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Home My WebLink About2009-00147 - plumbing � , CITY OF ORONO PERMIT NO.: 200�-00�4� 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUEn: 04/28/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2420 SHADYWOOD RD PIN : 20-117-23-11-0002 LEGAL DESC : UNPLATTED 20 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1 HAND SINK 1 FLOOR DRAIN VALUATION OF PLUMBING 5000 APPLICANT PLUMBING FIXTURE FEE 62.50 MID-CITY MECHANICAL CORP. STATE SURCHARGE PLBG(VALUATION) 2.50 9103 DAVENPORT STREET NE BLAINE,MN 55449 MAIL-IN FEE 2.00 (763)78Cr8617 TOTAL 67.00 OWNER CENTERS,VOYAGEUR SERVICE 2420 SHADYWOOD RD NAVARRE,MN 55392- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �;�:�� `� o��'l D � � 8'� O 9 Applican errr►itee Signa ure Date Is d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. I�OR CITY USN ONLY � p``� City of Orono c��p� � � � P.O.Qox 66 Date Received: '/p��cnnit#�`Q��-' �� Q � ' 2750 Kelley Parkway T�Q a � �y�*�; Crystal Bay,MN 55323 ApproFed By: of nmount$:_ Y. �;� � '' (952)249-4600 � .�.auo.:- — — CITY OF ORONO—PLUMBING PERMIT (All Commercial permits mus[be approved hy�he]3uilding Official or I�spcctor) �ENERAL INFOIZMATION _ �� L 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 retum 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. Wt�en any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in aecordance 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 � (Cbeck All That App1y) ❑Residential �Commercial(Approval Required) ❑New �Additional ❑Repairs ❑Replace , �E,NnOpE l. � In Accessory Structure? *You will need nrior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: —� Site Address: oZy p�0 SNAi�.�WOnQ �. � � AV►QR�_ Owner: �t�1,1011c.r (:O�O�ANL�S Mailing Address: �\�--' �''�-'r i��-��1 City: ;�\ '� ,��vS�S�-��S Zip: ��Z��-4�, Home Phone: ��`'��'�-'��`��%�' Alternate Phone: Contractor Information: ' Contractor: rV1tp-CRu tVlEC.4�. Contact Person: h1111� LOe.�LW�AN Address: C1 lb3 �IPk,VFJV�pDLT ST. State Bond#: City: �tNE Zip:SS��Expiration Date: Phone: 7(s3•7�b� �Sbl'1 Alternate Phone: � Insurance—Current: 1 FIXTURE BSMT 1ST 2 OTT�R FIXTURE BSMT 1 2 ° OTf�R TYPE FL FL TYPE FL FL Water Closet Floor Drains � Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer N�n Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous � Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not requue modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin¢the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Pernut $ 15.00 State Surcharge $ .50 � Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued Oa Next Page) 2 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) S.000 . 00 x.0125$ �P2• SO (co tract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) $�Ou0 .00 x.0005 $ �• $O (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� • 4� ■ * 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 fumished 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 STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. 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. Applicant's Signature: —� �--- Date: -7 " 6�� 5 P ll,�,�, 3 MID-CITY MECHANICAL CORP. 9103 Davenport Street N.E. * Blaine, MN 55449 (763) 786-8617 PHONE (763) 786-8640 FAX LETTER OF TRANSMITTAL DATE: 4/6/09 To: City of Orono P.O. Box 66 2750 Kelley Parkway Crystal Bay, MN 55323 Attn: Building Department From: Angie Reitz RE: Holiday Stationstore # 3546 2420 Shadywood Drive Orono, MN We are sending via: � Mail , �TY DESCRIPTION 1 Plumbing permit application. 1 Check # 6203 for $67.00. 2 Sets of plumbing plans. Remarks: Please mail permit. Thank you! Signed: Angie Reitz DATE TIME � CITY OF ORONO CALLED IN .S`/�"Dy INSPECTION NOTICE SCHEDULED _� i� � PERMITNO. �d��9 ' DD/�� COMPLETED �S `L L� l�GY� ADDRESS ,�S�� U .�y�� c� OWNER /�-�s��.�.i - CONTR. L'ht.� �� '-l'� �'-��, v' ^� TELEPHON�N�O. ��03 - 7�� / 7 ��'�-� � DESCRIPTION � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? `❑�-PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J �}PLUMBING FINAL ❑ FOUNDATION/REMOVAL � �OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a 0 /� ��. 5` r"�jt f G� �.]'r"� � � O � W � Q � 2 W � W � � � ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK&PROCEED i ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 24J-460� OwnerlContractor on site: Inspector. � , � � ,�� White Copyllnspector's File Canary Copy/Site Notice