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. �
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Applicant Permitee Signature Date Issued By Signature Date
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(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)
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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)
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�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 > �
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Site Address: 01�7��O �� b
Owner: � _ Mailing Address: ���7,,���L��
City: ����� '��� Zip: `�v�
Home Phone: ��7���� Alternate Phone: �'�'������Cx�
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Contractor: „������ Contact Person: �'
Address: State Bond#: �/ 7�
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City: I���� Zip��7 Expiration Date:
Phone: `��78�i- L�„a,� Alternate Phone: 7G3—�—��7
� Insurance—Current: / / � �, a�����p,�
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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
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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:
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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-
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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