HomeMy WebLinkAbout2015-00938 - plumbing , CITY OF ORONO * Z 0 1 5 - 0 0 9 3 8 *
, 2750 KELLEY PARKWAY DATE ISSUED: 07/27/2015
ORONO, MN 55356-
952 249-4600 FAX: (952) 249-4616
ADDRESS : 2460 COBBLESTONE CT
PIN : 33-118-23-I1-0081
LEGAL DESC : STONEBAY SIXTH ADDITION
: LOT 003 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: 3 WATER CLOSETS,4 LAVATORY, 1 BATHTUB,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, 1 MISCELLANEOUS
VALUATION OF PLUMBING 12900
APPLICANT PLUMBING FIXTURE FEE 161.25
STATE SURCHARGE PLBG(VALUAT[ON) 6.45
SCHULTIES PLUMBING MAIL-[N FEE 2.00
1521 94TH LANE NE
BLAINE, MN 55449 TOTAL 169.70
(651)786-4007 Payment(s)
Minnesota State License#: plbg-058799PM,mech-MB005379 CHECK 33352 169.70
OWNER
Wooddale Builders
6117 BLUE CIRCLE
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 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 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. � 11� �
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Applicant Permitee Signature Date Issued By Signature Date
. '
FUR CI"['Y tiS�ONLY
�` A r� City of Orono ��v't7/!� �jS ' �����
�<y/� P.O.Box 66 Date Receivsd: Permit#' �
�./ 2750 Kelley Parkway
Crystai Bay,M*1 55323 AAproved By: �� Amaunt S:�.�7 �
� (952)249-4600—Main
i .+ �. (952)249-4616—Fan
'`��'F � c�` CITY OF ORON4—PLUMBING PERMIT
���,'��'3+���i (All Commercial Permits ti'lust be Appreved by the St�te Prior to City Approval)
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CiEI�iEF,�L�NFQRIV�AT1(3N �
1. You may apply for plumbing permits by maii or in person at the Ciry offices. App.ications will be
reviewed and a permit will be issued�vithin two working days.
2. Frrmit cards wilf be sent by return mail zfter a review is completed. PERMiTS ARE NOT
VALID UNTIL YOU RECEtV�A PE4t.�/[T. WORI�;VIUST NOT BEGIN Uti'i'IL THE
P�RMIT CARD IS PUSTED Old1 THE JOB SI7'E.
3. Plumbing permits may be issued ONLY tc�licensed plumbing contractors and to�roperty ow�ners
residing in the d�vellin�.
4. When any new construction ar remodeling is involved,a separate building permit must be
obtained.
5. All wrork must be done in accordartce with State Code requirements.
6. All work must b�inspected and air tesYe�i before it is covered. Cail O52)�49-4600.
(24-48 hour notice required)
'1"Y�E QF�'ERMI'i" `�
Ch�ck Ali That App1Y_Z__.___.
�Residential ❑Commercial(Approval Requiredl
�New ❑Additional ❑ Repairs ❑Replace
❑ In Acressory• Structure7
*Ynu will need�rior approval and may need CI;?.(Per Urono City Code,Chapter 74,Article IV)
Job Site/Uwner�z�farmation: ��
Site Ac�dress: �`��� (�L�����'1�??t�� �
Owner:����_=������� Mailing Address: � �i�f
City: �-eax..� Z�P� 1���4�
Home Phone: �'` ��� Alternate Phone:
�Contractor Information: i
Contr�ctor: -�/ r Contact Person:
�iddress: /�_��•� '� State �ond#: �c�° �`�y/77
City: � Zip�Expiration Date: � � �+?bJ�
Phone: ���'���� Alt�rnate Phone: __
� lnsurance—Current: �_�
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FIXTL'RE BSM'I' 1 2' OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet ! � Floor Drains �
� OG�
Lavatory � Sewer Ejector
Bathtub � ' i Laund.ry Tray /
Showec � � WashPr I I /
/ �
Kitchen Sink � � Water Heater /
Disposal � � Water Soften�r ,
�
Dishwasher Wet Bar /
l i
Sillcocks � Miscellaneous /
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❑ Yes,this section applies
The replacement of only one Resideniial fixture or appliance that meets ail three of the foilowing
requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost�f$500.00 or iess;excludine the cost of the fixture or appliance:and
3. ls improved,installed or replaced by the homeowner or licensed plumbing contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surchazge $ 1.00
I�1ai1-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
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If above does not appiy;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
�%0���.U� x.0125$ �a�� � —
(contract price) (minimum SS0.00)
2. STATE STJRCHAR+GE / �'
���OC�.�L �x.0005 � �+' `�J _.
(wntract prica)
3. POSTAGE&HANDLINti(O�ly on*eiail-In Applications) $ 2.09 �_
4. TOTAL PERIVIIT F�E(Add Lines l-3 Above} S /� � �7v
■ * CONTRACT PP�ICE c�r 30B �OST means th� actual or estirnateci dollar amount charged for th�
perrnitted work including materials,labor,profit,and other,rixed costs. It is the amount to be chargeci
to the customer for the work cione. lf any material, equipment, labor or instaliations az�fumished by
the owner, tenant or any other party, the reasonable market value of such items must Ee added to the
estimated cost or cGntract price for pern5it fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request the subcnission of a signed copy �f the actua! 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 zhe ordinances af the City and the regulations af the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signatur�: _ Date:����
3
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✓ TE TIME '
CITY OF ORONO CALLED IN
INSPECTION OTI E p,3 q� SCHEDULED � ' � 3�
PERMIT NO.Q � 0 OMPLETED �
ADDRESS � ��� ���J� ��yl 1� I ITLfJ`c-!
OWNER TELEP NO��.T�-7�l6�
CONTRACTOR
� DESCRIPTION �
ty ❑ 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Q OWNERICOPITMCTOR TO MEEf YOU:_YES_NO
�2 � ��C SC`t -� �
COMMENTS: //•C� •
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� �.YM6RK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOMERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-460�
'' vnerlContractor on site:
�ector: ` .� i r.._., �
White CopyAnspector's Ffle Canary CopylSite Notice
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DAT TIME ✓
CITY OF ORONO ODG'j� CALLED IN
INSPECTION N TIC� � �EDULED ►�
PERMIT NO. OMPLETED
ADDRESS °'� �
OWNER T EP E � !
CONTRACTOR
.�/f� � .
� DESCRIPTION
t� ❑ FOOTING ❑ DEMO IN L ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUM RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING INAL ❑ 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
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �pHOTO TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2 urs in . 9 � 249-4600
OwnerlContractor on site:
Inspector.
White Copylinspector's File Canary Co�ISite Notice
��� �� DATE TIME
CITY OF ORONO CALLED IN // �
INSPECTION NOTIC Q SCHEDULED �c'
PERMR NO. / � COMPLETED
ADDRESS � � C c_� � (`�' t��( �S� �f
OWNER TELEPHONE NO.�� � ���' � ��7
CONTRACTOR c ` �-� /�S ��
� DESCRIPTION �J ���� ��� �
lV ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�O ❑ FOUNDATION WATERPROOF �LUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ��PTIC INSTALL
2 OWNERlCOPfTRACTOR TO MEE7�N:' YES_NO
v�, COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TE6APORARY
V BEFORECONERINO PERMANENT
❑CORRECTUNSAFECONDITIONWRHIN HWRS. p pHpTOTAKEN
INSPECTOR WFLLRETURN
O STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Ca11 tor the next inspection 2a hours in advance. (g52 j 249-46�0
OwnedContractor on ske:
Inspector: ��`�'
White CopyAnspectoPs Fils Gnary CopylSM�NWia