HomeMy WebLinkAbout2017-00540 - plumbing CITY OF ORONO * z 0 1 7 - 0 0 5 4 0 *
2750 KELLEY PARKWAY DATE ISSUED: OS/22/2017
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 797 BRIDGEWATER DR
PIN : 33-118-23-12-0021
LEGAL DESC : STONEBAY FOURTH ADDITION
: LOT O10 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (3)WATER CLOSETS,(4)LAVATORIES.(1)BATHTUB,(2)SHOWERS,(1)KITCHEN SINK,(DISPOSAL),(1)DISHWASHER,(2)
SILLCOCKS,(1)FLOOR DRAIN,(i)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WET BAR
VALUATION OF PLUMBING 14900
APPLICANT PLUMBING FIXTURE FEE 186.25
SCHULTIES PLUMBING STATE SURCHARGE PLBG(VALUATION) 7.45
1521 94TH LANE NE MAIL-IN FEE 2.00
BLAINE,MN 55449 TOTAL 195.70
(651)786-4007 Payment(s)
Minnesota State License#:plbg-PC644177,mech-MB005379 CHECK 33922 195J0
OWNER
Wooddale Builders
6117 BLUE CIRCLE DWVE
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.
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Applicant Permitee Signature Date [s ued By S' ature Date
` R���IVED
,�,`p� City of Orono FOR E Y
� 1 27b0 Kelley Parkway MAY 2 2 201 i o�te Rece�ved:
t y ��, f Crystal Bay, MN 55323 P����# � �,�`�v��
+� �` (952)249-4600—Main '
�''k�sxo'��' (952)249�3616—Fax ��N OF�R��� '�PProved By:
Amount$:
CITY OF ORONO — PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to Ciry Approval)
http://www.dli.mn.qov/CCLD/PDF/pe plumbplanrevapp.pdf
GE�I;ERAL INFORMATiQN
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)
TYPE QF PERMIT(Check All That Apply)
�Residential ❑ Commercial (Approval Required) [Backflow Device: �AVB ❑PVB]
�New ❑ Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
"You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job,Site /Owner Information:
Site Address: �
Owner: ailing Address: �l/%_1���� (.�1.� � ,�/1
c�ty:i%�r����'� z�p: �3�
Home Phone: �1��Y�'��� Alternate Phone:
Contractc�r lnft�rmation:
.
Contractor� ontact Person:
Address: �1 �� State Bond #: � I
City: . /��� Zip: ��`� Expiration Date: � /7
Phone: ���'"���---��d� Alternate Phone:
�Insurance —Current:
Page 1
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FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sr 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet � Floor Drains
Lavatory ! 3 Sewer Ejector
Bathtub j Laundry Tray
Shower I Washer j
Kitchen Sink Water Heater
Disposal I Water Softener
Dishwasher ' Wet Bar
Sillcocks Miscellaneous
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1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00)
��7. ��� x .0125 $ �tg�;o?S•-
(contract price) (minimum $50.00)
2. STATE SURCHARGE
d � �
� x .0005 $ � �`S
contract 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, 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.
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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 the ordinances of the City and the regulations of the State of Minnesota, and
certifies that all statements made on this lication are complete, true and correct.
Applicant's Signature: Date: �
Building Official/ Inspector: Date:
Page 2
�1___, DATE TIME V
CITY OF ORONO CALLED IN 0'o��
INSPECTION NOTICE SCHEDULED I D' Tr:if-1-0
PERMIT NO. Zo /—J 00570 COMPLETED
ADDRESS 79 7 6r/d tU1T/ K P/
OWNER TELEPHONE NO:(03- 7Y 7--- (71 007
CONTRACTOR .D"Ji'c-S /5hr471i€5
DESCRIPTION _JLC! 7/ °6S-71-(ct-ff-
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k ❑ FOOTING 0 DEMO-FINAL 0 s PTIC FINAL
5c ❑ POURED WALL Sle PLUMBING RI 0 EXCAV/GRADING/FILLING
ElFOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
Q
2 ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
Z
❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ElWATER HOOK-UP ElFOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
Q OWNER/CONTRACTOR TO MEET YOU:—YES_NO
ti COMMENTS: -d to C - QVC /j - If d
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Lu• WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
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W ElCORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O 1:1CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ID CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. 7- r+ l i'-- 4--
White
-White Copy/Inspector's File Canary CopylSite Notice
1'
").------ DATE TIME
I CITY OF ORONO CALLED IN
INSPECTION NQTIC ��, A SCHEDULED o 'Jy-/F ?.X'
PERMIT NO. 0(41/7— �CfOMPLETED
ADDRESS 7 �f�G �6�1 moi' /)
OWNER �--��TELEPHONE NO /2 s7*�''2,Z-
CONTRACTOR ..Se.,- l u
DESCRIPTION P/hg.. 1� // -,
1....
W 0 FOOTING 0 DEMO- AL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
La ❑ FOUNDATION DRAIN TILE QLUMBING FINAL
0 TREE REMOVAL
Z ❑ LATHE 0 MECHANICAL RI ❑ SITE INSPECTION
It 0 FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS -
is ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
11/ 0 FINAL ElWATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
, ❑ DEMO-SITE 0 SEPTIC INSTALL
c OWNERICONTRACTOR TO MEET YOU:_YES—NO A
WCOMMENTS:
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Wj 0 WORK SATISFACTORY:PROCEED Q{£CT COMPLETE
W ElCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site-
Inspector. /d-
White Copyllnspector's File Canary Copy/Site Notice