HomeMy WebLinkAbout2015-01405 - plumbing CITY OF ORONO * 2 0 1 5 - 0 1 4 0 S
2750 KELLEY PARKWAY DATE ISSUED: 11/02/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS 2687 WAYZATA BLVD W
PIN 33-118-23-13-0002
LEGAL DESC UNPLATTED 33 118 23
: LOT 000 BLOCK 000
PERMIT TYPE PLUMBING(>$500)
PROPERTY TYPE COMMERCIAL-BUSINESS
CONSTRUCTION TYPE FIXTURE
NOTE: STUB OUT FOR IRRIGATION LINE FOR THE WATER METER.
OK'D BY SCOTT O TO ISSUE THIS PERMIT
VALUATION OF PLUMBING 900
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 0.45
B& D PLUMBING&HEATING INC. TOTAL 50.45
4145 MACKENZIE CT NE Payment(s)
ST MICHAEL,MN 55376- CHECK 551557 50.45
(763)497-2290
OWNER
Long Lake Properties LLC
8525 E PINNACLE PEAK RD
SCOTTSDALE,AZ 85255-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. 7 `?
0 , c�
plicant P rmitee Signature D atle Issued By Signature Date
FOR CIT E ONLY
City of Orono � ✓ O
0\ P.O.Box 66 Date Received: Permit# _
, 2750 Kelley Parkway
C'r\stal Bay,MN 55323 Approved By: Amount$:
(')52)249-4600—Main
(952)249-4616—Fax
CITY OF ORONO—PLUMBING PERMIT
. � ! � '
(All Commercial Permits Must be Approved by the State Prior to City Approval)
htt La/wwrN.dii.mit.(rov/CCLD/PI)F/ a pIumbpIanrevapp.pdf
C,ENERAL INFORMATION
1. ij may apply for plumbing permits by mail or in person at the City offices. Applications will be
'\;c\,,cd and a permit will be issued within two working days.
2. rmit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
I.I I) UNTI I..YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
1'';101IT CA RD IS POSTED ON THE JOB SITE.
3. nhing permits maybe issued ONLY to licensed plumbing contractors and to property owners
. idin-, in the dwelling.
4. en ,my new construction or remodeling is involved,a separate building permit must be
;cud.
5. work must be done in accordance with State Code requirements.
6. 1 work must be inspected and air tested before it is covered. Call(952)249-4600.
t-A`t hour notice required)
TYPE OF PERMIT
(Check All That A I
tc: 11;11 tCommercial(Approval Required)
❑Nc• �_] Additional ❑ Repairs ❑ Replace
; In Structure?
%,P1 need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
,lob Sit �•,�ner Inlortnation: -�
Site A,', InJo��I?� ,�)�Vj
OwnsMailing Address:
(:fly: 61'pY�Q Zip:
1lrmc = �����5-U� 1 Alternate Phone:
(�( 0111r r Information:
L
Contact Person: �v(C' oS
MKfC'PX>Z.I Q Cf State Bond#:
( _ I(JInG�,Q,Q Zip: Expiration Date:
(D Alternate Phone:
❑ Insurance—Current:
1
s
f
C
FI✓E CALCULATION(S)—LATIQN(S)—JOBS OVER$500.00
I ! not apply: follow guidelines below:
CONTUAC`I' PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
( V (/ x.0125 $
(contract price) (minimum s50.00)
1 ,\T1; `;1IRCHARGE
x.0005 $
(contract price)
)OS]-AGE R HANDLING (Only on Mail-In Applications) $ 2.00
1(YI AL I'V1011T FEE(Add Lines 1-3 Above) $
' PAC]- 11RIUE or JOB COST means the actual or estimated dollar amount charged for the
tri ! �\ork including materials, labor, profit, and other fixed costs. It is the amount to be charged
io tl ,onier I'Or the work done. If any material, equipment, labor or installations are furnished by
. icnant or any other party, the reasonable market value of such items must be added to the
a st or contract price for permit fee purposes. In the event that there is a dispute on the
4 t!ie.ioh coy t, the City may request the submission of a signed copy of the actual contract.
I'I.tlMBINGPERMIT APPLICATION AGREEMENT
t ' I lic ic!�. ipplics to the City for issuance of a Plumbing Permit, agrees to do all
;iccordf tce with the ordinances of the City and the regulations of the State of
. ,,I cerci l ics that all statements made on this application are complete, true and
At,,. IIaturc: Date:���b���
3
CITY OF ORONO CALLED IN DATE TIME
INSPECTION NOTICE 0Y SCHEDULED t
PERMIT NO. c..�9 COMPLETED f 3
ADDRESS (/(10Var
OWNER TELEPHONE NO.
CONTRACTOR
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF LUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
«� COMMENTS:
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W ❑WORK SATISFACTORY PROCEEDPRO TCOMPLETE
ozW
❑CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR EI CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
O*MerlContra on site:
Inspector. EfnTkfa
White CopyAnspector's File Canary Copy/She Notice