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HomeMy WebLinkAbout2014-01266 - plumbing z CITY OF ORONO * 2 0 1 4 — fd 1 2 6 6 * 2750 KELLEY PARKWAY DATE ISSUED: 10/29/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 711 SANDSTONE CIR PIN : 33-118-23-11-0045 LEGAL DESC : STONEBAY : LOT 042 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTF,: (4)WATGR CLOSE'I�S.(5)LAVA"I'ORII;S,(2)BATHTUBS,(1)SHOWLR,(1)KI'��CHEN SINK,(1)DISPOSAL,(I)DISHWASHER,(I) SILLCOCK, (1)PLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHGR,(1)WA"I�FR IIEATER VALUATION OF PLUMBING 13500 APPLICANT PLUMBING FIXTURE FEE 168.75 STATE SURCHARGE PLBG (VALUATION) 6.75 PRECISION PLUMBING& HEATHING INC. TOTAL 175.50 4124 MACKENZIE CT ST. MICHEAL, MN 55376 Payment(s) (763)497-7486 CREDIT CARD 9808 175.50 Minnesota State License#: plbg-PC643806,mech-MB004099 OWNER Stonebay Builders LLC 14870 BROCKTON LA DAYTON, MN 55327- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performcd according to the approved plans and specifications,applicable City approvals,and the State Building Code. "Chis permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances govcming this type of work shall be compied with whether or no[specified herein.This permit will expire and become null and void if construction authorized is not commenced�vithin 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. _:i �� �.,--=�-�` . �-��,�'i%�' '{-_.-��� �� � /D, Zq,/ l � ` �Applicant Permitee Signature Date Issue [3y Signature Date ,� F � � FO GIT USE ONLY � City of Orono /�J p g-�NO P.O.Box 66 Date Received: ` Permit��� � 2750 Kelley Pazkway � Crystal Bay,MN 55323 Approved By: Amount$:� (952)249-4600—Main (952)249-4616—Fax y�tq ��` CITY OF ORONO—PLUMBING PERMIT '�ESHO� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.clli.mn. ov/CCLD/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. Permit caxds 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) �f New ❑ Additional ❑Repairs ❑ Replace ❑ In Accessory Structure? *You will need arior aaaroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: �(� n�.�Tb�P C�� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: Q�GL� S�� Q�N^'i��n� �t Ela,T:�ontact Person: �r� 6 Address: c,dr� � 2N r�p��✓►z;� GTi.,�State Bond#: PG G`( �I�D 6 City: 1 V��C�t� � Zip:�3�� ExpirationDate: �Z--��"�� Phone: ��� �{�l�� ��6 Alternate Phone: ❑ Insurance—Current: 1 .._ � � t . ..W� �3 �.��`"t ' fY '.� .„ ... ,.: .:`fi Y7.,� aK�y . _,�'Y $Y � . �S... _.a ��. �, , �,.�.��.,c.M .. ., � . ,-. .,. # . �..�k�."�. � P, �.s �, - : FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet t i Z Floor Drains , Lavatory ` 1 cZ Sewer Ejector J Bathtub 2 Laundry Tray ' Shower � Washer ' Kitchen Sink ` Water Heater t Disposal C Water Softener Dishwasher ' Wet Bar Sillcocks I Miscellaneous ❑ 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;excludins 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) � � ��.'��', c��;� I � 7 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 ar any other pariy, 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. PLUMBING PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accardance 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: %��✓l�� Date: �C�� 2�1 — �`� 3 �� ATE TIME � CITY OF ORONO ALLED IN _ INSPECTION N�_TIC �/ SCHEDULED PERMIT NO o�OI �(.� COMPL ED � y � ADDRESS �! OWNER " T,P� PHONE NO. 7 7 CONTRACTOR �` � DESCRIPTION � � � FOOTING ❑ PL BI FINAL ❑ EXCAV/GRADING/FILLING Q O POURED WALL ❑ ME ANICAL RI ❑ LAKESHORFJWETLANDS y O FRAMING ❑ MECHANICAL FINAL � TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � O FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVER REMOVAL J ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNbATION/HEMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � � j O ). � O �' � W � Q � 2 W � W � j W � RKSATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑ ECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WfORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOYERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours adva 249-4600 OwnerlContractor on site: inspector: White Copyflnspector's File Canary CopylSite Notke `vvl DATE TI E CITY OF ORONO CALLED IN �Z'" ��� � � INSPECTION NOTIC,E/ SCHEDULED � l —/S� � PERMIT NO.r.��T���COMPLETED , ADDRESS ?ll �l ����� OWNER ` � TEL NE NO��'��1�� CONTRACTOR u���� . �; DESCRIPTION � � , c � � t� ❑ FOOTING ❑ PL BING FINA ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI O LAKESHORENVEfLANDS H Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTiC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O >. F,• ,, � O ,:,,,; � Q j � 1 2 W � W � J W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection hours in advance. 9 �..�.Q�-�6�� ��,�. ;: OwnerlContractor on site: � �' �' i Inspector. � ,r' White Copyllnspector's File G��� Canary CopylSite Notice ��� DATE TIME CITY OF ORONO CALLED IN �_S �5_ � INSPECTION NOTICE SCHEDULED /—!� �S PERMIT NO�D/ �-d/�-� COMPLEfED ADDRESS 7l� � � OWNER ' ELE E NO. Y 7�� CONTRACTOR � � DESCRIPTION r � � � � FOOTING ❑ PL ING FIN L ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q TREE REMOVAL Z O INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP � COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL J �LUMBING RI � SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: � � a ,�. G L. �_ ��N�s,< � � ,� w l/ sc� � � fi� - 0 � Qr��H�.�`.0 ���7 ��1��`�s �- G�� 2 � �'b tic � W • � W � j W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � RRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF dCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advanoe. (952) 249-46�� OwnerlContractor on site: �LL✓1��- Inspector:� �+�' � YVhite Copyllnspector's File Canary CopylSfte Notice � �� DATE TIME v ITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ,;�� �2.�-` PERMIT NO..�L)Il� �I;�Ir�4p COMPLETED ADDRESS �I � ; �..!' �''ICI� '��b K ' -- OWNER TELEPH E NO. CONTRACTOR � � �\ � � DESCRIPTION J�l�rn l�%n � r /�J � W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLU ❑ EXCAV/GRADING/FILLING y ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ S TIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: a ' ��I� ' /S ,�J l�� " o ` ��c�✓e3 � Scz` ,�-- SeQlQ� >' � G'lJ�L`�v /tic� '�`•pr- O,� - �Pi�!/a/Gtr- O� � 0 � � � ��� !*/O/'� L��-N,p�s�� - Q z ��r�✓tavP rvo �' v�.z z. G.2,EtS. . � ��.�i.�;.�' 7�t;�� W � j � ❑WORKSATISFACTORY:PROCEED OJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISS CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 Owne n ctor on s� . Inspector. '"' White Copyllnspector's File Canary CopylSite Notice