HomeMy WebLinkAbout2015-00735 - plumbing � � CITY OF ORONO
2750 KELLEY PARKWAY * DA�TE I SUED: �9/0 5 *
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 681 SANDSTONE CIR
PIN : 33-118-23-11-0042
LEGAL DESC : STONEBAY
: LOT 039 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES:
(4)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(2)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(1)
SILLCOCK,(1)FLOOR DRAIN,(1)WASHER AND(1)WATER HEATER
VALUATION OF PLUMBING 10200
APPLICANT PLUMBING FIXTURE FEE 127.50
STATE SURCHARGE PLBG(VALUATION) 5.10
PRECISION PLUMBING&HEATING INC. TOTAL 132.60
4124 MACKENZIE CT Payment(s)
ST.MICHEAL,MN 55376 CREDIT CARD 9808 132.60
(763)497-7486
Minnesota State License#:plbg-PC643806,mech-MB004099
OWNER
Stonebay Builders LLC
14870 BROCTON LANE
DAYTON,MN 55327-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permiu. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit wili
expire and become null and void if conswction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
1'he applicant is responsible for assuring all required inspections are
requested in conforrrtance with the State Building Code.'fhis permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued Signature Date
� � ' � FOR C1TY USE ONLY
�O A TO City of Orono
�; <V P.O.Box 66 D�e Re�ceived: Pemrit#
2750 Kelley Pazkway �
Crystal Bay,MN 55323 Approved By: Amount$: /�.�� �p
(952)249-4600—Main
(952)249-4616—F�
y�' �`� CITY OF ORONO—PLUMBING PERNIIT
lqkFSHO�� (All Commercial Permits Must be Approved by t6e State Prior 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 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
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 sepazate 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 6our notice required)
TYPE OF PERMIT
Check All That A 1
� Residential ❑Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need urior anproval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Informatio�:
Site Address: �� ``� Jt�✓1� C� I�
�f
Owner:�1D�����Y ��t�Ll 5 Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ���.,�+�! ��u�►.%!��(V� Contact Person: V�I,��-C
Address: L(��- `'� W�,/��,�� �I State Bond#: � �� 3 6�6
I I �
City: ��Yh,ct,��� Zip:�►_�.�.��,Expiration Date: � �) 1_�0�
Phone: �'e�'— ��� ` T� b�7 Alternate Phone: �
❑ Insurance—Current:
1
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1?L' �fiC�r��:�$��TCr.T1�: ��:.�_ �,�;`". � z
FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OTHER
�ypE �, pL TypE FL FL
Water Closet l � Floor Drains 1
t
Lavatory � Sewer Ejector
�
Bathtub c� Laundry Tray
Shower t � Washer �
l
Kitchen Sink � Water Heater �
Disposal � Water Softener
Dishwasher � Wet Bar
Sillcocks p Miscellaneous
�
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i r '� k..s ...v at°r '�'�'' i �s4 T�� s� � . '�.y$��ta' �:'y ;'{r�'' .
`�„'� F.p ��';`y r �'✓� " �j-z� � .� f�.. � �N � ��;.
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❑ 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;excludine the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor.
Skip ne�ct secrion,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
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s �E�'T-FEE CAI:,±Ci�:ATI!f�� S =-Jd�35 QV�R,$SOO:U� -
If above does not apply; follow guidelines below:
1. CONTRACT PRICE "is 1.25%of contract price with a(Minimum Fee of$50.00)
��G� - �U x.0125$
(conVact 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, 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.
P����!G-�' , ,. �.A�'P�TC.��'T+�+T�:1�,��E1�.C�T "�:; . .. ;>:; � ; +<..
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: � � 1�
3
DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED �v "(�� �
PERMIT NO.� '� COMPLETED .-
ADDRESS � �� ��
OWNER � �ELEP NO.
CONTRACTOR
� DESCRIPTION / ��
�
W ❑ FOOTING ❑ DE -FINAL SEPTIC FINAL
Q ❑ POURED WALL �PL MBING RI ❑ EXCAV/GRADING/FILLING
O ❑ 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
� ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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W �OFTKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
� ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COYERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advar�ce. (952) 249-4600
OwnerlContractor on site:
Inspector: •^-
White CopyAnspector's Fik Canary CopylSita Notics
�/ � DATE TIME /
� CITY OF ORONO � �� �ED IN �
INSPECTION OTICE '7� SCHEDULED �
PERMiT NO, F� OMPLETED
ADDRESS � R� C �-IP�t C 2'�
OWNER TELE ONE NO.
CONTRACTOR �C�� lG��
�; DESCRIPTION ����
W ❑ FOOTING ❑J DE/MO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL �MBING RI ❑ EXCAV/GRADING/FILLING
O ❑ 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
4J ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ PTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU�YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspectio 4 hours in advance. (952� 249-46��
OwnerlContractor on site: ,
_ ,
Inspector.
White C nspector's File Cenary CopylSite Notiee
DATE TIME
CITY OF ORONO c ir,
INSPECTION NOTICE �� EDULED <�'`aC/
PERMIT NO. � � �� c
ADDRESS
OWNER TELEPHONE NO.
CONTRACTOR
�
� DESCRIPTION
lt� ❑ FOOTING ❑ DEM -FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ P MBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ M CHANICAL 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
� OWNERICONTFiACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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� ❑CORRECT WORK&PROCEED ❑ ISS ERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS_ p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hou in advance. g52) -4600
OwnedContractor on site:
Inspector.
White Copyfinspector's File Canary CopyiSfte Notice