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.
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Applicant Permitee Signature Date Issued By � nature Date�
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;�'�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 ���� ��� ���� ��"' `
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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: �� �
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Phone: �L��— �'G�,�- �'�[��i Alternate Phone: %��—���`'����
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�Insurance — Current:
Page 1
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` 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
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INSPECTION NOTI E SCHEDULED �' ` _ --��
PERMIT NO. � ' � ����COMPLETEO � '
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