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HomeMy WebLinkAbout2012-00406 - plumbing * wt , CITY OF ORONO * Z 0 1 2 - 0 0 4 0 6 * , 2750 KELLEY PARKWAY DATE ISSUED: OS/15/2012 I , i ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2670 KELLEY PKWY � /�S i PIN I : 33-118-23-12-003 5 � LEGAL DESC j : STONEBAY OF ORONO CONDOMINIUM II � : LOT 000 BLOCK 000 � PERMIT TYPE j : PLUMBING(>$500) I PROPERTY TYPE I : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE II I NOTE: 2 WC,3 LAV,2 TU , 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WASHER I VALUATION OF PLUM ING 4000 I I � I � I I ; I I I � I PPLICANT pLUMBING FIXTURE FEE 50.00 AMERICAN MECHA ICAL CO,INC. STATE SURCHARGE PLBG(VALUATIONI 2.00 7120 71ST AVE.N. i TOTAL � 52.00 PO BOX 205 LORETTO,MN 5535'�h- � (612)750-0278 i � i OWNER Citizens Independent ank 5000 36TH STREET W il ST LOUIS PARK, 5541Cr ; � j I AGREEME T AND SWORN STATEMENT � The work for which this permit is issued shall be performed according to I the approved plans and pecifications,applicable City approvals,and the State Building Code. T is permit is for only the work described and does not grant permission fo additional or related work which requires sepazate pern►its. All provisions of laws and ordinances governing this type of work sha►1 be compied with hether or not specified herein.This permit will expire and become nul and void if construction authorized is not commenced within 18 days of the date of issuance,or if construction is suspe for a perio of 180 days at any time after work has commenced. The p cant is res sible for assuring all required inspections are req s d in c ce with the State Building Code.This permit may be re d at y i f r due cause. /��/ � / / App� t Pe rte Signature Date Issued By S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A O i i . � � � , I FOCt CITY USE ONCY ..1{^j;��`. City of Orono ' f` �*� `�` `� P.O.Box 66 Date Received: Permit# ;l� a`� 2750 Kelley Parkway � t�� �, ?�r� ��t Crystal Bay,MN 55323 Approvad�.By; Amount$: �';�;}�c,�1` (952)249-4600—Main � �ii'<!?'�� (952)249-4616—Fax � \``� CITY OF ORONO — PLUMBING PERMIT � j (All Commercial Permits Must be Approved by the State Prior to City Approval) t�tt�://rvw�rv.dli.mn.�*ov/C`C;L[)/PI)F/.e �lumk�.lanre�a� �. xc11` GE 'ERAL INFORIVIATION 1. You may apply for plumbing permits by mail or in person at the City offices. Application will be reviewed and a permit will be issued within two working days. �. Permit cards will be sent by return mail after a review is completed. PERM:ITS ARE NO VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL T E PERMIT CARD IS POSTED ON THE JOB SITE. �3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. �4. When any new construction or remodeling is involved,a separate building permit must b obtained. i5. All work must be done in accordance with State Code requirements. !6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT � � Check All That A 1 �esidential ❑Commercial(Approval Required) Re airs ❑Replace j `�eW ❑ Additional ❑ P I �] In Accessory Structure? *You will need prior approval and may need C(.1P.(Per Orono City Code,Chapter 78,A�ticle IV) JcDb S:ite/Owner Inforrnation: I, � / � Q ���it� C � U J S�te Address: � �� I�,ner: Mailing Address: ity: Zip: Itlome Phone: Alternate Phone: ontractor Information' �' �ontractor: /C�Contact Person: Address: ��X �� � State Bond #: � �l City: /' Zip:��xpiration Date: ` �/ I ��� Phone: //I��7� ���7�� Alternate Phone: � � Insurance—Current: � l I . , � � � �. m,<.. __ ,.� � � � ;_ �� � � ��:�e �� _.�,:,, -=�_. � _ ... ._ .. . . <.... �.`. FIX BSMT 1 2 OTI�R FIXTURE BSMT 1 2 O R TYPE FL FL TYPE FL FL ' Water C1 set Floor Drains ' Lavatory j Sewer Ejector J Bathtub Laundry Tray Shower � Washer � Kitchen�ink � Water Heater Disposal I Water Softener � Dishwas er r Wet Bar Sillcocks Miscellaneous j a�� �' "`� ' � � �< `, ��� f : � . � � .,, 1 = ..} ° ���� . � � ���" { . �,w,. , . _- ❑ Yes,this section applies The repl�cement of only one Residential fixture or appliance that meets all three of the following requiremlents: il. