HomeMy WebLinkAbout2015-01019 - plumbing CITY OF ORONO * 2 0 1 5 - 0 1 0 1 9 *
J'' 2750 KELLEY PARKWAY DATE ISSUED: 08/11/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3375 GRAHAM HILL RD
PIN : OS-l17-23-11-0018
LEGAL DESC : GRAHAM HILL PRESERVE 2ND ADDITION
: LOT l BLOCK 1
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NO"l�l:: PLUMBING FIXTURES:
(6)WA'I'6R CLOSETS.(8)LAVATORIES,(2)I�A"I'I I"I�U[3.(4)SHOWERS.(1)KITCHEN SINK,(3)DISPOSALS.(3)DISHWASHER.(4)
SILLCOCKS.(6)FLOOR DRAINS,(2)LAUNDRY"1'RAYS.(2)WASHGRS.(1)WATER HEATrR.(3)WET[3ARS,(5)MISCELLANEOUS
VALUATION OF PLUMBING 58000
APPLICANT PLUMBING FIXTURE FEG 725.00
STATE SURCHARGE PLBG (VALUATION) 29.00
SCHULTIES PLUMBING TOTAL 754.00
1521 94'TH LANE NE
BLAINE, MN 55449 Payment(s)
(65l)786-4007 CHECK 33369 754.00
Minnesota State License#: plbg-058799PM,mech-MB005379
OWNER
Wooddale Builders
6117 BLUE CIRCLE DR, STE l01
MINNETONKA, MN 55343-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant pemiission for additional or related work which requires scparate
permits. All provisions of]aN�s and ordinances governing this type of work
shall be compicd�+�ith��•hether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of ssuance,or if construction is
suspended for a period of 18�days at any t e after ti�ork has commenced.
The applicant is responsi�le for assuring I required inspeciions are
requested in conformar�Ce with the St Buii ng Code.This permit may be
revoked�u any time fq�r due cause. �
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Applic���it Permite gnature D te ]ssue Signature Date
_ FOR CITY USE ONLY
� `� City of Orono
/����-��/��� P.O.E3ox 66 Date Received: Permit#
,f �.J �, 2750 Kelley Parkway
� �� Crystal Bay,MN 55323 Approved By: Amount$:
�� (9�2)249-4600—Main
^ (952)249-4616—Faa
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����`, �`;r CITY OF ORONO–PLUMBING PERMIT
�`�KFst���`�/ (All Commercial Permits Must be Approved by the State Prior to City Approval)
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GENERAL INFORMATION
1. You may apply for plumbir.�;permiYs by mail or in person at the t:ity offices. Applications will be
reviewed and a permit wil]t�s,issued within two workin�_days.
2. Rermit cards�Nill be sent by ret�w��maii a�ter a review is c::mpieted. Pt�i2��i"I'S ARc NOT
VAL[D lJN'fl(, YOU RECE!Y'E A PER��tIT'. �J1'O�K li1i.'S'I'l�i.)T F�EG��I UNT'IL THE
�ER�'11"f:'.�lif� LS POS"1'�:13 ON 'I'HG Jt)l3 Si'i'E. �
3. ['Iti�nbi��g pern�its���ay bc:iss�iecl ONi.Y to licersed plurt�L+ir���;��ntractors and to��o�erty crvvners
residing ir:�thc,dwe�ilin�.
4. Whe��any ne�v c:�nstrucrion er remodeliri�is in�elve�,a ye�paraie buil�iii�g per�nit must be
obtained.
�. All worl.mi:st be dane in aec.o�dance�uith State Code requireir:an�s.
b. ,�II �vork must be ins��ected and air teste�l be:ore it is covered. ('all{9521�'q;-4600.
(?4-48 fto�r no3ice req�4ired)
___.., _.._____ ----.�._� ____-�----- ------ ---
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� TYPE tJF PERMI'�I�
�__ - ------- ----- (Check_�Il "i hai F��:P_�Y�_ ___._. _�
�Kesidential [�Cc�n��nercial(�pproval Rcquired)
�New � �dditianal � fZe�airs ❑ (teplace
• ❑ In Acc�s�or� Structure?
