HomeMy WebLinkAbout2015-01598 - plumbing � CITY OF ORONO * Z 0 1 S - PJ 1 5 9 8 *
` 2750 KELLEY PARKWAY DATE ISSUED: 12/29/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 787 BOULDER DR
PIN : 33-118-23-11-0132
LEGAL DESC : STONEBAY
: LOT 7&8 BLOCK 1
PERMIT TYPE : PLUMBING(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : L��^�-�-�,{—�t-j�''
NOTE: WATER SOFTENER
APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00
STATE SURCHARGE PLBG(<$500) 1.00
WATER DOCTORS MAIL-IN FEE 2.00
8201 CENTRAL AVENUE
SPRING LAKE PARK,MN 55432- TOTAL 18.00
(763)535-1800 Payment(s)
Minnesota State License#: mech-WC645002 CREDIT CARD 8313 18.00
OWNER
Stonebrook Development LLC
17149 LINCOLN ST NE
HAM LAKE, MN 55304-
AGREEMEIVT 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 Ihe
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 180 days of the date of issuance,or if construction is
suspended for a period of I80 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 permi[may be
revoked at any time for due cause.
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Applican rmitee Signature Date Issued Signature Date
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/ �� P.O.[3os 65 Date Race�ve� � PermitN � � �
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�� � CITY OF O ' O�O—FLUMBING PERM(T
�'�FStI���� (A►I Co � e cial Permi[s n7u t be Approved by the State Prior to Ci�y Approval)
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GENERAL INFQRNIATI '
1. You mal�apply for plun ' in permits by mai or in person at Ehe Ciry�ffices. Applications will bc
reviewed and�permit II e issued within t vo u•orking days. '
2. Permit��ard,�-ill be sen y re[urn mail after a re,view is completed. HERMITS ARE NOT
�'AL[D Lri�IT(L YOl1 R C [VE A PERMI . ��'ORK MUST NOT BEC1N UNTIL THE
PERh11T CARll IS P T ,D ON THE J B 51TE. �
3. Plinnbiiig permits may L is ued OT�'!.Y to li�ensed plurnbing contractors and to property o�+�ners
residing�in the dwelling. � � '��
4. v��hen a�?y neti�construc ion or remode€ing is involved,a separate building permit must be
obtaioed. � i
5. .all work mus be done i a cordance with S ie Code requirements. �
6. r111 work musf be inspec d nd air tested be re it is covered. Call(952)?49-�1600.
(24-48 h�our�otice req re )
"I'YPE OF PCRVIIT '
(Cheek Al l hat A lv} I
Qi Resideniial I ❑Com er•ial(Approval R quired)
❑New ❑ Addi on I ❑'Repairs ❑ Repface
❑ fn Accessory Structure? i
*You will n'eed �rior a r �a and may need UP,(Per Orono Citv Codc,Chapter 78,Articic IV)
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Job Site/4���n�er ln�formatio : ; ,i
Site Address: �� ' � i � J y '
Owner. e �� � aiIing Address: ��,
Ciry: � I :ip: 'll __
Home Phone: � ' �Iternate Phone:
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, Contractor Information:
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Contrac[or: �l�ttx. � � /-S' �'ontact Person: '�L, �„��,.,5���✓
Address: � � .r�' � _� $tate Bond #: Gc.���!S'op�
City: i- {�c%r Y�; Zip:,SSy'j� xpiration Date:
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Phone: 7'�535= d r�Jternate Phone: �1(�3—`l'�9� �7S�S`
I' ❑ I�nsurance - Current; II
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° I PLUM' 1 G FIXTLIR� I ;�1NG INS'I'ALLED � -
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FIXTI;RE ISSM� I 2 OTHER FIXTiURC BSAT I 2 07HER
TYPE � � PL F 1'���PE � FL f�L
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VJater Closet � Floor,Drains �
La�-atory ; 5el er Ejector
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Bathtub Lai n�ry Tray
Sho��er ; W'asher
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Kitchen Sink I W'I ter Heater �
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�s osal
P
�, I Vv'ater Softener
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Dishwasher ' 'We't I3ar
Sillcocks titil celianeous �
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' P T?FEE CA ' �ATION(S}
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❑ Yes,this Isection applies I I ,
Thc replacement�f only onc Resi n �al Gxtu�e or a �ianoe that�ncets all thre of the folloH�ing
r�quirements: � i ' �
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I. Doesl not require mo fi aiion to electrica or'gas service. I
2. Has a total�cost eF$5 0. 0 or iess;e�:cfud'n �he;cost of the fixturc or appliance:ar�d
3. �s im�proved, installe or replaced by the omeowner or licensed pl mbins contraclor.
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Ship Imxt s�rc�ion,ift is pplies; ost of Permit $ I5.00
S ate 5urcharge � �,p{�
i ail I�In Fee(IfApplicable � 2.60
� tal Permit Fee i $ /�.pD
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(Perrnit Fees Con{inued On Vest n e) I
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PF,F�M1T Fb ALCUL.4TI N{$}'—,IpgS OVER$540.04
If above does notiapply;follow b d lines below: !
1. COVTRACT PRI E * is 1.25%of cor�traet rice with a(�1ini i um Fec of S5D.00)
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x.Q125$
(coi trnci priEcl (minimum!T:O.f10)
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2. STATF.SURCH.4 G�: �, f! '
Ii x.00OSIi $
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{co�uac prihe)
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3. POSTAGE&HAND IT�IG(O:�ly on Mai�-In Applications) ' $_ 2.00
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4. TOTAI,PER11{T F E(Add Lines 1-3 ��bove) $
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■ * CONTRACT PRICE or J B COST means th� a tual or estimated dollar amow�t charged for the
permit��d�ti'ork including ma ri�ls,labor,profit,�and��otfier fixed cosls. it is the amount to be chareed
(o t(re customer fo�th� work o�e. If any mater�al,equipment, labor or instaqa�ions ara fumished b}�
the owner, tenant or any oth rty, the reasonable�harket value of such�iten�s i�ust be added to the
es[imated cost or contract p ice for permit fee pjurp�se�s. In the ev�nt tHat there is a dispute on tf�e
amounr of the job;cost, the iry may request the�sub'm'ssion of a signed icopy of the actual contract.
PLUM$IN ERMIT AP�' I; � ION AGftE��[ENT
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The undersigned hereby appli the City for �ssuance of a Plumbing� Permit, agrees to do all
work in strict accordance wit t e ordinances �f the City and thc rc�ulations of tl�e State of
N]innesota, and' cer-ti�es that II statements ma�de io this applicatioii are complete, true and
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correct, ! ; 'i
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A licant's Si nature:
pp g �� ' � Date: _
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DATE TIME
CITY OF ORONO CALLED IN � �_
INSPECTIO I �'�CHEDULED �
PERMIT NO � �5—�cOMPLETED
ADDRESS ��5� ��-����
OWNER TELEPHONE NO.��� ��
CONTRACTOR ����� �
� DESCRIPTION �� �� �7�
t� ❑ 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 ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED OJECTCOMPLETE
� ❑CORRECT WORK&PROCEED IS E CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pF{OTO 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. 249-46��
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OwnerlContractor on site:
Inspector.
White Copyflnspector's Ffle Canary Co ylSite Notice