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HomeMy WebLinkAbout2017-01211 - plumbing � � CITY OF ORONO * z 0 1 7 - 0 1 z 1 1 * 2750 KELLEY PARKWAY DATE ISSUED: 09/28/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 723 STONEBAY DR PIN : 33-118-23-11-0068 LEGAL DESC : STONEBAY THIRD ADDITION : LOT 001 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (2)WATER LCOSETS,(4)LAVATORIES,(2)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2)SILLCOCKS,(1) FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WET BAR VALUATION OF PLUMBING 14900 APPLICANT PLUMBING FIXTURE FEE 186.25 SCHULTIES PLUMBING STATE SURCHARGE PLBG(VALUATION) 7.45 1521 94TH LANE NE MAIL-IN FEE 2.00 BLAINE,MN 55449 TOTAL 195.70 (651)786-4007 Payment(s) Minnesota State License#:plbg-PC644177,mech-MB005379 CHECK 34031 195.70 OWNER Wooddale Builders 6117 BLUE CIRCLE DRIVE 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 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 permi[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 revoked at any time for due cause. � ' �U l�..0 l/ 7 Applicant Permitee Signature Date Issued By ' ature Date j � � ',J�`„��tJ\, C o Bof Orono �����'�`�� oate Recei edR c��� // � .�,a� CrysOtal Bay, MNk55323 SE� � 8 20�7 Pe�mit# �.' / � C'��`��.�� � , � � �� i� (952)249-4600—Main A roved B `,�asxo�� (952)249�3616—Fax pP Y' -_ CITY OF ORONl7 Amount$: �'" �' `r `� CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.qov/CCLD/PDF/pe plumbplanrevapp.pdf 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 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 Apply) �Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑ PVB] � New ❑Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site /Owne� Information: Site Address: 7v7�� Owner:���.���_e���dt�Pa ng Address:lo/�J���i.c.�.�—��.6��.� City:,J�� �t�-i►� Zip: ������ Home Phone: ���7�������Alternate Phone: Gontractor Information: Contractor:. :>� -C Contact Person: �,� Address: State Bond #: r�l� r`7'7 �T� Ex iration Date: /o?�v�� ���� City: 1e����..&... Zip: p. Phone: �!r>� ��k � — 7� � � Alternate Phone: �Insurance — Current: Page 1 � � • ,� ` PLUN�Bt�FF�'�, . . ,-. ., .N� lh1�TA�:�:��.. FIXTURE BSMT 1sr 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet , � Floor Drains � Lavatory �+ '?� Sewer Ejector Bathtub Laundry Tray Shower �' f Washer Kitchen Sink Water Heater t Disposal Water Softener Dishwasher ' Wet Bar Sillcocks � Miscellaneous , „, � , �., , ,�•.;: ��.,: , „� 3��.. ���A�`�.�'EE �ALCUL�A�I y.. � �� ' ' �.:�. � n�... 1. CONTRACT PRICE '' is 1.25% of contract price with a (Minimum Fee of$50.00) �7 /r� �/'��� x .0125 $ `� ����� -�(contract price) (minimum $50.00) 2. STATE SURCHARGE �/������� x .0005 $ '7. �.a� (contract price) 3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ l� /���7� * 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. : ;. : . .��.�J11�B#t�L��?�F��tItT�1,`, ��E�A�'I �A+�R�E�IIF�T ; �� ... �. 