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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 , '�. � 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 y COMMENTS: � U. G � �D ,�/ v - P�c ��. �d _ o �-st a .� ��S� �s �.o r��-�� - �. � ° � f� -fs ��e✓ W � Q � � W � � J �fj �/�VYORK SATISFACTORY:PROCEED �PROJECT COMPLEfE 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 J ❑ DEMO-SITE � �EPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TOJYIEET YOU:i}—YES_NO c�n COMMENTS: � a � I�J v ' r/C �'�•40 • j �'� q,r 7�e,st c's `t e�C.Qi-•t,� ' O >. � � `� «���- b/�'z'E7�� �/J'� d) "Q�_..,a� W - � �2� d`�iLc �'`�� 4'- L`ti 5ls�G��c•�. Q 2 ���� ' W � j �- � c.-UU�v d 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. � �� c White Copyllnspector's File Canary CopylSite Notice �- � �c�—_ 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 _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: o� W a � J O � � O � � � � Q � W � , � a�'� � � J d 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. � �'� � White Copyllnspector's Flle � Cenary CopyfSite Notice