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HomeMy WebLinkAbout2014-01265 - plumbing � CITY OF ORONO * z 0 1 4 - 0 1 2 6 5 * • 2750 KELLEY PARKWAY DATE ISSUED: 10/29/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 709 SANDSTONE CIR PIN : 33-118-23-11-0044 LEGAL DESC : STONEBAY : LOT 041 BLOCK 001 PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RESIDENTIAL COIYSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: (4)WATGR CLOSETS,(5)LAVATORIES,(2)BATI�TUBS,(1)SE�IOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(1) SILLCOCK (1)FLOOR DRA[N,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER}�iEATER VALUATION OF PLUMBING 13500 APPLICANT PLUMBING FIXTURE FEE 168.75 STATE SURCHARGE PLBG(VALUATION) 6.75 PRECIS[ON PLUMBING& HEATHING INC. TOTAL 175.50 4124 MACKENZIE CT ST. M[CHEAL, MN 55376 Payment(s) (763)497-7486 CREDIT CARD 9808 175.50 Minnesota State License#: plbg-PC643806,mech-MB004099 OWNER Stonebay Builders LLC 14870 BROCKTON LN DAYTON, MN 55327- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed accordine to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period oF 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be rcvoked at any time for due cause. �r �"�-���� ���,_��L� -- ; � /� , 29', Applicant Perrnitee Signature Date Issued B ignature Date f , ' F R C Y USE ONLY - City of Orono // � �-D�O P.O.Box 66 Date Rec � d�� � Permit#�/'�"-0 �� 27�0 Kelley Parkway ��f�.j� Crystal Bay,MN 55323 Approved By: Amount$:1–�— (952)249-4600–Main y �- (952)249-4616–Fax �' �` CITY OF ORONO -PLUMBING PERMIT ��KESHo�� (All Commercial Permits Must be Approved by the State Priorto Ciry Approval) htt ://ww�c�.dli.mu. ov/CCLD/PDFI ie �lumb�lanreva� ..df' GENERAL 1NFORMATION 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 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 wark 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 Apply) � Residential ❑ Commercial(Approval Required) 'r � New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior aparoval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site/Owner Information: Site Address: �f�� �Ctv��`-'�%r�c'� , � Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractar Information: � � � +a Contractor: `�e��S�-'�� t�v c,b�k.; �t Nr�=�`'`' �'��ontact Person: " ` �" Address: �1��� �J��;�.z.����� ���State Bond #: �� �c43�C��-� City: S�� ���'���"� Zip:������Expiration Date: 1�-3� �-�-���' Phone: 7(� �'�` �-{N� ` � ��b Alternate Phone: ❑ Insurance-Current: 1 r PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2' OTHER TYPE FL FL TYPE FL FL Water Closet � ""� Floor Drains � � c7� Lavatory � I � Sewer Ejector Bathtub � Laundry Tray � Shower , Washer ' Kitchen Sink � Water Heater � Disposal i Water Softener 1 Dishwasher � Wet Bar Sillcocks � Miscellaneous PERMIT FEE CALCULATION(S) ; BASED OFF - 2002 STAT� 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 � . ` . PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ���1 x .0125 $ (contract 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 connact. PLUMBING PERMIT APPLICATION AGREEMENT 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. ,__--� - ,,�� -= / _�.,..--�'"` , . f���- � �f�-- � . Applicant's Signature��'" Date: �"�� 3 �� ✓ ��Z TEJ TIME CITY OF ORONO CALLED IN l INSPECTION TIC SCHEDULED PERMIT NO.� '� co �er o ADDRESS OWNER TEL NE NO. 7 7 � CONTRACTOR � � DESCRIPTION �� � ❑ FOOTING 0 PL ING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ M ANICAL RI ❑ LAKESHORE/WEfLANDS Q ❑ FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT r 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTRACTOR TO MEEi YiOU:_YES_NO y COMMENTS: � a j 0 �. � � 0 W � Q � 2 � W � J W RKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE � RECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOA/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail br the next inspection 24 hours in dvance. (95 49-4600 OwnerlContractor on site: Inspector. White CopyAnspecto�'s Ffle anary CopylSfte Nofiee `� DATE TIME� CITY OF ORONO CALLED IN •Z/D-,l �� INSPECTION NOTICE SCHEDULED %��-� �� PERMIT NO. � "�� COMPL ED . ADDRESS �/� OWNER TELEP NO�� z!7�7 ,� CONTRACTOR �; DESCRIPTION ' f � ly ❑ FOOTING ❑ PLUMB G INAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECH NI L RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP Q � ❑ MO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J PLUMBING RI ❑ SEPTIC FINAL O FOUNDATION/REMOVA� Z OW RICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � a � � - � � O _ �._..._. - j,_-' . � Q i �L - W � .._,....._,...� Q , �� _ , � � � �' L-/f� W � � J W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR W{LL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. I ....._._.. � Call for the next inspection 24 hours in adv�nce. ��j2�:�49-46�� OwnerlConVactor on site: �---�-�c-_'� Inspector. �� � � j, White Copyllnspector's File ('" Canary CopylSite Notice DATE� TIM E ! � CITY OF ORONO CALLED IN /-�5T�.5_ �� INSPECTION NOTICE SCHEDULED /—�-c 5 � PERMIT NO. -�� �'U�Z� COMPLETED ADDRESS �Q q �'�/�-� o�� OWNER TELEPHONE NO 3 , 7` CONTRACTOR C�%iZ'L!/VL � DESCRIPTION � � ty ❑ FOOTING ❑ PLUMBING FI A ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICA ❑ LAKESHORE/WETLANDS ti Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP O COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ,�`PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � � �+ r4.� `� � ,L '�`rr�-�/ � � .� � s��. �d ,�v� - o . � � � � � �rr- ���t� F; �� �tc - W � Q z D� � Cov�� — W � W � � � �NlQi�KSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE w ��CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site: �K�� Inspector. �r"''' J n White Copyllnspector's File Canary CopylSite Notice DATE TIME / CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED PERMIT NO•�' 0�2� COMPLEfED �_"� ADDRESS �d9 s4•�s� C�r � OWNER TELEPHONE NO. CONTRACTOR Pf zGis'o�. P, - � � � � DESCRIPTION ��s F�� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL �LUMBING RI ❑ EXCAV/GRADING/FILLING �Q ❑ FOUNDATION WATERPROOF LUMBING 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 v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICOMTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: � � /�'10�10� iS ��/a�••ss ' o " �.���� �S�tz,I .4�lw�- � - � � ' !l/L�Cv /�s�f�r- OI�C , f L�i�i O Q �C� /VJo�k l.��,ds�c � W � �9-�lq�/ /�p I� Y�,�� Gs�S' � �u /^ ' j �sr�.�,� i-�rb l� W �WORK SATISFACTORY:PROCEED �OJECT COMPLETE � O CORRECT VYORK&PROCEED ❑ISSt7E CERTIFICATE OF OCCUPANCY W � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cau br xt inspect�n 24 hours in advance. (952) 249-4600 ctor on site• Inspec � � CopyAnspectw's File Canary CopylSite Notks