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HomeMy WebLinkAbout2016-01242 - plumbing � � CITY OF ORONO 2750 KELLEY PARKWAY * z 0 1 6 - 0 1 2 4 z * DATE ISSUED: 09/30/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 758 BRIDGEWATER DR PIN : 33-118-23-11-0133 LEGAL DESC : STONEBAY FOURTH ADDITION : LOT 16 BLOCK 1 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,(2)FLOOR DRAINS,(2)LAUNDRY TRAYS,(1)WASHER,(1)WATER HEATER,(1)WATER SOFTENER,(1)WET E3AR VALUATION OF PLUMB[NG 15000 APPLICANT PLUMBING FIXTURE FEE 187.50 SCHULTIES PLUMBING STATE SURCHARGE PLBG(VALUATION) 7.50 1521 94TH LANE NE MAIL-IN FEE 2.00 BLAINE, MN 55449 TOTAL 197.00 (651)786-4007 Payment(s) Minnesota State License#:plbg-PC644177,mech-MB005379 CHECK 33721 197.00 OWNER Stonebrook Development LLC 17149 LINCOLN ST NE HAM LAKE, MN 55304- AGREEMEIYT AIVD SWORN STATEMENT The work for which this permit is issued shall be performed according to the approvcd plans and specifications,applicable City approvals,and the State E3uilding Code. This permit is for only the work described and does not grant pennission 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 l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer 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 r�ause. � � " `��-< < , ,C✓ � _, � ��� ��. Applicant Permitee Signature Date Issued By � nature Date� . ;�'�p�� City of Orono FOR CI USE ON�Y Q`,, P.O. Box 66 REC�IVED oate Received:��a'/-� �'1 2750 Kelley Parkway �y�' �� Crystai Bay, MN 55323 Permit# � ���— d�� ���� ��/ (952)249-4600-Main SEP 3 0 2D 16 Approved By: `���sx��!� (952)249-4616-Fax Amount$: � 7• C�TY OF ORONO 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 offces. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards 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 �O�STED Q� T?iE�ng �!T-E. 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 Apply) � Residential ❑ Commercial (Approval Required) [Backflow Device: ❑ AVB ❑PVB] �New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior aparoval and may need CUP. (Per Orono City Code, Chapter 78, Article �V) Job Site / Owner Information: Site Address: �� ���� � � ,� � Owner� Mailing Address ���� ��� ���� ��"' ` ��—�'/ City: .!�/ ��`�,� Zip: ���b� Home Phone: :�1��,='T��'` .. � Alternate Phone: Contractor Information: Contracto : ` � . �rt�P'�2 � Contact Person:l�'Yt'�/c�Y��' � Address: � ���� � ' .� State Bond #: �����%7l City: �aJ,� ,�����lc� Zip: �`� ��' Expiration Date: �� � �� �� Phone: �L��— �'G�,�- �'�[��i Alternate Phone: %��—���`'���� %3=� �Insurance — Current: Page 1 � a ` PL�1U�81�"� FIX ;�.-�� B"EIl�G IAlSTAI.LED ' � ;; � . ., ,:�... � .; �. FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sr 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet � Floor Drains � Lavatory 7 Sewer Ejector Bathtub � � Laundry Tray f � Shower ` � Washer Kitchen Sink � Water Heater � Disposal � Water Softener � Dishwasher Wet Bar / Sillcocks � Miscellaneous � ° F�RMtT FEE CALCULAT[ON ;"�'� 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) _�'%.� L�1'-�'.`,L�"� x .0125 $ ��S 7,�� (contract price) (minimum $50.00) 2. STATE SURCHARGE � �5���:���' x .0005 $ �7.