HomeMy WebLinkAbout2015-00940 - plumbing CITY OF ORONO * Z 0 1 5 - 0 0 9 4 0 *
� 2750 KELLEY PARKWAY DATE ISSUED: 07/27/2015
, ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2450 COBBLESTONE CT
PIN : 33-118-23-11-0082
LEGAL DESC : STONEBAY SIXTH ADDIT[ON
: LOT 004 BLOCK 001
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RES[DENT[AL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: 3 WATER CLOSET,4 LAVATORY, 1 BATH TUB,2 SHOWERS, 1 KITCHEN S[NK, 1 DISPOSAL, 1 DISHWASHER,2 SILLCOCKS, 1
FLOOR DRAINS,
1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, I WET BAR, i M[SCELLANEOUS
VALUATION OF PLUMBING 12900
APPLICANT PLUMBING FIXTURE FEE 161.25
STATE SURCHARGE PLBG(VALUATION) 6.45
SCHULT[ES PLUMB[NG MAIL-IN FEE 2.00
1521 94TH LANE NE
BLAINE, MN 55449 TOTAL 169J0
(651)786-4007 Payment(s)
Minnesota State License#: plbg-058799PM,mech-MB005379 CHECK 33351 169.70
OWNER
Wooddale Builders
6117 BLUE CIRCLE DR
SUITE 101
M[NNETONKA, MN 55343-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within I 80 days of the date of issuance,or if construction is
suspended for a period of l80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date � Issued By S�ature Date
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• FOR Cl'1'Y USE OtiLY
(� City of Orono � r � ` �
� ���-`-'��� P.p.F3ox 66 Date Received: _� [SPennit# ������ ��'
', 2750 Kelley Parkway �y
��� Crystal Bay,MN»i23 Approred E3y: � Amount$:�7 • �
(9�2)249-46(10—Main
����' %* (�52)249-4616—Fax
�`;�'{� ,.�'� �c�j� CIT�' OF OFi01v0-PL[?MB1NG PF,RMIT
�__K�St�"-'� -� (All Ccimmercial Permits �Vlust be Approved by the State Yrior to City Approval)
ht�t >:ltwrr�rn�.dii.rt��i.ruv°iC't"'L�!f'D�'/�e it�m�l Zi����-€va �.�x��f
�CJENERAL INFORMAT(ON _J
—_.—. �_�_—__----_ �..
I. You may apply for plurribir�g pennits by n��ail ar i�z person at the City oPfices. Applications will be
reviewed and a pennit will be issued within two working days.
?. Yermit cards will be sent by retarn mail after a review is co:npleted. PER1VIiTS AKE NOT
VALID UNT1L YOU RECEIVE A PERM[T'. WORK M�1ST N�"T BEGIN UP+iTIL THE
�1?IiR1(T'(`Ai2D IS POST'ED ON TNE JOB Sf"l,E.
:�. Plumbin�permits may be issued 01tiLY to licensed plumbing contractors and to property awners
residing :n the dwelling.
4. When any new construction or remodeling is involved,a se}�arate building permit must be
obtained.
�. All work must be done in accordance�vith State C:ode requirements.
ti. Al! work�n,ist be inspecteci and air tested before it is covered. Cail(95?)249-4600.
(24-48 hour notice required)
��� 'T'YPE OF PERMIT ^ �� �
_ �Check Al! 1'hat Apply�
�Residential ❑Commercial(Approval Required)
�New ❑ Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*Y,u will need nrior apn�'oval ar�d may need CUP.(Per Orono Ciry Code,C�hapter 78,A�ticle[V)
�.lob Site/Uwner Information: �--�
Site Adcire�s: ��.__5� (��e�'�r�,1'�����,_�:����.�
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Ownc;r:���ZS��-Qi '� Maifiug Address: G�/L1������L��,��''f
Citv: ,L1��_���� Z�P� `�,��
Home Phc,n�: �__:��-QJ�� Alternate Ah�ne: _
Contractor Information: �
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Contractor: � Contact P�rson:
,�iddress: �jv,r/ � � �.�i' � �/ Stat� 6ond #: f'��foli'�//7�
:
City: Zip���Expiration Date: / � ����o
Phone: ��-�/�7 Aiternate Phone: �__ _
� insi�rance--Current: .�i' �
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FI�L1�7�1NG FIXTURE�B�:�NC INSTALI,ED
FIXTURE BSIviT 1 2' OTHER FIXTIIRE BSMT 1 2' OTHER
TYPE PL FL TYPE FL FL
—i-�_� —
Water Closet � � 1 filoor Drains /
Lavatory � Sewer Ejector
Bathtub ` i Laund.ry 1'ray �
Shower � � �Vasher r
Kitchen Sink �Water F3eater
1 �
Disposal r Water Softener
! i
Dishwasher Wet Bar / �
E
Sillcocks � � Miscellaneous �
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PI�R�1T FLC C�l t:l,I,A i-CO�`�(S j �� � � �
Hr�SE€}OE�'� �OC�2 �`t'll�� ST�Tt�E I
❑ Yes,this section applies
The replacement of only one Residential tixture or appliance that rneets all three of the following
requirements:
I. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;ex�ludin�the cost of the fixture or appliance:and
