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Home My WebLink About2011-00618 - plumbing f . r ` CITY OF ORONO PERMIT NO.: 011-00618 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUEn: 07/1 U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2670 KELLEY PKWY #/O� PIN : 33-118-23-12-0034 LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1 ST FLOOR:2 WC,I LAV, 1 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL,DISHWASHER, 1 WASHER VALUATION OF PLUM ING 2500 A PLICANT PLUMBING FIXTURE FEE 50.00 AMERICAN MECHANI AL CO,INC. STATE SURCHARGE PLBG(VALUATION) 1.25 7120 71ST AVE.N. PO BOX 205 TOTAL 51.25 LORETTO,MN 55357- PAID WITH CC# 9327 (612)750-0278 Minnesota State License# 065381 PM WNER Cititzens Independent B 5000 W 36TH ST ST.LOUIS PARK,MN 5�426- AGREEMENT A D SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specific tions,applicable City approvals,and the State Building Code. This pe it is for only the work described and dces not grant permission for additi nal or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether r not specified herein.This permit will expire and become null and vo'd if construction authorized is not commenced within 180 days o the date of issuance,or if construction is suspended f.r a period of 180 ays at any time after work has commenced. The applic t is r nsible fo assuring all required inspections are , requested' co ance with the State Building Code.This permit may be revok d t an e for due ca se. � �' � / l / l . / / � A i t; itee ignat e Date Iss By Signature ate S PARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � . i �--___ , � x c Y�JS�,QNL;Y � City of Orono (� �� P.O.Box 66 �-Date 3te�ei� �� '.-Permtix`#'� �� 2750 Kelley Parkway `� �� / � ; ,� +� Crystal Bay,MN 55323 Ap,pro�ed y 'Arriount� � ' � (952)249-4600—Main �reso (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT (�11 Commercial Permits Must be Approved by the State Prior to City Approval) htt ://r��w.dli.mn.�*ov/CCLD/PDF/ e lumb lanreva . df GEl�TE . �iNFORl�Ir��'.I�N 1. �ou may apply for plumbing pernrits by mail or in person at the City offices. Applications will be eviewed and a pernut will be issued within two working days. 2. ermit cards will be sent by return mail after a review is completed. PERMITS ARE NO ALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL TH ERMIT CARD IS POSTED ON THE JOB SITE. 3. lumbing pernuts may be issued ONLY to licensed plumbing contractors and to property wners esiding in the dwelling. 4. en any new construction or remodeling is involved,a separate building perxnit must be bbtained. 5. 11 work must be done in accordance with State Code requirements. 6. 11 work must be inspected and air tested before it is covered. Cali(952)249-4600. (24-48 hour notice required) 'T�'E CJF 3�E:RN�T (Gheck All�iat A, . ly) ` e idential ❑ Commercial(Approval Required) I ❑ Ne�vv ❑Additional ❑ Repairs ❑Replace ❑ InlAccessory Structure? *�'ou will need nrior approval and may need CUP. (Per Orono City Code,Chapter 78, cle N) Jo��i e:!OOwr�er Infonnation. Site �ddress: ! �C c.,v � p C Owne : Mailing Address: City: V�01�t v Zip: Hom�Phone: Alternate Phone: Con actor I�£ormation: Cont actor: ,Q ' �C�c �ontact Person: Addr ss: ��'�` �o� State Bond#: � City:� LUI�eJ�� Zip:��Expiration Date: Phor�e: �p��(��7� Alternate Phone: ❑ Insurance—Current: 1 , _ _-..-, . # FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory 2 Sewer Ejector _.) Bathtub � Laundry Tray Shower W asher � 1 Kitchen Sink Water Heater � Disposal Water Softener Dishwasher � Wet Bar Sillcocks Miscellaneous ❑ 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;excludins the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip next section,if this applies; Cost of Pemut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Nezt Page) 2 � , I . r-� • If above dpes not apply;follow guidelines below: 1IE CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) I .-- I x.0125$ (contract price) (minimum$50.00) 2J STATE SURCHARGE x.0005 $ I� (contract price) 3.II POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 II 4.II TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * COI�TRACT PRICE or JOB COST means the actual or estimated dollar amount charged f'pr the permit�ed work including materials, labor,profit, and other fixed costs. It is the amount to be c arged to the ¢ustomer for the work done. If any material, equipment, labor or installarions are furnis ed by the owper, tenant or any other party, the reasonable market value of such items must be added o the estima�eed cost or contract price for pernut fee purposes. In the event that there is a dispute n the amoun� of the job cost, the City may request the submission of a signed copy of the actual co tract. The under�igned hereby applies to the City for issuance of a Plumbing Permit, agrees to dlo all work in st�ict accordance with the ordinances of the City and the regulations of the Sta�e of Minnesota,l and certifies a 1 statements made on this application are complete, truel and correct. _ �� (� I A licant's Si ature: Date: � PP � I I � j I 3 �p3`� � � �� , DAT E � ` — CITY OF ORONO CALLED IN � � -� INSPE!CTION NOTICE (�CHEDULED PERMIT N0. ,s�� I ��i�f1 LO COMPLETED ADDRESS ��8� ��.�I��' ��_T��-7_L�_��1,�I_ OWNER TELEPHONE NO. ��a-��-r,��g CONTRACTOR ��_ . �n`G� l-- � >; DESCRIPTION � � L�� - � ��a 1 � � ❑ 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 ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP _ ❑ DEMO-FINAL' ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPT C FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEZYOU:�YES_NO � COMMENTS: � W C o �n �� /l�.Q__ ��'f ` �S 't� �� a � � � J�.J C�'S sZ/ ,/�.�,,� �-�-- � � Q � z W � i � � � GW ❑WORKSATISFACTORY:PROCEED �6QJECTCOMPLEfE � ❑CORRECT WORK&PRO�EED !l ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALI�,OR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.C/1LLT0 ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952) 249-46�� OwnerlContractor on site: Inspector. � � White Copyllnspector's File Canary CopylSite Notice