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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(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (4)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(2)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(1) SILLCOCK,(1)FLOOR DRAIN,(1)WASHER AND(1)WATER HEATER VALUATION OF PLUMBING 10200 APPLICANT PLUMBING FIXTURE FEE 127.50 STATE SURCHARGE PLBG(VALUATION) 5.10 PRECISION PLUMBING&HEATING INC. TOTAL 132.60 4124 MACKENZIE CT Payment(s) ST.MICHEAL,MN 55376 CREDIT CARD 9808 132.60 (763)497-7486 Minnesota State License#:plbg-PC643806,mech-MB004099 OWNER Stonebay Builders LLC 14870 BROCTON LANE DAYTON,MN 55327- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate permiu. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit wili expire and become null and void if conswction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. 1'he applicant is responsible for assuring all required inspections are requested in conforrrtance with the State Building Code.'fhis permit may be revoked at any time for due cause. �- , � /5 �/;��� � Applicant Permitee Signature Date Issued Signature Date � � ' � FOR C1TY USE ONLY �O A TO City of Orono �; <V P.O.Box 66 D�e Re�ceived: Pemrit# 2750 Kelley Pazkway � Crystal Bay,MN 55323 Approved By: Amount$: /�.�� �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) htt ://www.dli.mn. ov/CCLD/PDF/ e tumb lanreva . 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 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 � . ► � � . 1?L' �fiC�r��:�$��TCr.T1�: ��:.�_ �,�;`". � z FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OTHER �ypE �, pL TypE FL FL Water Closet l � Floor Drains 1 t Lavatory � Sewer Ejector � Bathtub c� Laundry Tray Shower t � Washer � l Kitchen Sink � Water Heater � Disposal � Water Softener Dishwasher � Wet Bar Sillcocks p Miscellaneous � �.�" � � i r '� k..s ...v at°r '�'�'' i �s4 T�� s� � . '�.y$��ta' �:'y ;'{r�'' . `�„'� F.p ��';`y r �'✓� " �j-z� � .� f�.. � �N � ��;. ,,`�,�. ,31$_.. i� s :�r4' -c:,. ❑ 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 < < .. 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: a P�� u.� � �w �i ^ ��G s��• �a _ 0 � ° J /9�r ��� /S ���-� W � Q 2 o,r� �- ���✓ � w � � W �OFTKSATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 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: a �w� ' ��� 5�-,C• �io�- � S� o• % � c S� ,,5 1,v1�-�� . 0 �. � � - l'��a•. u�.tt�D oc�t S v�.O 6�.S�C��.. Q �"S�C.�£•� . ... atEl� - �.-<<yC /��/..�5 � z � G�r �4�-rt aK ?S �vu�r � W � j d 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: � W a � J O � � � O �J W � Q � 2 W � W � � d W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE � ❑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