The URL can be used to link to this page

Home My WebLink About2013-00697 - plumbing a � CITY OF ORONO * Z 0 1 3 - 0 0 6 9 7 * ` 2750 KELLEY PARKWAY DATE ISSUED: 07/23/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS . 151Q�14R�`�-ARM DR n�;�; 3`f�`.> ��he r'1''1..q f�z%� J PIN : 08-117-23-33-0078 LEGAL DESC : HICKORY HILL : LOT 020 BLOCK 000 PERMIT TYPE : PLUMBING(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: BSMT: 1 WC, 1 LAV, 1 SHOWER, 1 PLOOR DRAIN, 1 WATER HEATER, 1 WET BAR 1ST FLOOR: 1 WC, 1 LAV, 1 K[TCHEN SINK, 1 DISHWASHER, 1 LAUNDRY TRAY, 1 WASHER, 2ND FLOOR:2 WC,4 LAV,2 TUB, 1 SHOW�R VALUAT[ON OF PLUMBING 15000 APPC.ICANT PLUMBING FIXTURE FEE 187.50 NORTH ANOKA PLUMBING STATE SURCHARGE PLBG(VALUATION) 7.50 22590 RUM RIVER BLVD.N.W. MN 55070- MAIL-IN FEE 2.00 (763)753-3373 TOTAL 197.00 OWNER Real Assets LLC 550 25TH AVENUE N ST CLOUD, MN 56303- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be peribrmed according to the approved plans and specifications,applicable City approvals,and the State E3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this t'ype of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if cons[ruction authorized is not commenced wi[hin 180 days of the date of issuance,or if construction is suspended fbr a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the S[ate Building Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued y Si ture ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO l .� _�\ FORCITI'L'SE OlrZF Cin>of Orono �t�� P.O.Box66 DateRecaved Pamit# O �' 2^SO Fu!!ey Parkway Cr�stal Bay,�'R�553:3 Appro�•edBy: Amount$: ` (952)249-4600—�fain �� 4 �� (952}2�i9-4616—F� ' � ;,�'\ .` ' CITY OF ORONO-PLL�IBI'_�G PER'�IIT' ��q�`�s t+�'�'E� (All Commercial Permits Must be Approved b��the StatePrior to City Approval) htt�:i�'�v��.dli.mn.�o�•ICCLD!PDF.i e �lumb�lanre�-a . df GEl�ERAL INFORMATION 1. 1'ou may apply for plumbing permits by mail or in person at the City offices. Applications�ill be ret�ie��d and a permit�i•ill be issued�c>ithin tc��o working days. ?. Pennit cards will be seiit by retur�i mail after a revie«•is completed. PERI��ITS ARE NOT �'ALID UNTIL 1'OU RECEI�'E A PERI�iIT. WORK MtiST NOT BEGIN L?NTIL THE PER�tIT C�RD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued O:�TI.�'to licensed plumbing contractors and to property owners residing in the dwelling. 4. «'hen any ne��construction or remodeling is in�olved,a separate building permit must be obiained. 5. All work must be dane in accordance�ith State Code requirements. 6. All work must be inspected and air tes2ed before it is covered. Call(952)249-4600. (24�8 honr nodce required) � TYPE OF PERI��IT (Check All That Apply) �esidential ❑Commercial(Approval Required) ,�lew ❑Additional ❑Repairs ' ❑Replace ❑ In Accessory Structure? *1'ou r�ill need prior aparo�•al and may need CUP.(Per Orono Ciry Code,Chapter?8,Article I�') % Job S ite/Owner Informarion: Site Address: � `S � � 1� . ��w� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Informarion: �-�,�. I Contractor: � G��b�c�- P1�,,,,,..�,�� Contact Person: l�� -e�- z 2 f Gt b 2�:,,-. l2,'v�, � �.,� `�. ,.