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Home My WebLink About2015-00597 - plumbing CITY OF ORONO * 2 0 1 5 - 0 0 5 9 7 * ' 2750 KELLEY PARKWAY DATE ISSUED: OS/14/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 763 BRIDGEWATER DR PIN : 33-118-23-12-0091 LEGAL DESC : STONEBAY SEVENTH ADDITION : LOT 4 BLOCK 1 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 3 WATER CLOSET,4 LAVATORY, 1 BATHTUB,2 SHOWER, 1 KITCHEN SINK, l DISPOSAL, I DISHWASHER, 2 SILCOCKS, 1 FLOOR DRA[NS, 1 LALTNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WET BAR, 1 MISCELLANEOUS VALUATION OF PLUMBING 12900 APPLICANT PLUMBING FIXTURE FEE 161.25 STATE SURCHARGE PLBG(VALUATION) 6.45 SCHULTIES PLUMBING TOTAL 167.70 1521 94TH LANE NE Payment(s) BLAINE, MN 55449 CHECK 33284 167.70 (651)786-4007 Minnesota State License#: plbg-058799PM,mech-MB005379 OWNER Wooddale Builders 6117 BLUE CIRCLE DRIVE MINNETONKA, MN 55343- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate pertnits. A►I provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within I80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be � revoked at any time for due cause. .S-��_IS �� l � �l � Applicant Permitee Signature Date Issued By Signature Date 4 . � , FOR CITY USE OPILY City of Orono �►��jrt P.O.Box 66 Date Received: Permit# 1l 2750 Kelley Pazkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main y (952)249-4616—Fax �' �� CITY OF ORONO—PLUMBING PERMIT ��K�sH��`� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df 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 cazds 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 A 1 �Residential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior anaroval and may need CUP.(Per Orono Ciry Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: ��> `� �� "' Owner:�i � � Mailing Address: �/ .�L��!�t�� c�ry: z�p: �y� Home Phone: /��—��J�� Alternate Phone: ��'�77"�� Contractor Informatian: Contractar: Contact Person: Address: /_�� State Bond#: � � ? City: Zip��7��Expiration Date: � � Phone: ��"��`Y�� Alternate Phone: ��7 r"��"�� ❑ Insurance—Current: 1 ! ,�.,, FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � � Floor Drains � Lavatory � Sewer Ejector Bathtub Laundry Tray / Shower P r Washer � / Kitchen Sink � Water Heater / Disposal j Water Softener � Dishwasher Wet Bar / Sillcocks � Miscellaneous O� PERMIT F£E C�.L.CC;I,ATION(S} - - - --_� BASED C,��-20�2 �'�..�.;I'� STATliE ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance:and 3. Is improved,installed or replaced 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 Fee $ (Permit Fees Continued On Next Page) 2 r v+. If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � x.0125$ �(pl o�� (a uact price) (minimum$50.00) 2. STATE SURCHARGE G, j'� � _j� �� X.000s $ �o• y� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines ]-3 Above) $ �c(� /• �v ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged for the permitted work including materials,labor,profit,and other fixed costs. It is the amount to be chazged to the customer for the work done. If any material, equipment, labor or installations aze fumished 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. 9•. 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 Signatur� Date: �� orC/ 3 i 2-� � �/ DATE TIME CITY OF OR O CALLED IN ` �/ /��.� INSPECTION NOTI �/�y� SCHEDULED PERMIT NO. � COMP ED ADDRESS �� C�� D� ��3�� (�- �07 OWNER TELEPHONE NO. CONTRACTOR ' � DESCRIPTION �D u/� � F-� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL PLUMBING � ❑ 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 ❑ EP IC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTRACTOR TO MEET YOU: YES_NO -�.-� � COMMENTS: � a �� j � � O � � O � W � Q � 2 W � W � J GW W KSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 urs in 49-46�� OwnerlContractor on site: Inspector. � - � White Copyflnspector's File Canary CopylSite Notice � � / � ' �D15i DATE TIME CITY OF OROn�o � 595 CALLED IN �vZS�� INSPECTION NOTI SCHEDULED ?-a 7-/l� .'�� PERMIT NO. �� S�1rI OMPLETED ADDRESS 7 � � OWNER TELE ONE NO l,�3 ��7 CONTRACTOR � �� DESCRIPTION �� \ � � W ❑ FOOTING EMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FILLING Q y ❑ 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 _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � .I�• � COMMENTS: .�otS' oD�9T' Pl,y. pw v - pl/C G��.�j-- � S�' G•i '�e� /s �j��c� r o (� Prov�c 4d�.��.�4� �4�c� olr �¢� - '- 5��Q o�F' s��t��c s�.�L.G, - B��r s � w«< ° �e st _ i� � W � Q � ao ��- oo�� - �as /,�r�s �'d� F.P r4K e a � � � e� ' C✓ - � /�,/a G�� e�.� 3� S� , �� 7 - a6-�� oRKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � �O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-460� OwnerlContractor on site: Inspector. Q J �'n- �`'t� White Copyllnspector's File Canary CopyfSfte Notice �/ �_� �^ D E� -� TIME C OF ORONO —-_�cLLED IN =� INSPECTION TI scHEDULED / ' � PERMIT NO �� co Ere� ADDRESS �/ OWNER �TE P E NO. ��/ CONTRACTOR � �� DESCRIPTION ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADI INd �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 OIMNERlCOKTRACTOR TO MEET YW:_YE$_NO y COMMENT'� �� ;� � G.h v wt f 4'- � �--'1 � O +� � /. S�'- . �. ! ` � �.1r/L G L�I..L 6c..✓ � � �" ��.rC� , � � �n. � �� S W Q " w:, �- � .L�, �`" _�-�-�'"�� .'�1.. .� �:%� C ,• � L W � � J � �VYORK SATISFACTOHY:PFiOCEED �OJECT CONIPLETE � ❑OORRECT WORK d PROCEED O ISSUE CEATIFICATE OF OCCUPANCY O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COMERINf3 PERMANENT ❑OORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑GTATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQl11RED.CALL TO ARRAN(3E ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwneHContractor on sit . Inspector: t-'�'�( • wn��covrn��eccor.F��. c.n.ry covrrs�Na�a