HomeMy WebLinkAbout2015-00736 - plumbing CITY OF ORONO
* 2015 - 00736 *
• 2750 KELLEY PARKWAY DATE ISSUED: 06/09/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 683 SANDSTONE CIR
PIN : 33-118-23-11-0043
LEGAL DESC : STONEBAY
: LOT 040 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES
(4)WATER CLOSET,(5)LAVATORIES,(2)BATHTiJB,(2)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(1)SILLCOCK,
(1)FLOOR DRAIN,(1)WASHER AND(1)WATER HEATER
VALUATION OF PLUMBING 10200
APPLICANT PLUMBING FIXTURE FEE 127.50
STATE SURCHARGE PLBG(VALUATION) 5.10
PRECISION PLUMBING&HEATING INC. TOTAL 132.60
4124 MACKENZIE CT Payment(s)
ST.MICHEAL,MN 55376 CREDIT CARD 9808 132.60
(�63)497-7486
Minnesota State License#:plbg-PC643806,mech-MB004099
OWNER
Stonebay Builders LLC
14870 BROCKTON LANE
DAYTON,MN 55327-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This pem►it will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in confocmance with the State Building Code.This permit may be
revoked at any time for due cause. �
� � .� � 5
ermitee Signature Date • sue y Signature Date
.� ,
FOR CTTY TJSE ONLY
.' �O�O City of Orono
P.O.Box 66 Date Received: Permit#
2750 Kelley Pazkway
Crystal Bay,MN 55323 Approved By: Amount$:
(952)249-4600—Main
(952)249-46]6—Fax
��' �`� CITY OF ORONO-PLUMBING PERMIT
t9k�SH��� (All Commercial Permits Must be Approved by the State Prior to City Approval)
htt ://w���.dli.mn. ovJCCLD/PDF/ e lumb 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 will be issued within two working days.
2. Pertnit 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 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 ly
�Residential ❑Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need nrior aaproval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: , � ' �
�� ���f�S�.�,� � �
Owner:��-v^�� ��y"���'.5 Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: I�����,� • ?/�,,'����� �.-�� �1; �Z�
Contact Person:
Address: �{��'� Ma����.� �/- ti�� State Bond #: l�� � L'���
City: `5t f'►��� Zip:-�;37� Expiration Date: � <�.-S� �- � �
Phone: 7��-�7-�4� Altemate Phone:
❑ Insurance-Current:
1
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PLUIvIBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � I � Floor Drains '
Lavatory � � ^� Sewer Ejector
Bathtub � Laundry Tray
Shower i i Washer i
Kitchen Sink / Water Heater i
Disposal � Water Softener
Dishwasher I Wet Bar
Sillcocks I Miscellaneous
PERMIT FEE�ALCULATIOi�T(S j
BASED OFF-20Q2 STATE STATUE �
❑ 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; excludin�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 Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
' .
PERNIIT FEE CAL�CULATIQN S -JOBS OVER$SU0.00 `
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 Mai]-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.
PT�IJMBING PE�MIT APPLICATI4N�1GREEMENT
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.
l;,,
Applicant's Signature: Date: ' G/� �5
�
l-
3
DATE TIME Y
CITY OF ORONO CALLED IN �,� �
INSPECTION NOTICE SCHEDULED �1U=4�
PERMIT NO. - �COMPLEfED r
ADDRESS �
OWNER �� TELEPHO f�0.
CONTRACTOR ���
a DESCRIPTION
4~j ❑ FOOTING ❑ DEMO- NAL EPTIC FINAL
Q ❑ POURED WALL '�'PLUMBING RI ❑ EXCAV/GRADING/FILLING
vj ❑ 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
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W VO CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC01/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWRHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46��
OwnerlCoMractor on site:
Inspector: �� ��--- ��
Whita Copyllnspector's File Canary CopylSite Notke
��� �� �'-b�� DATE I E
CIN OF ORONO CALLED IN
INSPECTION NOTICE , scHe�u�e� �7 �?f/5 '
PERMIT NO. �Ql����� COMPLEfED
ADDRESS � C 5�.� ��� 11 C'f ���1�7�1�_��P .
OWNER TELEPHON O. `7 ,�C1��7��F`p
CONTRACTOR ' �1�����q„G
� DESCRIPTION Y �l.l__�'1%1 ,� �
ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL �UMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROO ❑ 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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❑ DEMO-SITE � �EPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TOJYIEET YOU:i}—YES_NO
c�n COMMENTS:
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W�R�ATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
OC`�
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑ STOP ORDER POSTED.CA�L INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 4 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. � ��
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White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN -/� 07/
INSPECTION NOTIC SCHEDULED /O-v�.Z/S
PERMIT NO. �� -�7�C PLETED
ADDRESS � ��" �
OWNER � - .TELE E NO. � 3 �7 7
CONTRACTOR �
� DESCRIPTION iL� _
4~j ❑ FOOTING ❑ DE -FI L ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ UMBING I ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ ECHANICAL 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
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v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W RKSATISFACTORY:PROCEED � PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W.
� ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑ OP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hou in a . ( 2) 249-46�0
OwnerlContractor on site:
Inspector. � �'�
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White Copyllnspector's Flle � Cenary CopyfSite Notice