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.
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Applicant Permitee Signature Date Issued By ' ature Date
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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
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` 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
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��.,: , „� 3��.. ���A�`�.�'EE �ALCUL�A�I y.. � �� '
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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.
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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.
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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
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� 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: �.
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� 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 �/`�%�
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��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�.��
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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�"�"
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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