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HomeMy WebLinkAbout2010-00769 - plumbing ` ' CITY OF ORONO PERMIT NO.: 2010-00769 2750 KELLEY PARKWAY ORONO, MN 55356- DA7'E �ssUED: 09/02/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3423 SHORELINE DR PI1� : 20-117-23-12-0034 LE..._L DESC : REG. LAND SURVEY NO. 1422 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : COMMERCIAL- BUSINESS CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: THIS PERMIT IS FOR 3435 SHORELINE DRIVE-BOWLING ALLEY (1)3-COMPARTMENT SINK (1)PREP SINK (1)HAND SINK (3)FLOOR DRAINS VALUATION OF PLUMBING 3600 APPLICANT PLUMBING FIXTURE FEE 50.00 PERFECT PLUMBING STATE SURCHARGE PLBG(VALUATION) 5.00 16609 ILL(NOIS AVE LAKEVILLE, MN 55044- TOTAL 55.00 (612)867-1192 OWNER TAMMER, BARRY 144 NORMAN RIDGE DR BLOOMINGTON,MN 55431- AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requeste onformance ' the State Building Code.This permit may be rev ed• an t�me f cause. � ��Z- �/� � � Applicant Permitee Signature Date ]ssued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � �� ' FOR CITY USE ONLY ,¢p� City of Orono 1 p O O P•O.Box 66 �1i `\ Date Received ��G� permit# ����W� ' �� � "� 2750 Kelley Parkway ,, r �1�; � � � �-. � Crysta]Bay,MN 55323 rJ-� Approved By: �_ Amount$:� �o�G` (952)249-4600 � � �e�8o8 CITY OF ORONO-PLUMBING PERMIT C�`_� ���p (All Commercial permits must be approved by the Building Official or Inspector) ,GENERAL INFORMATION ' 1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Pernut 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 pernuts 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) TYPE OF PERMIT (Check All That APP1Y) ❑Residential �Commercial(Approvai Required) ❑ New ❑Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior aparoval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site/ Owner Information: ; � � ; .�, ,� Site Address: �y 3 , .s ��-��� �-' "�� � ��Z-- • Owner: J�:�22�/ (��tiz� MailingAddress: ��� �+'�'Lwti�M %2� ��y-c. �"� -t City: I�►�� ,.�, �....� -�-L,� zip: S��S y 3..7 Home Phone: Alternate Phone: �.rZ �Z-' � � � � b Z Z 3 Contractor Information: Contractor: �)��� L�� ��wr.��- Contact Person: �+G�C- 1��K+ �.J�n-� � Address: I Ic b C�� �C C, .,�;;.� �.�-t,� State Bond #: I��- �p(p j `�`{- 7S City: �-A-���� ��, Zip:S.SC%��Expiration Date: j � �� ti Phone: Cc��Z�L'�7 �� � z- Alternate Phone: � Insurance-Current: �/c� 1 � �� 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 Baz Sillcocks Miscellaneous ` � � C °m'(J'a�.Tn'U-c'`' ��^�� � _ � ,u.� s , ,� � j _ ��,,,n ,S;� ,� 3 � �'�6�.� p�.a�;� � ❑ Yes,this section applies The replacement of a Residenrial fixture or apnliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludinS 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 Pemut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 ,� � � If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 125%of contract price with a(Minimum Fee of$50.00) O� ���� � x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) x.0005 $ (contract price) (minimum$ 5.00) 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 estima.ted 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 aze fiunished by the owner, tenant or any other parly, the reasonable market value of such items must be added to the esrimated 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$5.00—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. 