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HomeMy WebLinkAbout2012-00169 - plumbing s '� CITY OF ORONO " , 2750 KELLEY PARKWAY * � 0 1 2 - 0 0 1 6 9 * . DATE ISSUE : 03/02/2012 . ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2670 KELLEY PKWY � ���' PIN : 33-118-23-12-0042 LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1ST FLOOR:2 WC,3 LAV, 1 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER 1 WASHER VALUATION OF PLUMBING 4000 APPLICANT PLUMBING FIXTURE FEE 50.00 AMERICAN MECHANICAL CO,INC. STATE SURCHARGE PLBG(VALUATION) 2.00 7120 71ST AVE.N. PO BOX 205 MAIL-IN FEE 2.00 LORETTO,MN 55357- MISC FEE 0.00 (612)750-0278 TOTAL 54.00 PAID WITH CC# 9327 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 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 responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �Yt�l � l l d��z�� � / Applicant Permitee Signature Date Issued By gnature t SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. 02/28/2012 19:47 FA� 7634775629 I C�004/009 ( .y I I . � • ', ....'. .�AI!f�ry4� . ' 't�{�+� .y..,..��. '��'�"., .. � City of Orono ��''��';:�;:;;'•;;Y.;.,.;..�..,. �.•: . .. . � . . .l..1i11�}'i�:•�:�: '.I.'.. ,Q„ ��r,.:^,;.!i .. ., . �r � P.U.Boxbb ��'�Vi�.°::':�.��•�: •.•`1!b�Rlll�� 273Q Kelley 1'arkway �:: ': :�::::..=. .:'� :' .� . . _:<<•�:.: � �Y��Y,N!N 55323 , w�. �. ,:i�i�,''::�,:�d�•';,;�•.,;Jl11110uN�i:, . . �.. �•: ', . ..�-„•�y. •....;.,.• •� 1�i 1" ' � K •• • , (952)2a9-dbcm—Ma�n ,��,•, i�'°'•�''� �6 , ,••"�•:,,.:. • . �...,,.. .. .. . :..... (952)249-4616—Fax ' CITY OF ORONO—PLUMBING PERMIT (All Cvmrnercial Permits MWst be Apprnved by t6e State Prior to City Approval h t • hv li m e r i' :......... ........._ .....;�::� ..... , � u;� ... ,�.. ........ . �. �$�; �uA :� ���N �,1?� �.,,i..-0MN��� ,4r I�.�i)�)�i:a�ii�l�����:1P�.:i°;di;,r•.:q��p's•.;� f . �(�,� • i . :.1. T�111i:'1. � � �ili '�i ' �'.i�' �'11N 1��i li�i���'t�Mi�� �MlMlah��vi'�.��n'..•i''• '.l�� 1. You may apply for pl�unbing permits by mail or in p�son at thc City officcs. Applicati wil bc rcviewed and a permit will be issued within two working days. 2. Plermit cards will be sent by return mail aRer a review is completed. PBRMITS ARE NO 1JrALID UNTII.YOU RECEIVE A PERMIT. WO 1�T U RM1T CARD 1S POBTED ON T�IE JOB SITE. 3. plumbing permits may be isst�ed ONLY tp licensed plumbing contractors and to property r�siding in the dw�lling. 4. en any new construcaon or remodeling is involved,a separate building permit must - ,. �i �- - �,"..t81p��4?:' f;? , r,����;,.1 i 0 0 9 � S. AIl wo�c m�be done in accordance w'sth State Codc requirements. -- 6. AII work must bc inspxted and air tested before ii is covered, Call(952)249-460Q. (�4-48 hour ootice required) . •. •,>.,;,,•�.::,,ti��.;� , �w ' c"•'.:...�,�.qr.�...;�,..�. : .. i�ai� ' � . . vn�r S li tw •.�+�:,.��I�i.:C�Q1::1i��.�n;��..b1• y�i �'�7'i�'N,.� 4 11 Yivl� �, i r�si � , , �;.;.,� y ,,ti > � . . � ;,;;��'�'��'��+ � �" :;�,�►.r:�..