�, r�C lo �i Z g� Address: State Bond#: � City: S�' .1%ro-�^c.;s• Zip:�S��oExpiration Date: 1�-- /�i `� /� 3 Phone: ^? � �3 -7 S 3 -"� 3'� '� Alternate Phone: �. l 2 - l� l `i - � �'3"� ❑ Insurance-Current: 3 - 6 l - � 5 1 PLUMBING FIXTURES BEING INSTALLED FIYTURE BS1�iT 1 2� OTHER FIYTURE BS14fT 1 T OTHER ' TYPE FL FL TYPE FL FL �L'ater Closet � � � � F1oorDrains Lavatory I Sewer Ejector Bathtub � Laundry Tray Shower � �Vasher Kitchm Sink W'ater Heater Disposal Water Softener Dishw�asher VVet Bar ' Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ 1'es,this sedion applies The replacement of only one Residential fixture a�appliance that meets all three of the follo��ing requirements: 1. Does not require modification to electrical or gas ser�-ice. 2. Has a total cosi of S�OO.uG or less; eYcludins�the cost of the fixture or appliance: and 3. Is impro�ed,installed or replaced by the homeov�=ner or licensed plumbing contractor. Skip next section,if this applies; Cost of Permit S 15.00 State Surcharee S 5.00 Mail-In Fee(If Applicable) S :..00 Total PermitFee S (Permit Fees Continued On Neat Page) 2 Jul 23 13 10:24a NORTH ANOKA PLUMBING 763-213-1390 p.2 PERMI'F FEE CALCULATION S —JOBS QVER�500.00 If obave does not apply:foklow guideliues belon�: ], CONi'FZaCT PRICE * s 1.25%of cont��act price�;7th a(i4finlmum �ee of S5U.00) -� � SZ�o o Y.o��,s�' l �� . �c� ( nvactpsice} (minimu�nSSb.00} ?. STATE SURCHARGE '� � � O C� �� .0005 S �. �D (coatract pricc) :. POSTAGE�H4NDLl�G{Onlv on I�iail-I❑:�pplications) S ?.00 S. TOT_aI.PERMIT FEE(Add Lines 1-3 Above) S `� � � � , �(') ■ � CO�i'IRAC'C PRICE or JOB COST means the actual or estimated dollar amount char=ed for the permitted worlc inclucing materials,labor,profit,and ather fieed costs. It is the amouni to be charged to t��e customer for the�vork done. If az►o material,equipment: ]abor oi•installaaons are fuinished b,� t��e o�mer,tenant or an}�othe�•party,the reasonable markec�•alue of sucti ite�ts must be added to the estimated cost or =ontmct price for permit fee puzposes. In the e�ent that there is a dispute on the a�ount of the job cosG [he City may reguest the submission of a si�ed cop� of the actual consact. PLUMBING PERMIT APPLICATIdN AGREE1viENT The undex5�i4ned hereby applies to the Cin� for issuance of a PlumbinQ Fermit agrees to do a1l work in strict accordazace «�ith tbe ordinances of the CiEy and the r�ulations of the State of 1l�Iiunesota, a�d certifies ihat all statements made on this application are complete, true and COYC2C[. � �ppli�ant's Si�nature: Date: "�--2..3— (� 3 � '� - jAT TIME V CITY OF ORONO CALLED IN J� INSPECTION T E SCHEDULED -� � PERMIT N0.��- 0D� COMPLE o ADDRESS ✓ �� OWNER TELEPHON -�` �D� CONTRACTOR �� >; DESCRIPTION — � � ❑ FOOTING ❑ PLU BI G FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ ME H ICAL RI ❑ LAKESHORE/WETLANDS 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � � ��`��z� � J O � � O � W � Q � Z W � W � � � � RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED O INSPECTION REQUIRED.CALL TO 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 � �� / pAT� TIME � , CITY OF ORONO CALLED IN � INSPECTION�DO�I�'iEO�d� SCHEDULED � � �Z� 3 � PERMIT NO. 3 � COMP ,-1 � - ! ADDRESS �5�� rrn �V" 55 OWNER » TE EP�H�O��Nf�, NO. �7� CONTRACTOR �' ��D� �C��'� � DESCRIPTION � �- _ T � � ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z O 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 v O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o j�2 ,� ' 9 a�� a � 0 � W � Q � 2 W � W � � � d � ❑WORKSATISFACTORY:PROCEED PROJECT COMPLETE W �CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-46�0 OwnerfContractor on site: Inspector. White Copyllnspector's File Cenary CopylSite Notice