HomeMy WebLinkAbout2014-01029 - plumbing � • CITY OF ORONO * z 0 1 4 - t� 1 0 2 9 *
27_50 K�LLEY PARKWAY DATE ISSUED: 09/1U2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3400 FOX ST
PIN : OS-117-23-43-0005
LGGAL DGSC : FULLERTON ESTATES
: LOT 003 BLOCK 00 f
PERMIT TYPE : PLUMBING (> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE . UNDEFINED �:ty o� Orono
2750 Kelley Parkway
Oruno MN 5�:556 95Z-249-4800
NOTL: I SUMP PUMP
VALUATION OF PLUMBING 2000 Recaipt No: 3.U11763 Sa�� 11, 2U14
AMERI[;AN MECN�NICAL
Previous Balance: .'`�i�
Permits
P'Z.U14-01029 340U FOX ST 50.uC)
101-3253U
Machanical/Septic/Other
Permits
P2U14-01029 3400 FOX ST 1.U0
101-10�02
Due to gcvts-Statr
f'ermits
APPLICANT F'2014-01029 3400 FOX �T �•�� 50.00
101-34440
AMERICAN MECHANICALCO, INC. Hldy Permits-mail ir� fees I.00
7120 71ST AVE. N. --- -- 2.00
PO BOX 205 Total: 5=i•��� 53.00
LORETTO, MN 55357-
(612)750-0278 Credit Card 53.00
Check No: 6915 '�3.t)U
PaYor:
OWNER
GARNETT, KEVIN
6468 CITY WEST PARKWAY
EDEN PRAIRIE, MN 55344-
AGREEMENT AND SWORIY STATEMENT
The work for which this permit is issued shall be performed�ccording to
the approved plans and specifications,applicable City approv�ls,�nd the
St�te Building Code. This permit is for only the work described and does
not gran[permission for addilional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with w�hether or not specified herein."�his permit wiil
expire and become null and void if construction authorized is not
conunenced 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 conunenced.
1'he applican[is responsible tix assuring all required inspections are
requested in conformance with the State E3uilding Code.This pennit may be
revoked at anv time for due cause.
� �se � �L L �
Applicant Permitee Signx[ure I�ate [ssuec iy Signature - �� Date
, FROM :American Mechanical FAX N0. :763 477 4085 Sep. 11 2014 11:09AM P1
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FOR crrv�'s�orv�.� ,.
/�O` _^ City of Orona , ,
/ f�/ P.o.BoxG6 DataR,eoeived: Pcrmit#
V 2750 Kcllcy Parkway �� g;
Cryst+l Bay,'v1N 55323 Appmvea By' Amoant 5;
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i (952)249�b00—Main -
� � � � (952)249-0616—Fax
r^ � CITY OF ORONO—PLUMBING PERMIT
� V ) l��fsNo�`�' (All Comzocrcial Pcrmits Must be Ap¢roved by thc State Prior to City Approval)
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GENEI�AL INEORMATIOT�1
1. You may apply for plumbing percnits by maii or in person at the Ciry off'ice�. Applicatirn�s wi3l bc
ncvicwcd and a pernu�will be issued within two worki►►g days.
2. Petmit Cal'ds wlll be cent hy renirn mail af;er a review is completed PERMITS AKE N01'
V Ai..Tb UNTTL YCIU RECEIVE A PERMIT. WORK MUST NOT SEGIN IJNTTL THE
pER?1�fiT CARD LS POSTED ON THE JOB SITE.
3_ Plumbu�g permits may be isst�ed ONLY to licensed plumbina coniraciors and to properey owners
�'e5�ding in d�e dwelling.
4. When any new construction or remc>deling is involved,a separate builaina peKnllt must be
obtaincd.
5_ AEl work must bc donc in accordance with State Code requirements.