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Pfom�o-nole �oh�a�bv tba Plumb��l+��'b��lt�i as a r�&af dro�n�►iaw. �ta�i�cd�bm8 A� mu�b��d�� ���i��� 14, 17����W�ar and�r(��ri�!be�C►JM�to$Pbmbit��on�ee&� ir�oado�caoductod by DY�i� 'T�c�c�pr inc;iodc pr�jo�Iow�ed ib a�t�■t ha�e not�do�6od tho St�e Buikb'�g Cod�1�lh ow+e e+e�a�d�r�ad!ry tba�Dep�cbnp�t�f Ne�{1�tDHj; ba�k3�c�wwned t+Y the qe��nnd pe�da�soid�l,4�r ah�t3L1 re�vie�►��quedtrd by tl�t �io�llh►ar d�rt�e. Prior od�s�inepediaa��c T�L�,the�r�t veri�y tI�t�e ' ivQuieed�tbp ta��cen sd+s�6�ed. Pa�aaa�a�Oa caao�m�roq�ed Di.x pri�bin8 E�pocti�s�d i'ee.Ple�a e�ot ti�e�gioo�l DI1 pl�1�Gvr or vtsit o�r web�� Nf�T� l. T6e aa�o��t�pr�ect�of tha�made�aftn a� Tix p�g ios�ll�ica i���s�,+�pnp�,a���ee�oac�,:ead s pa�blt wupar , Z. T�is�o�r wAI be�d b!�►��w�er�ud ar�ror�err►ioa�. Au�bo�ciaa 8�aoo�o+4 in�wl�t�a�ea�rqd�m�'b�v�ii'��Aat ��rid�a pari�od a�tvra yeua, Thc fi�d�Rtl�pi�he�reQ 6xn sp�ared ck�m�t ne�amo�q� rocamma�ddious ar�£c�d��e rvili r�dt ba tiardo et�ama Lbee�f�e►wl�e o�ed cao�io�rr, �laatl�Otim�iao.aadv�ed mdo�i�prt�+as�a�t� �°►P3�+►� � G � H�dueyG•� PpbliO�ZeeBh B�i�oOr Ph��Rsv�r eed�pe�#iaat thait ssirss�-ssao «s: lasrry 7�uer �a En�6Qg H�pir►Co�m�Y BiS F�o Tt�l'ql. P.� � �/ r � � �p TE TIME V CITY OF ORONO � CALLED w �� ��C�J INSPECTION NOTICE SCHEDULED Q ' PERMIT NO.ao/4-0�7(�9 COMPLETED 7'�� ' O ��'F��t e'� 3`F,�.3) . ADDRESS .� � �� �G�/%i'-L`' / � f�1�' �-�fZ OWNER TELEPHONE NO.��� �('� � ����� CONTRACTOR � � ��''t 7'� �rn �; DESCRIPTION � � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ SEPT�IC/�INAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:�YES_NO � COMMENTS: � W a O � � ��S'T � r .J �1ti�J� � � /� G�' l.�11��-��r�U�✓/� Ct 0 � W � Q � Z W � W � � GW �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor on s' e: Inspector. � L , White Copyll�spector's File Canary CopylSite Notice ✓ E TIME CITY OF ORONO CALLED iN � INSPECTION NOTICE SCHEDULED - � ' PERMIT NO�O/D� D476Q COMPLEfED , �A�DRESS .����5 � �� . �,� ,, �,��'�'dWNER �ELEPHONE,NO.�Z ��7 !l�Z— `�- CONTRACTOR � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 � OWNERICONTRACTOR TO MEEf YOU:_YES_NO y COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � O C RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 Owner/ConVactor on site: Inspector. White Copylinspector's File Canary CopylSite Notice DATE TIME ✓ CITY OF ORONO CALLED IN ��-2� INSPECTION NOTICE Q� SCHEDULED /0-27-/O � PERMI jV� a0/D—�d�� / COMPLETED �� � �J .,���ADDR SS_s�� 3 OWNER T LEPHONE NO.�`Z � �� CONTRACTOR �� � �: DESCRIPTION � � " � ll� ❑ FOOTING ❑ PLUMBING AL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � � ir� �'C �i'�-P N �l �:� /�� ° A � ���v� c-� Q � 5.�� �S �-=i o v r �F' �1 ;�r C � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL REfURN ❑STOP OADER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. '"� /1^S White Copyllnspector's File Canary Copy/Site Notice