ��fi� SCHEDULED �— PERMIT NO. ��S' �' COMPLETED �S ADDRESS 6 7�� `�'�d�a K2 ��% • OWNER TELEPHONE NO. CONTRACTOR ��s'�.�. �� • � DESCRIPTION �� • ��L � W ❑ FOOTING DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF PLUMBING FINAL ,�, ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIFiEPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: a Jytv�v�re�� - �s h ol�P�.��. . o �i,�cc`-� — 5 c� •1 �'c�/r.� ��,Q�o. , �' � SeG�c�c ��<•� I�t a�c /✓/G% � tC� � �� 0 r�r�vv L r o� �� c�l'� C4�S - W � Q � �!j rr� �l pc r w�.-� �.�r.t�.rv� � 2 W � W � � � d W� �WORKSATISFACTORY:PROCEED �PROJECT COMPLEfE �CT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-460� OwnerfContractor on site: Inspector. ��""' White Copyflnspector's File Canary CopylSite Notice