3. Is improved, installed cr replaced by the homeowner or licensed plumbing contractor.
Skip next section,if ihis a�plies; Cost of Yermit $ I5.00
State Surcharge $ 1.00
N1ail-ln Fee(If Applicable) $ 2.00
Totaf Permit F'ee $
(Permit Fees Continued On Next Page)
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�'��II"�'��`�.A�����'Ifl�(S).�JC�BS E)��R$�Q(}:�#�,:` ..;
ff above does not apply;follo��-guidelines below:
1. CONTRACT PRICE * is ].25%of contract price with a(Minimum Fee of$50.00)
�/O7�!�/� x.0125 $---L���� —
(contrac[price) (minimum�50.00)
2. STAT'E SURCHARGE:
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---� 9av ��� X .�o�s �--- ��-y�--
(c nLract price)
3. POSTAGE&HANDLING(Or�ly on Mail-In Applications) � 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �(r��� '7 U
■ * CONTRACT PRICE or JUB COST means the actual c�r estimated dollar amount charged for the
permitted work includir.g materials, labor, profit, and othcr fixed costs. It is the vnount to be charged
to the customer for the work clone. lf any material, equipment, ]abor or installations are fumished by
the owner, tenant or any other party, the reasonabie market value of such items must be added to the
estimated cost or cantract pr•ice for permit fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request Yhe submission of a signed copy of the actual contract.
�`I.fUMBII�i�P�RI�T.�;PpL.ICATiO�v'AG��MEl`�I'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.
Applicant's Signature: __ Date: 7�J��_�/
3
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E '/n SCHEDULED �� �
PERMIT NO. 0��� '�r"D�`t� COMPL ED
ADDRESS � �`'SZ� �l�l .Q���I�
OWNER TELE �NE NO.l L_iJ3-7 g�O� 7
CONTRACTOR � 7l� c�
� DESCRIPTION ��`�' �
4� ❑ FOOTING ❑ D O-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
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTMCTOR TO MEET YiOU:_YES_NO
y COMMENTS:
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� KSATISFACTORY`.PROCEED O PROJECTCOMPLEfE
� ❑CORRECT V1fORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP Ofi�EH POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952) 249-46��
OwneHContractor on site:
Inspector: � �•-� l�
White CopyAnspecto�'s File Cenary CopylSite Notke
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� D TIME
CITY OF ORONO CALLED IN ld"�'6
INSPECTION Nq�J,�E ��Cl�cHEDULED ��� ���
PERMIT NO. OfJLS i C PLEf
ADDRESS �7`�� C������ C��O�u/S-�
OWNER TELEPHONE NO � 3-7�
CONTRACTOR
� DESCRIPTION -
ly� ❑ FOOTING ❑ DEMO-FI ❑ SEPTIC FINAL
Q ❑ POURED WALL ��UMBING 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 BUtLT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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��ECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERINCa PERMANENT
❑CORRECTUNSAFECOND�TIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call f x i ion 24 hours in advance. (952� 249-460�
OwnerlC tr oronsi - �d
Inspector. � "-"
White Copyllnspector's Ffle Canary CopylSite Notiee
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DATE TIME��
CITY OF ORONO CALLED IN ��
INSPECTION NOTIC C� SCHEDULED �-/�/(o �
PERMIT NO. ������` �COMPLEfED
ADDRESS ��s� �v-���C'S�"�`�c
OWNER TELE �O�E NO� -3� -T"l
CONTRACTOR ����/J . ��
� DESCRIPTION --���"� �7LGLLG('
ty ❑ FOOTING ❑ DEMO- NAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF �LUMBING 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 OWNERICONTRACTOR TO MEET YOU:_YES_NO ,
� COMMENTS: N/16�6 � ,/� /���
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W ❑WORKSATISFACTORY:PROCEED �28Cy1F�CT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WIIL RETURN
�STOP ORDER POSTED.CALL INSPECTOfi �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 24J-4600
OwnerlContractor on site:
Inspector.�rt i ✓�--� �
White Copyllnspector's File Canary CopylSite Notice