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludina 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 Permit $ I5.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ � (Permit Fees Continued On Next Page) 2 . --j . �'..�.L.:!��e���.�����.���' _�. .�� , ,..,�� �'���:�,��Qrly-O . If abo e does not apply;follow guidelines below: i 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) .(�t..�� x.0125 $ (contract price) (minimum�50.0 ) 2. STATE SURCHARGE ��� — � ' x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 � 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ *�CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the p rmitted work including materials, labor,profit,and other fixed costs. It is the amount to be harged t the customer for the work done. If any material, equipment, labor or installations are furni hed by t e owner, tenant or any other party,the reasonable market value of such items must be adde to the e timated cost or contract price for permit fee purposes. In the event that there is a dispute on the a iount of the job cost, the City may request the submission of a signed copy of the actual c ntract. ' : PLUIVI�`:i.��'� .... . ...Al'�'.. :.��,�"`�`�(����'rREEM'ENT I The ndersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of tl�e S ate of Minn sota, and certifies that all statements made on this application are complete, tr�e and corre t. , � � I ,,•' �% / , Appli�cant's Signature: Date: � / �� � Res�t°�orm 3 i ��:��"_'_"_ ���� TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTICE�' scHE�u�Eo "` 1�'� PERMIT NO. MPL EO ADDRESS d �� �� ` � OWNER --TEL HONE NO. ��''3� �'� � CONTRACT�R !_,t'/�L. �6��11...-� �- - ���-C� � DESCRIPTION � ��� � �-�� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION I ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB � ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT Q ❑ DEMO-SITE �I ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL � ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI � ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR T0�MEET YOU:�YES_NO � COMMENTS: ' � � j a �o/� ��/� h�f �/3 . „ �1.� r/ o v"� �` - �il��� //d3 � � ✓ �. � - o ; � �- f c � � W , /� Q ' 1� !/�,,.1 "� L i�� �+�/ � � � I j � d � W� �RKSATiSFACTOFiY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 QROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,C�ALL FOR REINSPECTION TEMPORARY V BEFORECWERINf� PERMANENT ` ❑CORRECTUNSAFEICONDITIONWITHW HOURS. p pHOTOTAKEN INSPECTOR VYILL RETURN ❑CITATION ISSUED ❑STOP ORDER POS�ED.CALL INSPECTOR ❑ INSPECTION REQ4IRED.CALL TO ARRANGE ACCESS. Call for�he next inspection 24 hours in advance. (952) 249-46�� Owner/Contractor on site: Inspector. Whit Copylinspector's Ffle Canary CopylSite Nofice I ATE r_ TIME V CALLED IN �/ CITY OF O NO � INSPECTION TICE � He�u�Eo y PERMIT NO. � ���� MPLET ADDRESS � `�� OWNER TELEP ONE NO. a �J `50 CONTRACTOR � v" ��� � � / � DESCRIPTION � � �D� �` � � ❑ FOOTING I ❑ PLUMBING FINAL p EX /GRADING/FILLING Q ❑ POURED WALL I ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS O ❑ FRAMING � ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION i ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL I ❑ SEWER HOOK-UP ❑ COMPLAINT v � DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR T MEET YOU:_YES_NO �� c�., COMMENTS: 5 � �_�- W q - �j�-�l L��� � �I L, �' 0 � � � �,.,�/`'���, � n� r=r sL � , s � �4- /v � Q ��.J � � ?� �C� � �j • �� /l� l� J z �O� S� ? C� f�Cl �� lJ � � C�3' ,E� -�� T� S ���� d�� � ` �' i ��� � ^ M �'�'�� W� 7`�S-� �IIBKSATISFACT RY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK, ALL FOR REINSPECTION TEMPORARY V BEFORECOVERIN PERMANENT ❑CORRECT UNSAF CONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR LL REfUflN O STOP ORDER PO�ED.CALL INSPECTOR �CITATION ISSUED OINSPECTIONRE IRED.CALITOARRANGEACCESS. Ca11 forlthe next inspection 24 hours in advance. (g52) 249-4600 OwnedContra or on sit Inspector. Wh'�te Copyllnspector's File Canary CopylSite Nodce I I