6. All work musi be in.spected and air tested L�fore it is covered Call(952)2491F60U.
(24-48 hour nntice required)
TYPE OF PERMIT
� �heck All That A� I �� ��� ' � '�� , `' � .;�?x
�Rcsidential ❑Comxc►ercial(Approval Required)
(
[]New �Addicional ❑Repairs �fteplace
❑ In Acces�ory Suuchuc7 -
"'You will need prior aporoval and may need CUP.(Per Orono GSty Code,Chapter 78,Article I�
Job'Site f Or�►er Informafion:
Site Address: � ! � a x S f''� Y
Owner: C',Uil, �11�iCT Maiiing Address: � � TO �
City� _ __ Zip:
Home Phvne: A,lternatc Phone:
Contractar Infbrma on:
/,���� /�/
Contractor: �G+'`C"o"ntac"t Person: Cf.(�( JG(�Gc�v� (r
Address: Q � O� State$ond#: P�'�v�/���(���
City: (,�� Zip:S��`�'xpirauan L7ate: ��3/-/�
� FR�M :American Mechanical FAX N0. :763 477 4085 Sep. 11 2014 11:10AM P2
FLXTLJRE BSMT 1 Z� UTHER FLXTURE BSMT 1' 2' OTHL�lt
TYF'F, FL FL TYPE FL FL
Water Closct Floar Drains
Lavatory Scwcr Ejector
Bschtub Lauadry Tray
Showcr Wasl]er
Kiu;hen Sink �later Heater
Disposal Wster 5ofientt
Disl�washer Wet Bar
Sillcocks iscellaneous I
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� Yes,this section applies
Thc rcplaccmcnt of only one RcsidenLiaE fixture or appliance that mrcts all thrcc of the following
requirements:
1. Doc5 not rcquirc modi6cation to ciec�ical or gs service_
2_ Ha.e a total cost of$5DO.pU or less;excludin�[hc wst of the fix[ure qr appEiancc:and
3. Ts improvcd,instal]cd or replaced by the homeowner or)ica�sod plumbing ConR3clot.
Sltip ncx[sccticm,if chis applies; Gost of Permit $ 15.00
State Sutc:hargc $ 5.00
Mail-Iu Fee(If Applicable) $ 2.00
TotaE Permit�ce $
FROM :Rmerican Mechanical FRX N0. :763 477 4085 Sep. 11 2014 11:10RM P3
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if sbove docs noL apply;fullow guidelines below:
], CONTItACT PRICE Y is 1_25%of conu-act pricc with a{Miuimum Fee of$50.00)
�U� ` x.Ol z5� �� �
(contracl pricc) (minimpm$S0.011)
z. s�rA r�suRcx�xc� o„
`�U� � x_000s � /,
��an���c�)
3. POSTAC�E&HANDLING(Only on Mctil-In Applications) $ 2_00
4. TOTAL PERMIT F�,E(Add T,ines 1-3 Above) $ � r
■ '� CONTRACT PRICE or JOB C05T mcans chc actual ar es�matcd dollar amount charged fior tl�e
permitted work including matcrials, labor,prpfit,and other fixed costs. it is the amount.to 6e chargcd
tn the customcr for thc work donc. If any matcrial, equipment,labor or insrallations are fiirnished by
thc owncr, tcnant or any othcr party, thc rcasonablt market valuc of such items mu.et be added to the
estimated eost ox concract price for permic fee �n,r��e.c In tb�e even[that chcrc is a dispute on the
amoun�of the job cost, the Ciry may request tl�e submission of a sigr+ed copy of I,hc acCual contract_
The iuldersigned 1�ereby applies to the City for issuauce of a Plumbing Permit, agrccs to do all
vvurk in sfric[ accordanec with the ordinanccs of the Ciry and Lhc regulations of the State of
Minnesnta; and certifies all statement,S made on this application are complete, true and
corrcct.
�`'�/�!`�
Applicant's Si{,mature: Dat�:
4 DATE TIME v
' CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �
PERMIT NO. � � �� C MP ETED
ADDRESS �`�� �
�.. -
OWNER T L HO NO.
CONTRACTOR
� DESCRIPTION ��
�
� ❑ FOOTING ❑ PLU BING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
� ❑ 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
i ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_t�
� COMMENTS: j
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W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP OfiDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952� �149-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File f Canary CopylSite Notice
�
, DATE TIME
CITY OF ORONO CALLED IN
INSPECTION O IC �/a��J'SCHEDULED — — �•�
PERMIT N �–/ MPLEfED
ADDRESS
OWNER TELE ONE � '� �' a7�
CONTRACTO
>`; DESCRIPTION
�
� ❑ FOOTING ❑ PLU ING 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 ❑ SEWEF HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL. ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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GW C�WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECWERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WtLL REfURN
O CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (95 49-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Cenary CopylSite Notice