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Home My WebLink About2012-00223 - plumbing ` a l �� CITY OF ORONO * 2 0 1 z 0 0 z z 3 * 2750 KELLEY PARKWAY DATE�SSU : 03/26/2012 ORONO, MN 55356- `� 952 249-4600 FAX: 952 249-4616 ADDRESS : 3333 SHORELINE DR PIN : 20-117-23-11-0024 LEGAL DESC : REG.LAND SURVEY NO. 1422 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE . -MULTIPLE ��n5 NOTE: KITCHEN SINK AND WATER HEATER VALUATION OF PLUMBING 1300 APPLICANT PLUMBING FIXTURE FEE 50.00 GBG MECHANICAL STATE SURCHARGE PLBG(VALUATION) 0.65 P O BOX 152 TOTAL 50.65 CHASKA,MN 5531& (612)743-3116 PAID WITH CC# 6435 OWNER Lunds,Inc. INC.,LLJNDS, 4100 W SOTH STREET#2100 EDINA,MN 55424 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate pertnits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applic s re ponsible for assurin 1 required inspections are requested i con ance with the Stat B ilding Code.This permit may be revok time for d ause � C'4.1�' / 3 /v`'�o � �J /Z f�l /� App icant P itee Signature Date Issu By Signa re Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. r� � ., � _ ��, a ca�� t�s�� 4'��0 P o sox Orono �at�:Reccr � e�mit,#*� '� �"."�bO o�� 2750 Kelley Parkway � ; � Crystal Bay,MN 55323 A�praueti�y , �lrnounf,$. ��'� '�� (952)249-4600-Main � " ... .•��. ��.E.�i <e.i e �.: 3, a �. . � �.�'i �srno� (952)249-4616-Fax � CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df ��T,Z�i�1�;:�E� ': �" '�� : �� - � � 1. You may apply for plumbing permits by mail or in person at the City offices. Applicarions will be reviewed and a pernut 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 pernut 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) 'i"Y'PE tJF F�� C1i��k�l'1:'��a�.A 1� �A. ❑Residential �Commercial(Approval Required) �„New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need nrior aanroval and may need CUP. (Per Orono City Code,Chapter 78,Article I� Ja� �ite/�,Owner Irifc�rmac�on ; . : " , Site Address: �_�� /T�/�G�� .U/e: Owner:Gl.tN�s Mailing Address: City: ��0 Zip: Home Phone: Alternate Phone: Contra�tax:Iri�oxxnafi�n. ', Contractor: G�� Contact Person: ��4-� �4 L/J Address: �"�'�"X ��a State Bond#: City: G�'�'K�-' Zip:SS.�f�Expiration Date: Phone: � �Z � � �� ll� Alternate Phone: �l -� l 4— �� ❑ Insurance-Current: S T-/f-1'� �L��1 ��, 1 C�U� �cl'z rY �,&.�.�G� � �� FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater � Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous ❑ Yes,this secrion applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modificarion to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip next section,if this applies; Cost of Pernut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Nezt 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) -'`/�3Q�1 �� X.�12$$ � (contract price) (minimum$50.00) 2. STATESURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 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 fiunished 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 statements mad this application are complete, true and conect. Applicant's Signature: Date: 3 a� z�ZZ 3 _�� DATE TIME V CITY OF ORONO CALLED IN 3 a ,--- INSPECTION NOTICE SCHEDULED d� /� %- PERMIT NO. �b�� -dd�� COMPLETED ADDRESS �3�� 1�L 1/�P , OWNER TELEPHONE NO. CONTRACTOR�a� /V�-�-�- >: DESCRIPTION � � ' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ AV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q ti Z W � W � � d W ❑WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALITOARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 2Q9-46�� OwnerlContractor on�site: Inspector. �_ � ' - �� White Copyllnspector's File Canary CopylSite Notice