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HomeMy WebLinkAbout2014-00143 - plumbing CITY OF ORONO ll I I III I II ! ll Ill 11111 11 * 2014 - 00143 * 2750 KELLEY PARKWAY DATE ISSUED: 02/20/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 875 WAYZATA BLVD W PIN : 35-118-23-44-0011 LEGAL DESC : UNPLATTED 35 118 23 : LOT MB BLOCK MB PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: LAUNDRY TRAY VALUATION OF PLUMBING 800 APPLICANT PLUMBING FIXTURE FEE 50.00 ASSOCIATED MECHANICAL CONTRACTORS, STATE SURCHARGE PLBG(VALUATION) 0.40 1257 MARSCHALL ROAD MAIL-IN FEE 2.00 SHAKOPEE, MN 55379 TOTAL 52.40 952-445-5119 Payment(s) Minnesota State License#: mech-059419-PM,plbg-PC643141 CREDIT CARD 5255 52.40 OWNER KA Reality 4210 W. SHAKOPEE RD BLOOMINGTON,MN 55437- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. (-2/U Lae" Applicant Permitee Signat at Issu By Signature Date 95223331?7. 08:34:30 a.m. 02-19-2014 2/4 R rips.ONLY City of Orono22,�,!ti-126 I ��D� p.0.Box 66 Date Receive lqPermit# / O 2750 Kelley Parkway C A w, /�-7 Crystal Bay,MN 55323 Approved By: Amount$: a ' (952)249-4600-Main s (952)249.4616-Fax yFI, C' CITY OF ORONO—PLUMBING PERMIT t4k-fsHo -t (All Commercial Permits Must be Approved by the State Prior to City Approval) lrttp://www.dli,mn,eov/CCLD/PDF/pe plumbplanrevapp.pdf GENERAL INFORMATION 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 OF PERMIT (Check All That Apply) ❑Residential 0 Commercial(Approval Required) ❑New 0 Additional ?'Repairs Pt/te O'E L_ 0 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: g Z S L)A Y/N- A t�U Owner: L.t Y`t. C X Mailing Address: '.P 2.)D Ix.1 pt"<tiviakverAka City: g1 DE31'1 Zip: "S-`1,S Home Phone: 952. ~9411t—IA 16 C Alternate Phone: Contractor Information: Contractor: AO0CG 4'tD 11 c. A Jze &Contact Person: 11 Address: /2-g State Bond#: pc 1043 14 City: 54,4440 Aft Zip: Expiration Date: ‘D.- 31— Phone: 9E Z.` 4'. "S!bZ) Alternate Phone: ei5�' �j'j 3 13 ❑ Insurance—Current: `1%Y\ 16(i A 2 I r 952233313: 08:35:17 a.m. 02-19-2014 3/4 FIXTURE BSMT Is' 2" OTHER FIXTURE BSMT 1FL OTHER TYPE FL FL TYPE 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 „. TRAV000240,. ❑ Yes,this section applies The replacement of only one Residential fixture or appliance 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;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 Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 , Total Permit Fee $ (Permit Fees Continued On Next Page) 2 9522333137 08:36:04 a.m. 02-19-2014 4/4 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contractprice with a(Minimum Fee of$50.00 Q AO x.0125$ No (contract price) (minimum$50.00) 2. STATE SURCHARGE *g x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ SZ ■ * 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 statements made on this application are complete, true and correct. ;k1Applicant'sDate: 1Jj ;j( TSignature: �-------���" � 1 ((„ 111 3 I' ii-„...en........„----•- � DATE ,` TIME t-CITY OF OR OIN zT INSPECTION N•TI - SCHEDULED •-/.+'--1 if rf..,_340 PERMIT N• - 4.) / COMPLETED ADDRESS e 75 c I ' /,i/ / . ( Ud OWNER .1. PHONE NOP) a_ 3_D 59 CONTRACTOR / 11/tXe DESCRIPTION PI6 �r� LU 0 FOOTING ❑ PLUMBIN NAL 0 EXCAV/GRADING/FILLING cr 0 POURED WALL ❑ MECHANI L RI 0 LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL 2 0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS 0 FINAL ❑ SEWER HOOK-UP 0 COMPLAINT v 0 DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP IQ ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL v 0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES/ NO (0) COMMENTS: CC 1 e S4nl;tof <l� /k d -t4teCez 4.)/ V g J 0 111544 lloCQ re-- s ct / Keiahr.,, s i ilk - cc0 W cc (UOf x- 6c/o ✓S � ►vica-19 — Q rDe4 i p 2/ ✓xr / r X44/eV LAJ CC 0 IQ ❑WORK SATISFACTORY:PROCEED COMPLETE W CC ❑CORRECT WORK&PROCEED ❑ IS E CERTIFICATE OF OCCUPANCY CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlC• •ctor on site: I 0 4J Inspector. 0 i White Copyllnspector's File Canary Copy/Site Notice e& DATE TIME CITY OF ORONO CALLED IN INSPECTION NOOlta �'/,SCHEDULED� D2-c / I q q: PERMIT NO. nCOMPLETED ADDRESS 875 Wail-el-a_ CD 46I U� OWNER TELEPHONE NO. CONTRACTOR 0 DESCRIPTION 4)/1641t IQ 0 FOOTING 0 PLUMBING FINAL� � ❑ EXCAV/GRADING/FILLING 0 POURED WALL 0 MECHANICAL RI ❑ LAKESHORENVETLANDS y 0 FRAMING 0 MECHANICAL FINAL 0 TREE REMOVAL 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP 0 PROGRESS is 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT v ❑ DE O-SITE 0 SEPTIC MAINT ❑ FOLLOW-UP 0 MO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL ER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc C � jY64" O cc cc w CC WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952 ' ' -4600 Owner/Contractor on site: Inspector_ White Copy/Inspector's File 41,4eVAF y/Site Notice