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HomeMy WebLinkAbout2012-00432 - plumbing � CITY OF ORONO * Z 0 1 2 — 0 0 4 3 Z * � 2750 KELLEY PARKWAY DATE ISSUED: OS/18/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3925 CHERRY AVE PIN : 08-117-23-33-0086 LEGAL DESC : HICKORY HILL : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: BASEMENT:2 WC,2 LAV, 1 SHOWER, 1 KITCHEN SINK, 1 FLOOR DRAIN, 1 WATEK HEATER, 1 WET BAR 1 ST FLOOR: l WC, 1 LAV,2 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 LAUNDRY TRAY 2ND FLOOR:3 WC,5 LAV, 1 TUB,3 SHOWER, 2 SILLCOCKS VALUATION OF PLUMBING 16200 APPLICANT PLUMBING FIXTURE FEE 202.50 AIR MECHANICAL, INC. STATE SURCHARGE PLBG (VALUATION) 8.10 16411 ABERDEEN ST NE HAM LAKE, MN 55304 MAIL-IN FEE 2.00 (763)434-7747 TOTAL 212.60 OWNER Real Assets LLC 550 25TH AVE N ST CLOUD, MN 56301- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or no[specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if cons[ruction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause.` �,,��;� ��,,,, / l YKf��/L l l Applicant Permitee Signature Date Issued By Si n ture Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED A O E. o y-�7c�S� FOR CITY USE ONLY ¢�� City of Orono O O, P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway r 'y- t� Crystal Bay,MN 55323 Approved By: Amount$: � ��+ ,� '', =to��`�'�� (952)249-4600—Main '�anm•.-<�� (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt �://���������.dli.mn.�ov/CCLll/PDF/ e lumb lanre��a � . df 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 A 1 ❑■ Residential ❑ Commercial(Approval Required) ❑■ New ❑Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need nrior aauroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: siteAddress: 3925 CHERRY AVENUE DEAN JOHNSON CONSTRUCITON 4700 COUNTY ROAD 19 Owner: Mailing Address: MEDINA, MN 55357 City: Zip: Home Phone: Alternate Phone: (763� 479-4820 Contractor Information: AIR MECHANICAL BETTY Contractor: Contact Person: 16411 ABERDEEN STREET NE PC645558 Address: State Bond#: City: HAM LAKE, MN Zlp.55304 Expiration Date: � 2�3��� 3 Phone: (763) 746-3752 Alternate Phone: �763) 746-3763 � Insurance—Current: WCP7490311 1 PLUMBiNG FIXTURES BEING INSTALLED F[XTURE BSMT 1 2N OTHER FIXTURE BSMT 1 2�D OTHER TYPE FL FL TYPE FL FL Water Closet 2 ,� 3 Floor Drains ,� Lavatory 2 ,� 5 Sewer Ejector Bathtub ,� Laundry Tray 1 Shower ,� 3 Washer Kitchen Sink ,� 2 Water Heater ,� Disposal ,� Water Softener Dishwasher ,� Wet Bar ,� Sillcocks � Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ 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;excludine the cost of the fixture or appliance: and 3. Is improved,instailed or replaced by ihe 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 Coatinued On Next Page) 2 PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 16,200.00 X.o12s $ 202.50 (contract price) (minimum S50.00) 2. STATE SURCHARGE 16,2��.�0 8.�� x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $212.60 ■ * 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. PLUMBING PERMIT APPLICATION AGREEMENT 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. 7 � 05/14/12 Applicant's Signa re: � �. ' "Date: Reset Form 3 DA E TIME ✓ CITY OF ORONO CALLED IN �'� _���� INSPECTION NOTICE (1 SCHEDULED PERMIT NOdD/o? '��D 7� COMPLETED ADDRESS 3925 OWNER T EPHONE NO.Io/� 36.3 7�/ CONTRACTOR ��L� �: DESCRIPTION C�•'`�� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J � � J � � � 0 � W � Q � Z W � W k � d W��WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. l.� rl ; � White Copylinspector's File Canary CopylSite Notice � �� �� D E � / TIME V CITY OF ORONO CALLED IN �2 � �� INSPECTION NOTICE �} SCHEDULED /°Z—�`� -���r PERMIT NO��°� �v� COMPLETED ADDRESS � OWNER TE E ONE NO �� 3 3 �S'� CONTRACTOR �; DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL R ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J � DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:�YES_NO � COMMENTS: ��i, �'_' - � y � , . o ,� — -. �' �- �-� 1 – l���� � � � �/l /.�-.►,� n.�c?�-f-� 7�"',�� �f�_. (� w � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED TtOJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTH�N HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTtON REQUIRED.CAL�TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. / . �� - 1 White Copyllnspector's File Canary Copy/Site Notice C. — � �� �i AT TI M E V CITY OF ORONO CALLED IN 6 � � INSPECTION O ICE SCHEDULED � � PERMIT NO. � COMP ETED ADDRESS OWNER _ � TELEPHONE. — - 7 � CONTRACTOR >; DESCRIPTION — � � ❑ FOOTING ❑ PLUM FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MEC ICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � ��� ( � � !'�J I � _.�-��- � �.(�,,.- � J O � � O � W � Q � Z W � W � � GW �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED I� ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on site: Inspector. ,/''�r �� White Copyllnspector's File Canary CopylSite Notice �� � ATE TIME V CITY OF ORONO CALLED IN �� 'L INSPECTION NOTICE SCHEDULED �� �— PERMIT NO.�Q�2 �D�Z COMPLETED ADDRESS v� ��� OWNER TELEPHONE O. �'��-� �I CONTRACTOR �.H/V`t� C�C�� �: DESCRIPTION / , � �� � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O 1L�� C� �. �1 � �T 0 � W � Q � Z W � W � � d W� �YQRKSATISFACTORY:PROCEED C PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice �� DATE TIME V CITY OF ORONO CALLED IN —8` �- INSPECTION NOTICE SCHEDULED t�l—Z PERMIT NO. � 32- COMP�ETED ADDRESS 392 5 �-�'¢hh� Q�-�- OWNER TELEPHONE NO. 763 7�CO 3 7SZ CONTRACTOR � /"< <-� >; DESCRIPTION � � � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � .1 \ �c�w� � �t �,� �Jc� � -s�' — � - 0 a � 0 � W � Q � z W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑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 WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �'CITATION ISSUED ❑ INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice