HomeMy WebLinkAbout2017-01213 - plumbing � ' CITY OF ORONO
2750 KELLEY PARKWAY * � 0 1 7 — fd 1 2 1 3 *
DATE ISSUED: 09/28/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 725 STONEBAY DR
PIN : 33-118-23-11-0069
LEGAL DESC : STONEBAY THIRD ADDITION
: LOT 002 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (3)WATER CLOSETS,(4)LAVATORIES,(1)BATHTUB,(2)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2)
SILLCOCKS,(l)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 34030 195.70
OWNER
Wooddale Builders
6117 BLUE CIRCLE DR, SUITE 101
MINNETONKA,MN 55343-
AGREEMENT AND SWORN STATEMENT
The work for which Ihis 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 permit will
expire and become null and void if construction authorized is not
commenced within I SO 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 � , �� � �
Applicant Permitee Signature Date Issued By ignature Date
. �
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�p�`�, City of Orono FOR US ��v��/
/' �' �t��`,, P.O. Box 66 KC�+L��`1/��'[j Date Received: �� '��.' l�.G���� �
(` `� 2750 Kelley Parkway permit# � C� ��/ �
t R�' ;; Crystal Bay, MN 55323 SEP � �j ��,� �
`��� ��,,� (952)249�600—Main Approved By:
.,�rsxu�s (952)249�616—Fax
��-M""� CI7Y OF ORONO Amount$:
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 wili 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 Ail That Apply)
f� 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 /Owner Information:
Site Address: '' � y
Owner:�,c����,�`����aili Address: �//��__r���, L���,/.'�-E'�
City: ' Zip: �����
Home Phone: ��—��'"d���� Alternate Phone:
Contractor Information:
Contractor: �,J����[.4�-y'��P' Contact Person
'/ � �
Address: �O� �.� State Bond #:
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City: ��.� , Zip: '�� �� � Expiration Date: `�
Phone: �(��`"���[�`��C�� Alternate Phone:
, Insurance — Current:
Page 1
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� � � RL»t���1NG �IXTURES BEtNG INST�IIL.�.�C� � �
FIXTURE BSMT 1sr 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet � a Floor Drains
Lavatory /� 'y' Sewer Ejector
Bathtub , Laundry Tray J
Shower � Washer �
Kitchen Sink Water Heater �
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks � Miscellaneous �
' : ' ; PERMIT FEE CALCULATION
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)
� ���� � x .0125 $ ����,��
�ontract price) (minimum $50.00)
2. STATE SURCHARGE
�/y ����' X .0005 � �7� ��1��
(contract price)
3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ �%��� i�
" 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.
" � PLUM��. . .��it�lt`�,��#::��ATION AG�f����NT
, ���
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 o � application are complete, true and correct.
ApplicanYs Signat Date: � P�
Building Official/ Inspector: Date:
Page 2
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DATE TIME
CITY OF ORONO cnLLED IN
INSPECTION NOTICE SCHEDULED �0-(� _���
PERMR NO.���^C i�� � COMPLET D '
AD�iESS �v2� S►�-C��-r/ � r
O'WNER CG � T L�PHONE NO. Io�'v�� -�a.
C�NTAACTOA �� �
� DESCRIPTION �`
ty ❑ FOOTING ❑ D MO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ 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
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMINERlCOKTRACTOR TO MEET Y�W:_YES_NO
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERINO PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN
INSPECTOR WILL REfURN
❑STOP OROER POSTED.CAIL INSPECTOR ��TATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Caq for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector:
WM1e CopyAnapector's Flle C�n�ry CoprlSib NoUa
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D TE TIME ✓
CITY OF ORONO CALLED IN �]�
INSPECTION N I �j SCHEDULED /� �
PERMIT NO. /� �� c MPLETE
ADDRFSS � � �-
OWNER � T LEPHONE N .G � �������
CONTRACTOR � �-
� DESCRIPTION �( '�
ly ❑ FOOTING ❑ DEM -FINAL ❑ SEPTIC FINAL
� ❑ 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 ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO ME 11�U:_YES_NO
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W �6CRRECT NfORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑(�RRECT VYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-46��
OMrner/Contractor on site:
Inspector: � �„--� �—
White CopyAnspector's File Cenary CopylSite Notice
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� DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �
PERMITNO.a�Z�l� - �1�13 COMPLETED
ADDRESS �� �
i�� OWNER TEL PHONE NO. ��� "��-��d7
l,'`'j CONTRACTOR 5 I,e I ��
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�, DESCRIPTION
4~j ❑ FOOTING ❑ DEMO-F AL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION DRAIN TILE �RLUMBING 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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Q OYYNERICOI�fTRACTOR TO MEET Y�OU:_YES NO
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��WORKSAT�SFACTORY:PROCEED ❑PROJECT COMPLEfE
W ❑CORRECT V1fORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CARRECT WORK����R REINSPECTION TEMPORARY
V BEFOREC01/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OMmerlCon or on ite:
inspector:
White Copyllnspector's File Canary CopylSite Notke