�•�,� . ., .. �, ,� _ J � �. �Residd��ial ;;� r]Commerciel(Approval Required) r _ � � , _. ❑New ❑Additibi�al� ���. _ ;�]RcpaiTs , [�?Ze�lace ;° f�`.2a N ;�r,�> � ' �'�,'!v. � � i',�., ,,, . ; _ .. , , , ❑ in ACcessory�Structure? ,, � . ' "Yo�p will n�l prior ap�roval'�tid may need `��1�.(Per Orono City Code,Chapter 78;Arti le ) , . , ,.,. � ,. : ....,. r x. ... .., �.. i!✓i�, ?ryi.'.�:r i 'r�nr�u� : . .. . . . . _ . � , , , ..� s��'� ' ••...��:�.,. n.ytrt.r.:a ... ., •�.. � ,�• �,.. ...1. � ;,',•r;,�,��'�: e , •�,,:; . � �r �D�/�- Site�Adchess: �7U F��`'� r �4 � . , �:� , ,. , � i :i��: Owner'--� ;;.; �� �,�;' Mailing�ddress; �„_,,,,,�, , ' ,;i:� , , � ., Clty: i t„ �;:�,. , ,��:�, ,,a ��.,�, � 2i�,� ,,_ � �, r�. ,�.iSJ:'.i;4,1. � a i Nome Pl�prie, '`� , . . ; Alternate Phonc: . . N .�.. . . ,. , �lli. . . . ��'� �'1 ��, „ �.,/y1�.��.�.�� • � ��...�1d Ir�w11iM �� K�� . �Ff!^� . �l�li��.� �.M1��",::..��` '44r�%' ��1�L 'i .. u , , . ..._. ._... .. .. . i ..:�.1 k� ii '�/ . . . a �nu��i�1ih... ��....1:1. i i i�4iJ�.�..r f��� . .J�l �! . . . . . . . ,. �1.... .. .:.. , .��. . ...: .,. .... . ........� . .. . - � .. . � .'1�1' .,� � , .. ' CR11tCAC ItIQ�' ' , Contact Person: 1 ,..._ Addtess: •'"�'°�1�'iG �O� :"� � � 5tste�Dond#: �� �nj►;=`�' ' r Zip;�} Expira.ti6n qate: ' .k� ,,,.. Phone '"� . '�� � '' 7 S�'� Alternate Phonc: � � � � � � . � � �, _ , ��. [] 'Tn'suranee^Current: , ,�, �, ,, . , , 1' ., q ,�,t I i� �'`'�� 'T 1 ..�...�. � .��. . ' ,.I • . . .�v.i.... . . .n.. {.'.� � .i 1 ' .. . . . . .. .. . ,� ,_� i � . . ._. ,..,..,..:..,�.. __. .. . _ _ �i 02128/2012 19:47 FAx 76347�3629 � I�005/009 . �1�7� k�� ��lZ . FixTu �s�' � 2 0� F1xTur.� ss�rr i a TYPE I FL FL TYPE FL FL Watcr Ctosec � Floor Drains Lavatory � Sewer Bjector Dathtub ' I Laundry Ttay Shower / W asher ( Kitchen Sink WatcrH�ater , ,._ ". Dispo§al' "'� �t�i'i`` '�� Wetec SoRenor � DishWesh¢r e � � Wct Bar .,:��� , �r. ��,��_. � 5illcocks ; Miscellaneous _ ._ _ •`� ;�;,, ,', , �4,,; :•, x ', •,��,:�titi.��,� N+��:',;.';w�;:• �il$ � i, r'vnl�y�•••a,c rfl�;:�i�i �r".eL:b•!:t'r::�. Q . v�s,this ga�ion�Ppu�$ . . � Y ,� � � lowit�g 'L1t�,teplaCement of ed one Residential fixture or aon ian that meets all tlu'ee of the foi requiromer�ts: , . . _.,.... ._ � 1:` ot require modification to electrica!or gas se'rvice. ' � � a. Ha��ti tal eost of SS00.00 or less;excludine the cost of the fixture or appliance:an - " � 3. ls.improved,installed vr�replaced by the homeowner or licenscd plumbin�contraew . _. . .�. . . .... , ._; . _, ;s� � , ��. � , Skip next section,if this epplies; Cost of Pernlit .._ . . . Stsie Surchargc S .. . _ , , '! . Mail-In Fee(lf Applicable) S � . t_... _. ___ ._-- Total Permlt Fee .,..�5 (Permit Fces Continucd Oa Nent PAgc) Z .. � . .n ��� �i�.. , � c:� � ., ,. tl 02/28/2012 19:47 FAX 7634775629 �006/009 . _ _, t If above dbes not apply;follow�idelines below: 1� CONTRA(T PRICR *is 1.259�6 of conlract pcice with a(Minimum F'cc of 5511.00 � � x.01255 O' , contract price) m nimom SSO � 2a� STATE 3URCI�ARGE � � x.0005 $�.,,_ (contract prix) 3, POSTAGE 8c HANDLIIVG(Only on Mail-In AppIications) S 4. TOTAL PERMIT.FEE(Add Lines 1-3 Above) S � - ��• �--"�CpiJTRA�T�'R�EE or JOB COST means the ectual or estimated dollar amount chsrg fur tNe �� ,. ,�,�, � . permittvd w�ork including materiaJs�labor,profit,and other fixed wsts. It is t�e amount to b ch to the j cuswmer for the work done. If arry material,equipment, labor oc insrsll�tioqs are fu sh by the owner,teaant or any other peKy,the reasonable m�ket value of such ltems must be d to thc estim�ced eost or contract price fvr permit fee purposes. In the event that there is a disp oa the amou�t of the jab cost,the City may rcquest the submission of a si�ned copy of thc aetual n � i � _ ..,., a , _ The nndersigned hereby applies to the City fpr issuance of a Plumbing�Permit,agrees do all work in Strict accordance with the ordinances af the City and the rebulations of the ta of Minnesot�, and cert'tftes that all statements made on this application are wmpletc, e d correct. � • r I ApplicanCs Signature: • , Date• � u„ I f ' „ .,,., v - - . , , ,,, „� �� �:�: .�� , �� � , .,._ , . �� „ � , , , „ . � � . I� . { . , . . i � _ ai , , , , � � , i , , , . � . , „ , ,., , a t• > 3 , r \��� " �TE TIME V CITY OF ORONO CALLED IN �//-f' �'` INSPECTION NOTICE scHE�u�Eo '" '' �¢''tG'�'-� PERMIT NO. MP�ETEo ADDRESS � ���f��- � _ . 1"� /������- .� OWNER � --TEL �HONE NO. �'�'��S� ���� CONTRACTOR ��f���'L C�dL-�'� �y� C--�'L - 1�G1',�-�_. >: DESCRIPTION ��'�'� -�l���P�n�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 J ❑ 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: / `" :�"D/� -�1C�/�-i-�/ - ��l�f �/,�j ' �< ���s�"" ✓ � o �G���-i��f�; `� - �il� <�f //�3 �-� l�l� ✓ �. - � -- - ° ,�.. -�- i c i ., ,, W { ` '/�j Q t ,/1�, � .'�' � (�� ` �!"f �"` � Z W � W � � d W� +�V�ORK SATISFACTORY:PROCEED Ci PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORFECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '-�CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice <�— A E TIME V CITY OF ORONO CALLED IN � INSPECTIONNOTI �`�q SCHEDULED � � � '�'` _/-"-3� PERMIT NO. / co PL T D ADDRESS 7� e � OWNER T NO. � { V g`�d CONTRACTOR �� � DESCRIPTION � ` � ❑ FOOTING � ❑ PLUMBI FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL I ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Q ❑ INSULATION i � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL i ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP W ❑ DEMO-FINAL I ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBIN � ❑ SEPT� I�.FINAL ❑ FOUNDATION/REMOVAL � OWN CONT EET YOU•�S_NO c�., COMMENTS: � � W i a I � �� —�-�c� R � 0 � � 0 W aC Q � Z W � W � � � W �' l�OjKSATISFACTO�Y:PROCEED �PRQ�IECTCOMPLETE � ❑CORRECT WORK 8 ROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,C�4LL FOH REINSPECTION TEMPORARY V BEFORECOVERINC� PERMANENT ❑CORRECT UNSAFE�CONDITION WITNIN HOURS. p pH0T0 TAKEN INSPECTOR w�LL RETURN ❑STOP ORDER POSTIED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIIRED.CALL TO ARRANGE ACCESS. Cau for t�e next inspection 2a hours in advance. (952) 249-4600 OwnerlContract�r on sit . Inspector. ' White�Copyllnspector's File Canary Copy/Site Notice