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Home My WebLink About2011-01558 - plumbing � ' ' CITY OF ORONO PERMIT NO.: o��-o�sss � 2750 KELLEY PARKWAY .. ' ORONO,MN 55356- DATE ISSUED 12/15/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2670 KELLEY PKWY #��S PIN : 33-118-23-12-0045 LEGAL DESC I� : STONEBAY OF ORONO CONDOMINIUM ' : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 3 LAV, 1 TUB, 1 SI�OWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WASHER VALUATION OF PLUMBING 3200 AP LICANT PLUMBING FIXTURE FEE 50.00 AMERICAN MECHANICiAL CO,INC. STATE SURCHARGE PLBG(VALUATION) 1.60 7120 71ST AVE.N. ' PO BOX 205 MAIL-IN FEE 2.00 LORETTO,MN 55357- MISC FEE 0.00 (612)750-0278 TOTAL 53.60 Minnesota State License#: 065381 PM WNER Citizens Independent Bank' 5000 36TH ST W ST LOUIS PARK,MN 55416- AGREEMENT AN�SWORN STATEMENT The work for which this permit i�issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This perm�t is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if consVuction authorized is not commenced within 180 days of the date of issuance,or if consWction is suspended for a period of 180 da�s at any time after work has commenced The applicant is responsible for suring all required inspections are requested in conformance with thg State Building Code.This permit may be revoked at any time for due cause. �,� �'�- � � / / Applicant Permitee Signature Date Issued By S' ature te SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . i � City of Orono ' � �� "� ' ~ ��" �Q P.O.Box 66 i�I�iv�cl �rt4�tt� 2750 Kelley Pazkway � � A � Crystal Bay,MN 55323 �'t�� Att�nt�.' (952)249-4600—Main � �� '° �� -- .� , (952)249-4616—Fax � CITY OF ORONO-PLUMBING PERMIT ' (All Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn. ov/C:'CLD/PllF/ e lumb lanreva , df __._, .., � ; � R,��I3'�'4��T'.�C�� '.: . , „ , ,. i 1. You may apply for plumbing permits by mail or in person at the City offices. Applications ill be ', reviewed and a permit will be issued within two working days. 2.' Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTII,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3.I Plumbing permits may be issued ONLY to licensed plumbing contractors and to property o ers residing in the dwelling. 4. When any new construciion or remodeiing is involv.,c:,a separate buildir.a per.mit must be obtained. 5. 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. i (24-48 hour notice required) ; '�t „ _ ',T'YP�'C1F'F�.�"� . �_ ; ;�: � � : � , . _ _ . � �� heck�`:��1��A ' . - �R�sidential ❑Commercial(Approval Required) '�f New ❑Additional ❑Repairs ❑Replace ❑ I Accessory Structure? *�ou will need urior aaaroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) 1�r�:� �/C�v��r Inf��natiQ�... ' : .-- -. Site A�ddress: � 0 L(C (AIZ�C �(/ -1'� � Owner: ��'iQ � cG► � Mailing Address: City: Zip: Home Phone: Alternate Phone: ��n ";°`tc�r:��rin�t��n� ... �. .. : �� Contr ctor: � � � �G��ontact Person: � � /� Address: ��K � State Bond#: � ^ � / City: � � Zip�3� Expiration Date: - Phone� �n��"7}v "��7� Alternate Phone: � l ' "�v� ❑ Insurance-Current: -e S 1 . � FIXTURE BSMT 1 2 OT'f�R FIXTURE BSMT 1 2 R TYPEi FL FL TYPE FL FL Water Closet Floor Drains Lavato Sewer Ejector Bathtu � Laundry Tray Shower � Washer / / Kitchen Sink ` Water Heater I Dispos 1 I Water Softener Dishwasher ' Wet Bar Sillcocks Miscellaneous � F. � ❑ Yes,this section applies The rep�acement of only one Residential fixture or appliance that meets all three of the following require�nents: �1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed plumbing conhactor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surchazge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit�ees Continued On Next Page) j 2 . � • . � I ♦ • I If abo�e does not apply;follow guidelines below: � 1. CONTRACT PRICE *is 1.25°/a of contract price with a(Minimum Fee of$50.00) ' �3��- X.0�25$ �o i (contract price) (minimam$50.00 I 2. STATE SURCHARGE ` G� � x.0005 $ � , (contract price) , 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 b I 4. TOTAI.FERMIT FEE(Add Lines 1-3 Abovc} $ � � ■ * ONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged r the pe itted work including materials,labor,profit,and other fixed costs. It is the amount to be c arged to e customer for the work done. If any material,equipment, labor or installations are furnis ed by thd owner,tenant or any other party,the reasonable market value of such items must be added the estlmated cost or contract price for permit fee purposes. In the event that there is a dispute n the ambunt of the job cost, the City may request the submission of a signed copy of the actual co tract. The ur�dersi ned hereb a lies to th i f r i g y pp e C ty o ssuance of a Plumbmg Permrt, agrees to o all work ip strict accordance with the ordinances of the City and the regulations of the S e of Minne�ota, and certifies that all statements made on this application are complete, tru and correct� Applic�nYs Signature: Date: ��(�-/� i,11"C;` ,i, i' 3 S�� ..L)AT TIME V CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED ' — ! PERMIT NO.�°��' °�558 COMPLETED ADDRESS a�7D � l OWNER TELEPH E NO. pl z 75v �Z�� CONTRACTOR /_��2�CCL-i'L ,��G�v >; DESCRIPTION �� /��'� �l�"� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O '� /�I'4�O tit i 'f'tT�� C`T� � 0 � W � Q � z W � W � � d W� ❑WORK SATISFACTORY:PROCEED �F�OJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�� Owner/Contractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice