HomeMy WebLinkAbout2013-00264 - plumbing • ' -� �• CITY OF ORONO
2750 KELLEY PARKWAY * z 0 1 3 - 0 0 2 4 *
DATE ISSUED: 04/19/ 013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 267 KELLEY PKWY — � 0 �
PIN : 33-1 8-23-12-0031
LEGAL DESC : STO EBAY OF ORONO CONDOMINNM
: LO 000 BLOCK 000
PERMIT TYPE : PLU BING(>$500)
PROPERTY TYPE : RES DENTIAL
CONSTRUCTION TYPE : FIX URES-MULTIPLE
NOTE: PLUMBING FIXTURES: (2)W TER CLOSETS,(3)LAVATORIES,(1)BATHTUB,(1)KITCHEN SINK,(1)DISPOSAL,
(1)DISHWASHER,(1)WASHER
VALUATION OF PLUMBING 4000
APPLICANT PLUMBING FIXTURE FEE 50 00
AMERICAN MECHANICAL CO,IN . STATE SURCHARGE PLBG(VALUATION) 2 00
7120 71ST AVE.N.
PO BOX 205 MAIL-IN FEE 2 00
LORETTO, MN 55357- TOTAL 54 00
(612)750-0278 PAID WITH CC# 6915
OWNER
CITIZENS INDEPENDENT BANK
5000 36TH ST W
ST LOUIS PARK,MN 55416-
AGREEMENT AND SWO STATEMENT
The work for which this permit is issued shall e performed according to
the approved plans and specifications,applicab e City approvals,and the
State Building Code. This permit is for only th work described and does
not grant permission for additional or related w rk which requires sepazate
permits. All provisions of laws and ordinances goveming this rype of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if constructio authorized is not
commenced within 180 days of the date of issu ce,or if construction is
suspended for a period of 180 days at any time fter work has commenced.
The applicant is responsible for assuring all re ired inspections aze
requested in conformance with the State Buildi g Code.This pertnit may be ,
revoke at any time for due cause.
��'//3 � �/9 //
Ap ' t Permi Date Issu y Signature Date
SEPARATE P RMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
04/18/2013 18:44 FAK 7634�75629 f�002/�08
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Cxy�tst�Y�MN 53323 A�p��J'� ���+"°'mt S: .
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.� �, (952)2R9-A616—Fax
ti G� CIT'Y OF URUNU—PLUMBING PFRMIT
. �1'�� s H4�`�' (Alt Ca�macciel��mits Mnuit b�Approved by the StAte I'ridr to City Approval)
h t :lfw ii.m ��ICG 1FD " e !i� 1 nrev . df
GENERAL INFO 'I'IDN
1_ You may fa plumbin8 Parm��s bY mai!or is�person st the City o�cas. Appiications will be
t�cview�ed a p�nsit will be i�sued wirhi»two working days.
2. Permit cerds will ba serrt by ratt►ra maii eftcx a review is complded PSRMCiS ARE NQT
VALID YOU RLCBIYE A PEnMMIT. N IN
p0 N
3. Plumbing 'ts may be issucd ONLY to licensad Plumlrin8 c�tracto�s and to property owc►er,�
residing in e dw�ellit�.
4. When any co�tion a�remodeleng is involved.a separaoe build'mg pennit must be
obtained.
5_ All work m be dcrne in�cco�dance rvith Sffite Code requiseme�ts.