*You will need nrior apprl�vaY ar�d�na}' nee�CiIP.(Ner Oroi�a C'iry Coc�e,<'hapter 78,Article 1V)
Job Site(Owrier 1r�f'ormatiz�r��i_ �—�
Site Address: ���`� ������ _�
Owner��zrr���� Mai(ir�L AG�ress: G����.���/'�,E���-
City: ,��i� � _ �%�i'l.�., "l_.ip: �� —
Home Phone: ����5��,� Alternate Phone: _�
C�ntractor Ir�fc�rmati�n�_ _ ----���
Contraetor: � Contact Yerson: �
Address: _/�/ �� Siate 13ond#: ��y_ -�l7 7__
C'ity: �-�e�E►t.L__� ?ip:%'�/ �,�p6�•atior� Date: �/ �L��_
I'ho»e: ��'_7�lo_�f�Y� Aitzrn�t�° ;'hone: ----_�.---._____
(�. lns��ran�:4 -� C�irr�«i:
I
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PT.U?VIf311�IC FIXTU��BEII��IAiS"l ALL�,I) _ �
FIXTURF. BSMT l� 2 OTHER FIXTLIRE BSA�T l� 2' OTHER
�'YPF. PL FL TYPE rL FL
11%a!er Closet- ---- -� � Floor Urains T_ � ---�-
� � i _�___ �__��
Lavatory " / Seever�,jector
��
Bathtub � � � Laundry Tray ' �
_ —�- -- �
Shower f � / Washer / � �
Kitclien Sink > Water Heater �
/ � �
E
Disposal / � ��v'ater Softeii�r �` � i
�C)ishwasher � ! 1l'et E3ar �� � i--�
— � �—�- �. �------�-�— �-- '
O �
Sillcocks ' l � Miscellaneous �� � �
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� t'(�;t��2➢ 1 i-��t, t�rii� �;L,«1 �t�h,�;) � � - i
�---- -- � f3�.SE1�t}FF' 2€}�2�S I�AY F ST��I t)E _--_— �_----- �
❑ Y'es,this section a���lies
The replacement of only c�ne Resic��ntia? fixture or eppliance th�at meets all tl�ree of the following
req�irements:
1. Does not requir�modificatiou to electrical or gas service.
�. Has a total cost of$SOU.��or less;excludi»�the cost o#the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed plumbing contractor.
Skip next sectiou,if this applies; Cost of Permit �_ I 5.00
State Surcharge $ 1.00
Mail-In Fee(If Applicable) $_ 2.00
Totai Permit I+ee $
(P�rmit Fees Continued On Next Page)
�
' 's
� P�RMIT�'EE C'�LCULATION�)-.IC?BS aVER $SOOV:00 �
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is I.25%of contract price�vith a(Minimum Fee of$50.00)
� � _ x .0125 $ �,�J`�
contract orice) (minirtmm�50.00)
?. STATF.Sl1RCFL�IiG�
--� OC� ---x .0005 $ -Q��----
(�intract pricc)
3. P�S"f'AGE& HANULING (Only o�l�,1ail-!n Applications) $���
4. TI�TAL PERNi1T F'F.H;(Add Lines !-3 Above) $ 7���
• * CON"I'RACT PRICE or J(�� COST means the actual or estimated doilar amount charged for the
permit;ed work includin�materials, labor, profit,and other fixed cosls. It is the amount to be charged
to the customer fur the work done. If any material, eq�ipment, labor or installations arc furnished by
the owner, tenant or any other party, the reasonable mar�cet value of such itenis must be added to the
estimated cost or cantract price for permit fee purposes. In the event that there is a dispute on the
amount of the job cast, the Ciry may request the submission of a signed copy� of the actual contract.
' _,.,� �'�����'r`�'�RMI'T'APPI,I�ATION AG�F.���<��.�.�.,�.N ��
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
wark in strict accordance �vith the ordinances of the City and the r�gufations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Appl�cant's Si�nature. _ _ Date:_ �������
3
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DATE TIME
CITY OF ORONO CALLED IN ��
INSPECTION NOTICE 0`Q I�,j, SCHEDULED '� �
PERMIT NO.����- _ c�LEfED
ADDRESS ��� U���-�'1'� �GI ��d
OWNER , TELE� NE NO.�� a-�� " � 7 ��
CONTRACTOR
� DESCRIPTION ��
l� ❑ FOOTING ❑ D -FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL /`�PL BING RI�,�y . ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF V❑ 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
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Q OWNERfCONTRACTOR TO MEET YOU:_YES_NO
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COMMENTS:
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W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
C xt inspection 24 h�nrs in advance. (g52) 249-46��
OwnerlC ctor on ' . ��
inspector. }'"'
White yllnspector's File Canary CopylSlte Notke
/ �� ,�'
-�— DPTE TIME
ITY OF ORONO CALLED IN ��-o�I,�
INSPECTION N�QJ�CFr ^,D`� SCHEDULED —� �—� ��
PERMIT NO. ��v�� �J� COMPL ED '
ADDRESS �3�5 /��Q-!/YL
OWNER TELEPHONE NO. L " 7g�O' 7
CONTRACTOR
a DESCRIPTION ��`� �--��"`�1
ly ❑ FOOTING ❑ DEMO-FINA ❑ 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 F�NAL ❑ 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
2 OWNERlCONTRACTOR TO MEET YpU:_YES_NO
� COMMENTS: ��1/l� � .L �1��tc —
a - r�ir ��r� cv�.,d!�-`� -
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W� ❑WORK SATiSFACTORY:PROCEED �RAIFGLCOMPLEfE
� ❑CORRECT WORK�PROCEED ❑ ISSUE CERT�FICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site: !?
�
Inspector:
White Copyflnspector's File Canary CopylSfte Notice