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. c^ i ApplicanYs Signature: Date: 1 v? o� Building Official/ Inspector: Date: Page 2 INSPECTION NOTICE DATE TIME � CITY OF �''a� 17 CALLED-IN SCHEDULED PERMIT NO. .���-� ��� 3 COMPLETED/ ��-�_ ADDRESS � �7�� S�Ne �,, d,�;Vt OWNER/CONTR. ❑SITE INSPECTION ❑MECHANICAL RI ❑ REINSPECTION ❑CONC SLABS ❑MECHANICAL FINAL ❑FOLLOW-UP ❑ FOOTING ❑INSULATION ❑COMPLAINT ❑ POURED WALL ❑ RATED ASSEMBLY O FIREPLACE ❑ FOUND. DRAINAGE ❑BUILDING FINAL ❑SPRINKLER SYSTEM ❑FRAMING ❑SEPTIC INSTALL ❑ >- ❑SHEATHING ❑SEPTIC FINAL ❑ � ❑PLUMBING RI ❑S&W HOOKUP ❑ � ❑PLUMBING FINAL ❑GAS LINE MANOMETER ❑ o COMMENTS: DT�'G t'c, h �fc7 �wv Q a t l D k T'o c,� U c ►� � G.o 1 z ;r q S�_ BS a,'r '7�-�s '— J ll l _ J Z O � � W � � � O R O w � Q � W W � � C7 � FURTHER CORRECTIONS MAY BE REGIUIRED ❑ PERMIT FINALED �'`9��/ORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN p ❑ CORRECT WORK& PROCEED U ❑ CORRECT WORK.CALL FOR REINSPECTION BEFORE COVERING ❑ CORRECT UNSAFE CONDITION IMMEDIATELY. ❑ STOP ORDER POSTED.CALL INSPECTOR � INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. TO SCHEDULE YOUR INSPECTIONS PLEASE CALL: (763) 479-1720 Metro West Inspection Services Inc. Owner/Contr. on site: Inspector: �. � ,� ��- � � i TF� ` TIME CITY OF ORONO cnLLED IN � � �N.��in ncE d`�� SCHEDULED / / � __.L'JG= PERMR N . MPLETED ADDRESS �NNER •TEL O NO. �� � CONTRACTOR � DESCRIPTION � 4~j ❑ FOOTING ❑ DEMO-F AL ❑ SEPTIC FINAL Q ❑ POURED WALL �pLUMB G R ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBIN FINAL ❑TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTAIL 2 OMINERlCONTRACTOR TO MEET YOU:_YES_NO ' � COMMENTS: /''` L,��1- L•C, — JOGc1 Y ' pl/G �/`�%� , � -" .-5 G�.-� �5'� is /�il�itic �� � � k�Q�cr !�n es .cr� `��� 0 � � ° p (L � Cbrtb r�� W � Q ~ G4S IsK�s ���M�� � O'"'' ��a�o� � L�'Jd� G�S W -T_. W �N�t ��� �i�'yer� `�'p� F.�. - 4sr fie$C' � `lO��.cS ���G J ��SATiSFACTOFt1P.PROCEED ❑PROJECT COMPLEfE � O CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECANERING PERMANENT ❑CORRECT UNSAFE OONDITION WITHIN HOURS� p pHpTO TAKEN INSPECTOR WILL RETURN , O STOP ORDER POSTED.CALL INSPECTOR ❑pTATION ISSUED ❑INSPEC710N REWIRED.CALL TO ARRANGE ACCESS. can ro�me�e�ms�ctto�za no�s�n ac�r�oe. (952) 249-4600 aMnedComractor on site: Inspector:__Y_y_y�.�� �/ 1AIAite CaPYAnspecto�s Fils Camry CopylSife Noffee i � � DATE TIME CITY OF ORONO CALLED IN -�� =1��_ INSPECTION NOTI E SCHEDULED PERMITNO. ��'�� COMP ED ADDRESS � ✓Q- OWNER TELEPHONE NO. '��� CONTRACTOR � �'� � DESCRIPTION C�- 4~j ❑ FOOTING ❑ DEMO NAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL 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 YiOU:_YES_NO � COMMENTS:„`F /7 ��/ .Is'��i/tiS S�"�" � t�c� Sc,o a � rn �Na w�t�'e r- o/�C � � � b s �' �� P�o�, 'de a��c�ss T • �o ° G 1<<tio��r .',� b,�-1. c, a b,•,,�- W Q �T� �r+a- � � � w ¢ � � W��.�QlORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE w �ICORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail br the next inspection 24 hours in advance. (g52) 249-4600 OwnerfContractor on site: Inspector: �/ A��� /� White CopyAnspector'a Fik Cenary CopylSfte Notiee