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HomeMy WebLinkAbout2010-00531 - plumbing 7 • CITY OF ORONO PERMIT NO.: 2010-00531 2750 KELLEY PARKWAY ORONO, MN 55356- DATE �SSUED: 06/28/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1 160 HERITAGE LA PIN : 10-117-23-13-0003 LEGAL DESC : FOXHILL : LOT 003 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: 1 BATH TUB ON 1ST FLOOR VALUATION OF PLUMBING 900 APPLICANT PLUMBING FIXTURE FEE 50.00 AMERICAN MECHANICAL CO, INC. STATE SURCHARGE PLBG(VALUATION) 0.50 7120 71ST AVE.N. TOTAL 50.50 PO BOX 205 LORETTO, MN 55357- PAID WITH CC# 9327 (612)750-0278 Minnesota State License#: 065381 PM OWI�ER MITHUN, RAYMOND& SARAH 1160 HERITAGE LA WAYZATA, MN 55391- 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 thc State Building Code. This permit is for only thc work described and does not grant permission for additional or rela[ed 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 responsibie 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. � �G�- / / / / Applicant e mitee ignature Date Issued By Si n ure Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 06!28/2090 02:34 FAX 763477�629 f�002/005 � .... _. _ �: . , ��'/� T�,`� � ��"� Ciiy�COrono ��� a��!!�,a ,�i�, ��r i Y.n.Box 66 �,r• e, w ,,ti � v e ' ;; � � 275n Koll �`�'1�1g(�11'� J r1'����1 f1� ,��'.i�' I�,�.�,i��ii J " ''` � � � �PIITkWOY ¢�,"�I`'b����(lu�i. �, �i�i�,,�A� 1 ;, '1\1, �'t� C+Ynt�l Ba ' ,� ' Y,MN 55323 �1 k�r�V��u t� �1� ��"'�'�i l''�i�� � i "�"^„---�i_..,ti:, (9SZ)249-dbUO t� �'!�`, � ' 1 '��,�I�,,,,,��{/���'�' �� �y��v� ✓1 Y J -�I+,I.::ILa.,,��.�-"�YC T`" „`I .� � '� „1, .��L,. . ,. ,.. . .. .,. ' � � CTT'Y UF OROI�TO-PI,�BIN� PERMYT (All Corrtmercial p�nnll4 mus[be'appmved by lhc Huildlr�Of�iclal oC lnApectnr) 1 �' �, � ry� ,�'.,� ..Y �,�5 4'�� f�. '' .:�1�Y 1 'V1.1 y . , � 1 ��,�,.'� r�l,}t ��,l�U,���i�l1'd,1�I�,�r����'i°`�y�,i�'���� ��1 ii �,f�,�YI�'��'����� ,� �` '11 1 . '1, •� af�1�,i�: \1wJr�,''! 1_ You may apply for plumbing permits by mail or jn persott at the City o�ces. A licati� � r�viewCd a,nd a petmit will he issucd within t�yo workin�day9. pp ons will bc Z• Perm�t cards will be sent by return ma,i1 after a revloW ig c�mpleted. PERI�IITS ARE NOT VALID U1VT1i,YOU R6CEIVE q PERMiT, �RK MUST NOT BEGlN UNT1L TH� P 1T CA S PO E O T E O SI E. 3. Plumbing permits may be issued OM.Y to►icensed plambing contractors and to n, residing in thc dwelijng, p p�y owncrs 4• When any new consttvction or remodeling is ittv�o�ved,a separal.c building pecmit must be obtained. 5. All work must be done in aceordance with St�.te Code requiretncnts, 6. All work must be inspccted ar�d air tes[ed befo�it Is covered. CaU(952)249-4600. (24-48 hour notico required) � � r ,� � � ' �� r��,�''� � �v �i'.�� i ��1Y � �� ",1. F(� i��. . .�r ,�� �iyd� �N��v4�(��rat i� . ���� ,o���i � � d�'r,s � �� 'I,) i1t� �'��� ' � � , . h i' �� � � ��Y� �lv�,'��i1�5���,,i r,�� � '.� . ,:i , .� , , . . :., ,.. ..� ,..:� .,.. . .. .. , �Residential ❑Commercial(Approva!Required) ❑New ❑Additional ❑Repairs �eplaee ❑ In Accessory Structure? *You will nee ri r e rov 1 and may need Ci)�.(Per Omno Ciry Codc,(;haptet 78,Articie IV) 3v�i��( �� ��, ��.; ., + , i � � tl A ���i.�'��"5�i�1! r;�9,�'�Ij4d("�Id��,�0air��11" Site Address: �� � -- ��e Owner: Mailing Address: �(Gv �rilAl� Ci�y: � �jg Zip: Home Phone: Al�ernate.Phone: �"�"(� „ `',.� '�+� r��, .•ay,,Y�^�5,��,` r�'�w��i ,.t'�;� ,`n�:'-.1�; 1 �.Z: Contractor: r�C�'?