HomeMy WebLinkAbout2017-00369 - plumbing CITY OF ORONO * 2 0 1 7 - 0 0 3 6 9 *
2750 KELLEY PARKWAY DATE ISSUED: 04/17/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 769 BRIDGEWATER DR
PIN : 33-118-23-12-0088
LEGAL DESC : STONEBAY SEVENTH ADDITION
: LOT 1 BLOCK 1
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (3)WATER CLOSETS,(4)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2)
SILLCOCKS,(1)FLOOR DRAIN,(2)LALJNDRY TRAYS,(1)WASHER,(1)WATER HEATER,(1)WET BAR
VALUATION OF PLUMBING 14900
APPLICANT PLUMBING FIXTURE FEE 186.25
STATE SURCHARGE PLBG(VALUATION) 7.45
SCHULTIES PLUMBING MAIL-IN FEE 2.00
1521 94TH LANE NE
BLAINE,MN 55449 TOTAL 195.70
(651)786-4007 Payment(s)
Minnesota State License#:plbg-PC644177,mech-MB005379 CHECK 33889 195.70
OWNER
Stonebrook Development LLC
6117 BLUE CR DR
MINNETONKA,MN 55343-
AGREEMENT AND SWORN STATEMEIVT
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 dces
not grant permission for additionai 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 I80 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.
�>'Yla.�.�r.(� l �7 � /
Applicant Permitee Signature Date Issued By gnature Date
�
�p� C ity of O ro n o ' �;�t���TY U� .�iV�.� �
� P.O. Box 66 p���R�i��__:���--1�„-
2750 Kelley Parkway �8�� . �� ���
� �, Crystal Bay, MN 55323 ���,,,�„�
� �� (952)249�600—Main '
��'�SHr1a� (952)249�616—Fax ����r������ *�
�4t3►out't#$: � � a f'�
CITY OF ORONO— PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
htta://www.dli.mn.s�ov/CCLD/PDF/ae nlumbulanrevapp.qdf
G€t��RAL:I�V��"1F��1lATI�31�1
1. You may apply for plumbing permits by mail or in person at the City offices. 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
POSTED ON THE JOB SITE.
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)
' 'T�"P�C� RERRAIT��h���ll T�t�t�Pp�y�.
�Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB]
,�New ❑Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
"You will need arior aaproval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
.�t}b ��'.►��/Q�Wf��C'lt'�Tf1�s'�'�I�: '
Site Address: � �CJ''..�
Owner:� - �, � � ?�!!ailing Address: �D�/7 ���� ��.d��,��
City: ��i�� �- Zip: ���f�
Home Phone: �.�.���7 � Alternate Phone:
���"i����i�: , ,
b
Contractor: �Contact Perso
Address: /� State Bond #: �o S`
City: r��S�L�� i� Zip� �� Expiration Date:/_c���o►�J�
Phone: �d.�—�� `" �Q�� Alternate Phone: ��?'�'"/�0"7��
�nsurance—Current:
Page 1
FIXTURE BSMT 1sr 2ND �THER FIXTURE BSMT 1sT 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Ctoset f a Floor Drains �
Lavatory J Sewer Ejector
Bathtub f Laundry Tray �
Shower � Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar �
Sillcocks Miscellaneous
1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of a50.00)
�/�"I �� � x .0125 $ "�"�o.o�
(contract price) (minimum$50.00)
2. STATE SURCHARGE
�'/S�9�`� X .000s �T . �
(contract price)
3. POSTAGE� 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, equipment, labor or installations are furnished by 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.
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 statement de on ' plication are complete, true and correct.
Applicant's Signature: Date: `7/a a��
Building Official/ Inspector: Date:
Page 2
� " " DATE TIME I
CITY OF ORONO cnLLED IN k �- �
INSPECTION NOTICE SCHEDULED �I �► i'h'y�
PERMR NO. �� � O���� COMPLETED �t�_�� I l Q�
ADDRESS �l.P� ��i(��1,WU���e/ d�v .
OWNER A TELEPHONE NO. ��L�� -S�`��
CONTRACTOR � � � VV�,��V�
� DESCRIPTION ��VV I(UI(� �� - '�/ �-�P/l��-�-- -
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL �LUMBING RI ❑ EXCAV/CaRADING/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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
i OWNERlCODfTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
�
� � ��S ST�c �S ��
o !iG S�tf : � _
�' /�/•K�' �w 6
0
� � � � L /�T �
� '
Q �i G u �t�irr t)r� 0/�
2 � ,6s �
�
W
CC
J
� �KSATISFACTORY:PROCEED ❑PROJECT COMPLEfE
W ❑CORRECT VNORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
O ❑OORRECT WORK,CALL FOR REINSPECTION TEMPORARV
V BEFORE CONERINO PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pH0T0 TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
O INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advanoe. (952) 249-4600
Owne on site:
Inspector:
yVhit� to�'s Fib Camry CoppfSib Notln