��� ( ontract price) 3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ � /��,���� * 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; eauipment, labor or installations are furni�he�+ �y 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. PLI:�l�{���I�:#��RM�T APPL.ICA1"�4N AGREEMENT 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. ApplicanYs Signature: Date: Building Official/ Inspector: Date: Page 2 ��� - v (� � -� DATE TIME CITY OF ORONO CALL€D IN ��,., INSPECTION NOTI E SCHEDULED �' ` _ --�� PERMIT NO. � ' � ����COMPLETEO � ' ADDRESS ��`� `� ✓- J C�<C� C.-UC�7�'� 1-�2.. OWNER TELEPHONE O. JU � � �- CONTRACTOR � ' � J ��� �� �' DESCRIPTION �L� �� L ��` � � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POtJRED WALL PLUMBING RI Vj jG� uG ❑ EXCAV/GRADING/FILLING �j ❑ FOUNDATION WATERPROOF PLUMBING 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 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Q OMlNERICOHITRACTOR TO MEET Y�OU:�YES_ Z � COMMENT'3: ". ` " � :C�� ��- � r � �u� �� ����-� (I -=��-- �� l�' i�` o �1��:�� (_�..Z-� C: (,ti-� � ��u : � ' f/.�:t'uc�1 �cT o r�� o-� UG" 0 Q - ovl.✓ /�o�g�! s'�,�, �fi /"'YG n���� � � - �-�} Q �� ��s� ��.,�/ � ��.�.,�/�,��� j ��n,-��Pi /P T o��'.� ct�I j �8��,-� l'io M�� 4�j ❑ K SATISFACTORY:PFiOCEED ❑PROJECT COMPLETE � CORRECT VMORK a PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W CORRECT NfORK,CALL FOR REINSPECTION TEMPOMRY V BEFORECaVERINO PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTlON REWIRED.CALL TO ARRANGE ACCESS. Ca8 tor the next inspectfon 24 hours in advanoe. (952) 249-4600 OwnedCoMractor on site• ��1Sp@CtOf: /��a►r�G• YVhits CopyAnapector's Fil� C�nary CoprfSit�Notles �-� � � � � � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE, scHEou�eo T1(�' PERMIT NO. :';C I�;-C����`� COMPLETED ADDRESS - �� � � OWNER TELEPHONE O. ��� �` 7��'�';7 CONTRACTOR ����� ( � �� � DESCRIPTION ��� �'�rn � �- (��� 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL �LUMBING 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ PTIC INSTALL Q OWNERICONfTRACTOR TO MEET YOU: YES_NO � � COMMENTS: �"G ` ��'�` '� W ,� kJ v - �r/� ��►, �p � � � � � A�.% -�G�-� �S hd��� a� , ° - G ���� � ��oa✓ ��u�►� — a �� r�r��h� � �iu� — Pro v�d� acc e�ss �'o ►� Q 2 r,C w�.v � �6 !.� �r<� � W � � J ��K SATiSFACTORY:PfiOCEED ❑PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE Cd1/ERIN(i PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS_ p pH0T0 TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Ca11 ror the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: 1 w+ YVhite CopYAnePecto�'s Fil� Gnary CopYISH�Notks ✓-� � � �� DATE TIME y CITY OF ORONO cnLLED IN � INSPECTION NOTICE /. scHeou�eo ` �C' PERMIT NO. '�'l I� `�^���l-�COMPLEfED ADDRESS 7 -`�%� /��.�2 1 `:,✓�,�-�-�!'"-{^'�_.,r,���' OWNER TELEPHONE NO. ��� ���' �L��� CONTRACTOR =�"2�.'-c-/����' ���� . � DESCRIPTION ! ��-��`-� �` /� � 41 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADINCa/FILLING �O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAI Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 O'WNERICONTRACTOR TO MEET WU:_YES_NO � COMMENTS: � � .��- �- � �- o j � t / O � � 7� � — 3 � J.._ w � � -�' �'�' r'.� S C� Qy ��.. c� � d � � � Z � � W � j � ❑WORKSATISFACTORY`.PROCEED `/� 9SOJECT COMPLEfE W ❑CORRECT WORK 3 PROCEED ❑I UE CERTIFICATE OF OCCUPANCY O ❑CORRECT NfORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE C01/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN INSPECTOR WFLL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspectfon 24 hours in advance. (g52) 249-4600 OwnerlContractor on it : ����: l�a .��. WMte CopYAnspeetor's Fila C�nary CopylSit�Notkx