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HomeMy WebLinkAbout2015-00242 - plumbing CITYOFORONO * z015 - 00242 * ` �+ 2750 KELLEY PARKWAY DATE ISSUED: 02/26/2015 ORONO,MN 55356- ' 952 249-4600 FAX: 952 249-4616 ADDRESS : 2496 SANDSTONE LA PIN : 33-118-23-11-0023 LEGAL DESC : STONEBAY : LOT 020 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 3 WATER CLOSETS,4 LAVATORY, 1 BATHTUB,2 SHOWERS, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,2 SILCOCKS, 1 FLOOR DRAIN, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WATER SOFTNER, 1 WET BAR VALUATION OF PLUMBING 12900 APPLICANT PLUMBING FIXTURE FEE 161.25 STATE SURCHARGE PLBG(VALUATION) 6.45 SCHULTIES PLUMBING MAIL-IN FEE 2.00 1521 94TH LANE NE BLAINE,MN 55449 TOTAL 169.70 (651)786-4007 Payment(s) Minnesota State License#:plbg-058799PM,mech-MB005379 CHECK 33206 169.70 OWNER Wooddale Builders Inc. 6117 BLUE CREEK DR SUITE 101 MINNETONKA,MN 55343- 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 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � e � ����� ,�Z� f. Applicant Permitee Signature Date Issued By Signature Date ..�. ' . ����� � $� ��,� , �A:� City of Orono ;�M �'� , � ���� ��`�-��� �y P.O.Box 66 �w�Ry���' � � ��t a 2750 Ke11eY PsrkwaY ;_��.fi- ��,^'"' � �.� :;�r��,��^_ Crystal Bay,MN 55323 � <� ��`'�?� ��' �'���" ���� � (952)249-4600—Main .; - >:���., x;�, a; , °! (952)249-4616—Fax y�'t,� wc?� CITY OF ORONO—PLUMBING PERNIIT �'�sxo� (All Commercial Permits Must be Approved 6y the State Prior to City Approval) htt ://www.dli.mn. ov/CCLD/PDF! e lumb lanreva . f \J��''i`F�At�:F���,�K;�^:�" ""`,;;.��.' x<;�m r�.�ka�r 'v *' ?��;,:.�3��'-.�. ,�.�"`��'x 1. You may apply for plumbing pennits by mail or in pe�son at the City offices. Applications will be reviewed and a�it will be issued within two working days. 2. Permit cards will be sent by retum 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 w 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. Cail(952)249-4600. (24-48 honr notice required) : �� . . x-�.���: � ��, .�� �`��.�� �.� ,� f ��: .S)�n"�i, ij M �.' �V � � � ..1 �tl J. �:x 'F.�i�Sv 5�.. �Residential ❑Commercial(Appmval Required) ❑New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need orior aournval and may need C�P.(Per Orono City Code,Chapter 78,Article IV) J�r1)SI�/' " i�' , .: �. , k > � ,. Site Address: 01�7��O �� b Owner: � _ Mailing Address: ���7,,���L�� City: ����� '��� Zip: `�v� Home Phone: ��7���� Alternate Phone: �'�'������Cx� ��i' �q�; � f �' Contractor: „������ Contact Person: �' Address: State Bond#: �/ 7� , Q � City: I���� Zip��7 Expiration Date: Phone: `��78�i- L�„a,� Alternate Phone: 7G3—�—��7 � Insurance—Current: / / � �, a�����p,� 1 �' FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 O'IT�R TYPE FL FL TYPE FL FL Water Closet � � Floor Drains Lavator5' / /,L Sewer Ejector �/ Bathtub / ��y'T�' � shoW� � � w�n� I Kitchen Sink � W�H� / Disposal r Water Softener Dishwasher �y�g� 5111��� � Miscellaneous 1 ❑ Yes,this section applies The replacement of only one Residential fixtute or appliance that meets all three of the following requirements: 1. Dces not require modification to electrical or gas service. 2. Has a total�c �t of$500.00 or less;excludin¢the cost of the fixtiue or appliance:and 3. Is improved,installed or repla�ed 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 Fce $ (Permit Fees Continued On Neat Page) 2 �s ' j � . If above dces not apply;follow guidelines below: ' 1. CONTRACT PRICE "is 1.25%of contract price with a(Minimnm Fce of$50.00) � 0 9Q�� X.oi2s$ /�l. a� ( ��ce> (��om sso.00� 2. STATE SURCHARGE ,' � r �, � x.0005 $ �o. y•5 (���ce) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ /�o`r• �V ■ � 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 thc 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 mazket 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. 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: �✓ 3 �J� DATE �,� Y CITY OF ORONO CALLED IN �� V INSPECTION I E �f�(`�Q� SCHEDULED � � PERMR NO. ����5 w '�OMPLETED ADDRESS �`'1� �- OWNER TEL�P�IONE NO. �'?��"�7 CONTRACTOR SCr���-t�7�� � DESCRIPTION ��V-� �--I ���""�ti W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERlCONTRACTOR TO MEEf YOU:_YES_NO c�n COMMENTS: � W 4 R J O _ � O � W � Q � W � W � � O W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PEiiMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52 -46�� OMmeNContractor on site: inspector: White Copyflnspector's File Canary CopylSite Notke � � TIME� CITY OF ORONO CALLED IN � INSPECTION OT HEDULED �� � PERMIT NO �� MPLETED ADDRESS � OWNER ELEPHONE NO. 3 786- � CONTRACTOR v � DESCRIPTION ` � � � 4~j ❑ FOOTING ❑ D O-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL �PLUMBING RI Q ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YiDU:_YES_NO ` � COMMENTS: G'�S �i n�5 ' �fl�G' � L�c��i•r� �v- 4 0� �� � -� fa�i� i �/4s✓ � o�i �e.g� is Q �Ib�eQ�K�c ' '' A-G - � ° n r� v- t��/C .xiC-�o ' Q �� �.: d�s� - f`� �/���s - � � [/IL — Y �v�, ✓ -i W � � W/�060RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W��O CORRECT WORK S PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on�ite: Inspeator: White Copyllnapeetor's File Canary CopylSfte NWiee