6. AU work m be inspected and air tested b�'ora it is covered. Calt(9SZ)2Qt9-4600.
(jq.qg h noRice roguircd)
"I'YP�OF PE1tMIT �
G'�ecic A1�That
�esidemtial � [�C���(API�'��uO�
�rs Q R�Plaoe
�]New� ❑Adt�itional ��Pg�
❑ In Aa�aory trucuu�a' Orono CiRy Code,ChalX�'78+Artide N)
sy� and msy need C�.(Pea'
Job Site/Ch�.. Infam�:
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site Ad�lress:
Owner: Nlailing Address:
City: Zip:
lidme Phane: A.lternate P`h�ne:
Caa�txactor Inf 'on:
Cantractor: .+� ' �'''�%ontact Pe�rson:
Address: � St�te$ond#:
City:
Z�ip'7��'Expiration�I)ate: �
Ptaane: {j Alternate Phone: _ _ _
�] Insurance—Current:
1
04/18/2013 18:44 FAX �634 75629 f�003/p08
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Water Cla�et � Flaor 17rains
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B�thtub Laun�ry Trsy
shower r wsaher /
gitch�n Sink r W�dru He�ei
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Disbwssher � Wet Bar
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Q Yes.�s app�
'I�e roplaceuae�t of ly one i ' 1 fu ap�that mee�s alt three a�the following
recauiremcmts:
�_ �require�cation Uo slec�ic�l or gas�ervice. �
2. I�ias a of�500.00 or les�; lu � she ooat of the fnaure or appiiance:nnd
3. �,� ed,i�taIIed ot replacec�by the homeownac o�r liceosed Plumbing contractor.
Skip sectiom,if th�applies; Ca�t of P�it ��
State 3urr.hargo �—�-� �
Mail-In Fce(if ApPGcable) $_2.�
Tot�l Pe�rrmit Fce �.�.�-
(Peroart�'e�Co� aed Oa Next Pa�)
2
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if above daes r�ot app ;follow guidcline�below:
1. "is t.25%of ao�.tract price with a(Miinimum Fee of 550.00)
L.�CJ � x.0125$ 7'" � - _
��p��� ' (wini�m�m S�e.Q�
2. E �L� x.0005 T�.�
` (aonheoi price) '
3. POSTA &HANDI.�NG(Qnly on Mail-�n Applicat�ons) ��,Z-�,
--�'r�r
4. 'tOT P'�B1MO.T FEE(Add Lines 1-3 Above) s �..f---�—
■ • (�NTRACT P�ICE or JOB C�ST ►tte�ns the�xu�1 � ����dollgr amount chatged for the
p�work including matarials�labor,D�ra�t,and other fixed costs. Yt is the amow�t to be chargod
w ths rustom for tbe work doa�e. If aay mat�i�1, ecNiWnent,Jabar or ips�sllatio�s are furnished 1yY
the owner, t ar sny oth�er psrty,the r�ssonabte masket value af such ifiems must be adcied w dte
�oast cantrewt Price for perfnit foe purPoses. In t�e cvent t�st tbere is a dispute nn the
emov�of the aoat,the Cm'msY�9�t��aubmission af a signed copY of t�e a�tual o��
M�,' �7� .'�.n, ",t .
W4
The uadersigned heraby applias to thc CitY fo� issuance of a Plumbing Permi�, ag�ees to do all
wark in. strict dauce with the ordinsnces of tbe City and die rcguletio�s of thc State of
Miunesota. and ' es that u11 atatemer�ts mada on th�s applic�tion are complebe, �ue and
co=rect.
, D�: �/ /
Applic�nt s S'
3
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� DATE TIME
C�CALLEDIN
cinr oF oRONo �
INSPECTION NOTICE SCHEDULED �
PERMIT NO. 2��I r-�-f� 1 Z-lTl COMPLETED
ADDRESS Z�c'�� ` �� f��
OWNER TELEPHONE NO.
CONTRACTOR ,�2 ``� � ��(.t 6'1'�l� ,
j. DESCRIPTION ��C�C� ���� �
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLU ING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ HANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION OOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ PTIC INSTALL
2 OWNERICONTRACTOR TO M�: YES_NO
y COMMENTS: � �Z-- �ZO —�7� �''I S
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W ❑WORKSATISFACTORY:PROCEED ❑ JECT COMPLEfE
� ❑CORRECT WORK&PROCEED SS E CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED
❑IIJSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 9-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice