HomeMy WebLinkAbout2012-00570 - plumbing f " � CITY OF ORONO
2750 KELLEY PARKWAY * � 0 1 2 - P1 0 5 7 0 *
DATE SUED: 06/20/2012
w ORONO, MN 55356-
� (952)249-4600 FAX: (952)249-4616
ADDRESS : 2670 KELLEY PKWY �/�J
PIN : 33-118-23-12-0041
LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: 2 WC,3 LAV, 1 TUB,2 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER
VALUATION OF PLUMBING 4000
APPLICANT pLUMBING FIXTURE FEE 50.00
AMERICAN MECHANICAL CO,INC. STATE SURCHARGE PLBG(VALUATIO ) 2.00
7120 71ST AVE.N.
PO BOX 205 TOTAL 52.00
LORETTO,MN 55357- PAID WITH CC# 9327
(612)750-0278
OWNER
Citizens Independent Bank
5000 36TH ST W
ST LOUIS PARK,MN 55416-
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 the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of iaws 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�80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections ate
requested in conformance With the State Building Code.This permit may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Sig�ature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV .
06/19/2012 23:02 FAx 7634775629 f�001l004
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(952)249-dF16–l�ox
CI7'Y 4F ORONO—PLIT1VIgING pER T
(AU Commercial Permits Must be Approred by the State pr�or tv City A roval)
�r : /w • . i.mn. CG I
GEl�tFR,A�L IN�O�� ��'��'��� �. � .
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I. You it�sy apply f��P�umbing permits by mail or in person at the Ciry offices. App i acions will be
ccviewed and a permit will bo issued within two working days, �
2, Pennit cards will be sent by return mail after a roview is completed. PFRMI7'S A NOT
VALID UNTII�YQU R�CEIVE A PERMIT. O K T NOT E '
�R ' 4T CARD iS�QS�D�N TH�JOB 3i7� .
3. Plumbing permiu may be issued ONLY to licensed p�umbing contractors Hnd eo p erty owners
residing in the dwelling. �
4. When any naw construction or remodeling is involved.a separate bui���r�g p�n�t n •t be
obtained,
5, All work must bc done in accordanee with Stato Code requiremems,
� � ` �. �111'wo�lc must be inspected and air tested before it is covcred. Caq(952)24�-4Gpp,
(24-48 hour notice requtred)
• . � .•:.�'"�".��` ���,-�,n,���>�'� ' ' :�r; , , � .
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�tzsidential ❑Commereial(Approval Required) •
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❑Ncw ❑Additional
�R��� ❑Replt�
❑ ln Accessory Structure? •
�'You will nced orinr aon�o�g��d may need C�J�(Per pronp Gyty Codc,Chapcer 78. rticle I V
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1nb Site/Ovrmer Xnfoma�ati'on: � � � � :
Site Address: '` ��� L.`l� :
�wne�: Mailing Address;
City:
� .., Zip: .
Home Phone: Alternate Phone:
Contractor Inforrnatinn:' �" �
Contractor: ^ ' p �
�G�jAI'jiC�ntact Person: .� • Gr
Address: O c� � State Bond#: ). ��� �
Ciry: � � zip:��Expiration Date: % ,� �
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Phone: l�'��j „ �-7� Alternate Phone: T� '� G. �
� [nsurance,Current: .P s ,
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06/19/2012 23:0� FAX 7634775629 f�002/004
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F!'XTURE BSMT 1 2 O'[T�R fi[XTURE �SMT 1 2 O�R
�� FL A(, Typg �
FL FI,
W ter Closet Floor prains �
Lavatory Sewer Ejector
Baihtub •
� ��Y T�Y '
Shpw�r Washcr �
K�b�S�� Waur Heater
Di�,posal _ ' Water Softener , �
Dis�washer Wet Bar
S'���� Miscellaneaus
Y �'�
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ii�
❑ I Yes,this sw-tion applies
The replstccmerit pf only one$�idcntial tixn,rc or appli.�th�mcets all three of the following
r�qu�rements: .
1. es ot require modification oo clectricaJ or gas service. .
; Z. Has a sQtal cost of$500.00 or less;excludine the cost of the fixturc or appliance:and �
3. Is improved,installed or teplaced by 11te homeov►mer or licensed plumbing controctor ,
SWp next section,if thfc epplios; Cost of Permit S l5
' State Surchazgo $ 5 �
Mail-In Fa(1fAppGcable) $ 2
Total Permit Fee $ �
(Pen�it Fees Condnued On Next pA¢e) �
I 2
06/19/2012 23:03 FAX 7634775629 f�003l004
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!f a.bovt does not apply;follow guideliRes below: '
1. C 10E *is 1.259�6 of contract price with a(Minimum Fee of�50. ) :
� �"'D + x.0125$ '
�00n��"x� ^ (mldimnm .o� .
2• TE S RC RG /ry ti/� � .
v��v x.0005 a__�
(�aect prioo) � .
3. POS1'AGB&HANDLING(Only on Mail-in Applicetions) $ ,p •
4. TOTAL PERM[T FE�(Add l,inos 1-3 Abave) s—__— r, .
_
• " CONTRACT PRICE or JOB COST meatts the actua! or estimated dollar atnouat ch for the ;
permitted work including materiels, labor,profit,and othar fixed oosts. It is the amount to chRrged
to the customer for the wvrk done. If any material,equipment� Iabor or installaripns are ishcd by -
the owner� I,enant or a�ny other party,the roasonable market valae of such items must be ed to the
cstimetecl cost or contract price for permit fee purposes. In the ev�nt that I,hore i�a dis te an the �
amount of thc job cosl;the City may requcst the submission of a signed copy of the opatrac�,
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees o do all .
work in strict accordance with the ordinances of the City and the regulations of th Stau of �
Minnesota, and certifies tha,t all statements made on this appiication arre complete, rue and �
con�ect. .
APPlicant's Signature; Date:�� _ �
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� DATE TIME
CITY OF ORONO �� CALLED IN
INSPECTION�OTICE SCHEDULED � �
PERMIT NO. �I� —DU S�U COMPLETED
ADDRESS � � �� ���' � �
OWNER TELEPHONE NO. � � ' 7�
CONTRACTOR >�7i!YIP�1..l�Ca.�'I O� ,
>; DESCRIPTION , �u�� 1�J���"
ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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
J ❑ PLUMBING RI ❑ SE�FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR�TO�YOU: YES_NO
� COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED bi�F'PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑C�RRECT WORK,CALL FOR REiNSPECTION TEMPORARY
V BEFOFE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46��
OwnerlContractor on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
�o�a-oD 5�� ✓ DATE TIME
�ITY OF ORONO CALLED IN
INSPECTION N�TI�E DD�3 v t�'a14EDULED
�ERMIT NO. a ° COMPLETED � �
ADDRESS � �� I (l�� cJn-�''� ���
bWNER TELEPHONE NO.
�ONTRACTOR f' ° ��/��
a DESCRIPTION ���� � Q
�
� �7 FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q � POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y Gl FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAI
Z � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �AL ❑ SEWER HOOK-UP ❑ COMPLAINT
v DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
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= C,1 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v C�1 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� dWNERICONTRACTOR TO MEET YOU:_YES_NO
� C�OMMENTS:
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W� WORKSATISFACTORY:PROCEED tia+rKc)JECTCOMPLEfE
W C1 CORRECT WORK&PROCEED �CERTIFICATE OF OCCUPANCY
� d CORRECT WORK,CALL FOR REINSPECTION TEI�,6�Y /
V BEFORECOVERING ti��RMANENT �
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
�INSPECTION REQUIRED.CAL�TOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OlwnerlContractor on sit -
Inspector. ���1 j►!,�
I White Copylinspector's File Canary CopylSite Notice