HomeMy WebLinkAbout2015-00404 - plumbing , - � CITY OF ORONO * 2 0 1 5 — 0 0 4 0 4 *
2750 KELLEY PARKWAY DATE ISSUED: 04/09/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 677 SANDSTONE CIR
PIN : 33-118-23-11-0041
LEGAL DESC : STONEBAY
: LOT 038 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (4)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(1)KITCHEN SINK,(1)DISPOSAL
(1)DISHWASI-IER,(1)SILLCOCK,(1)FLOOR DRAIN,(1)WASHER,(1)WATER HEATER
VALUATION OF PLUMBING 12500
APPLICANT PLUMBING FIXTURE FEE 156.25
STATE SURCHARGE PLBG(VALUATION) 6.25
PRECISION PLUMBING&HEATING INC. TOTAL 162.50
4124 MACKENZIE CT Payment(s)
ST.MICHEAL,MN 55376 CREDIT CARD 9808 162.50
(763)497-7486
Minnesota State License#:plbg-PC643806,mech-MB004099
OWNER
Stonebay Builders LLC
14870 BROCKTON LANE
DAYTON,MN 55327-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permiu. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
���� / / /
Applicant Permitee Signature Date Issue Signature Dat
FOR CITY L,"SE ONLY
� • , ��� City of Orono
� p p goX�� Date Received: Permit#
2750 Kelley Parkway
- j � Crystal Bay,MN 55323 Approved B}�: Amount$:
� �. (952)249-4600—Main
� �. � (952)249-�616—Fax
y�' u CITY OF ORONO -PLUMBING PERMIT
�`�'���st����'�� (All Commercial Permits Must be Approved by the State Priar to City Approval)
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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 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 S1TE.
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
obtai��ed.
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
� R.esidential ❑ Commercial(Approval Required)
[(�New ❑ Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need nrior annroval and may need CL'P.(Per Orono City Code,Chapter 78,Article IV)
Job Site/ Ownei•�Information:
Site Address: ��� ����1��0✓1 t-- �� l
Owner: Mailing Address:
City: Drd✓1 p Zip:
Home Phone: Alternate Phone:
Contraetor Information:
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Contractor: �' �,�; ^ ���+�b;n(i `; �tti1��6 �ontact Person: In'lr�
Address: ����`'� i/''1ti�Ic..�n2;z �( /I�� State Bond#: Q� �� J dG
City: SI ►�1� cti th� Zip:�5�j�-� Expiration Date: ��-� 3� ��l�
Phone:
7(��-Y�[ 7 " 7�{�''� Alternate Phone: G,7 � �� �:5� 'v��/
❑ Insurance -Current:
1
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE - FL FL
Water Closet � � � Floor Drains 1
Lavatory 1 ( � Sewer Ejector
\
Bathtub � Laundry Tray
Shower ( Washer 1
1
Kitchen Sink ' Water Heater �
Disposal I Water Softener
Dishwasher Wet Bar
�
Sillcocks Miscellaneous
L
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` �„�'il-3 � .�, �� . . . , � , � a�' y,� $�� 1 ;�3 z � °`k a;'�.
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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
reyuirements:
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 Surchazge $ 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:
l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
��� ��Ci' xA125 $
(contract price) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $
(contracr price)
3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PR[CE 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.
PLUMBING PERMIT APPLICATION AC`iREEMENT
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 tliis application are complete, true and
correct.
.� :--%'--_
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Applicant's Signatur�� /�- __ Date:� y � ��
3
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CITY OF ORONO c` A- �-/7"
INSPECTION N TICE SCHEDULED �� /�
PERMIT NO. � COMPLETED �
ADDRESS ��7
OWNER 'TELEP NO.�� 7-g5 /
CONTRACTOR � �
� DESCRIPTION
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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 YOU:_YES_NO
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑iNSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail ion 2a hours in advance. (g52) 249-4600
Owne ontractor on site:
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TE TIME �
CITY OF ORONO CALLED IN �
INSPECTION TICE SCHEDULED ��� _-�?°'�
PERMR NO.�aIS� COMPLETED '
ADDRESS �
OWNER TE NE NO. - ��
CONTRACTOR
� DESCRIPTION
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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
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET Y�OU:_YES_NO
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN
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❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 fo �24 hours in advance. (952) 249-4600
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Inspector.
White Copyllnspecto�'s File Canary CopylSite Notiee
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED ----�— �
PERMIT N �r��� COMPLEfED `--� —l��4S
ADDRESS l�7 3 .��_c�S�a n2 G.: _ � /
OWNER TELEPHONE NO.
CONTRACTOR r�/�� �lS-
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� DESCRIPTION ��f• �l� ��S k�fG � L �
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Q ❑ POURED WALL ��UMBING RI ❑ 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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
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❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 br the next inspection 24 hours in advance. (g52) 249-4600
Owner/Contractor on site:
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Inspector:
Whits CopyAnapecto�'s File Canary CopylSNe Notiee
DATE TIME
CITY OF ORONO CALLED IN
INSPECTtON OTICE SCHEDULED --� �_
PERMIT NO. �) � � COMPLETED J f . 'r�S
ADDRESS L��I�I ��,S��M.-�.L',r ,
OWNER T�LEPHONE NO.
CONTRACTOR ��cG�5�b�w ���4 .
� DESCRIPTION L�G• ���. �y
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Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICA�FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 ONfNERICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins 24 hours in advance. (g52) 249-4600
OwneNCoMractor on site:
Inspector:
White CopyAnspector's File Canary Copy/Site Notiee