� C��;��ontac:t Person: Address: �Q 6�e�C {' State Bond#: � � (p City: D!' Zip:� Expiration Date: ��� 1-1(� � Phone: �/`������78 Alternate Phone: �/Z-� 1�- �jZ7g ❑ Insurance—Curreet: I 06/28/20a0 02 :34 FAx 7634775629 C�0031005 � •--- �-- ._�. G7,'W'�`!",°q„S' a�P, ' �yi,:'�,'itt FlXTURE BSMT 1 2 pTHER FiXTURE TYPE FL FL .fYPE gSMT ! Z �TlNER Water Closet FL FL Floor Drains I,avatory Sewer L�joctor Bathtub Laundry Tray Shower Washer Kitchcn Sin� Wator Heater Disposa) Water Softener Dishwasher Wot Bar Sillcocks Miscellaneous ,i J ���'ya,7�� a,i a; f s,y' .y k W„ '�-i i'"Y' ���'L Y' „T� „,�,�1'" ^' ` { �-�`--T +.�,�1t� o'�'.G.YJ � � ')1 f�"�Al �';�7�t����"i�. ��+���,� , � i v�^ K.,�,�. � � ! �.{ � ,,y ��7 1. i �) 1' , r'+ .a`F r �''�t 'Y � Iu w H 4 M �i '�C� �44'tiln 1(� � �yt,N a�.0 .� � '�x',��� Yi `v. ��vw �t � �''(R�+ ^jW�, '_ ` y M1.um�w 'T ,,,iK �'�.� [r f� ,�'�, f �`!,�+ i�Y1'�,+ `�� 9�H�W� h fSAh u��'�R'Y i q�i 4 •.4��'1�'9'� �F � Lr ���'' >�i""��.'1��' `��ll'�,v�h �FU�r ,, � „ �. ;..�:ti. .i��nr� Y�nuR+h."���r�li"�'�� ❑ Yes,this section applies 7'he replacement of a si ti 1 fi tu or I'a,nc thai meets all three af the tbllowi�ree�uirements� 1• oe not require modiftcation w electrieal oc gas 9ervice, Z. Fias a lot co t of$500.00 or less; xcl din the eost of the fixlure or appli��;�d 3. Is improved, installed o�repjaced by the homeowner or licensod eonttt�ctpr, Skip next section,ifthis appl�es; Cost ofPcrmit State Surch�rge $15�0 Mail-In l�ee(TfApplicablo) $pp Total Permit Feo —?. $ (Permit Fees Continued On Next Page) 2 os�2s�2oao o2: 3a Fax �ss�7��s2s r�ooa�oo� r � �� �' �;, If above does noi apply;follow guidelines bclow: I. ON �CE '" is 1.25%q�contTact price with a(Minimum Fec of$50.00) � � x.0125 $ (contracl price) (minimam$50,00) 2. S ATE SUR H RG �'s Add the State Bldg Code Div.Surcharge(Minimum Fee of$.So) � ��_x.00a5 $ (cuneact price) — — (minimum$ .50) 3. POSTAGE 8c t-IANDLING(Only on Mai1.In Applicatiops) $_ 2�a �� — 4. T07'AL pERMIT FEE(Add l.,iaes 1-3 Abo�e) $ • '" CONTRACT pRICB or JOB COST means the actua( or estimated dollar aznounl chargcd for the permitted work including materials,labor,p�f���d other�ced costs. It is thc amount to be eharged to thr customer for the wo[k dpee. if any material, equipmenl, labor or installations arc furnished by thc owner, tenant or any othet parry,the rcasonable market value of such items must be added to the estitaated cost or contract price for permit fee purposes. In the cvenl that thcre i9 a dispute nn the amount of the,job eost, tho Ciry may rcquest the submission of a signcd copy of�� aaual contract. ' "'� The STATE SURCHARG�;is .00OS of tho conut�ct pricc under$1,000,000 or$.50–whichever is grcater. For valuations over$1,000,000 call the Building Department at(952)249-460U tor the price. 1'he undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do alI 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, ttue and correct. � rr�'r: /�� �'' r APP�icant's Sibmatur� � Date: �"�0 �D ,� . 3 � �� � 7 DA�E TIME CITY OF ORONO CALLED IN � INSPECTION OTICE SCHEDULED �� � � PERMIT NO. 3 COMPLETED ADDRESS ���DD T"TP.�"6T�C�X L� OWNER TELEPHONE NO. ��.2� 7S� OZ78 CONTRACTOR ��l�'�"L ����7 �; DESCRIPTION / �� ���� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � W� ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT 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 G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call tor the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. 0 .c / � � � White Copylinspector's File Canary CopylSite Notice