HomeMy WebLinkAbout2012-01234 - plumbing �`' �� I CITY OF ORONO
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� - I 2750 KELLEY PARKWAY DATE ISSUED: 12/13/2012
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2670 KELLEY PKWY �r��
PIN : 33-118-23-12-0046
LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE I: FIXTURES-MULTIPLE
NOTE: IJNIT 116
2 WC,3 LAV, 1 TUB, 1 SHOW�R, 1 KITCHEN SINK, l DISPOSAL, 1 DISHWASHER, 1 WASHER
VALUATION OF PLUMBIN�G 4000
APP 'ICANT PLUMBING FIXTURE FEE 50.00
AMERICAN MECHANICAL CO,INC. STATE SURCHARGE PLBG(VALUATION) 2.00
7120 71ST AVE.N. ,
PO BOX 205 � TOTAL 52.00
LORETTO,MN 55357-
(612)750-0278
OV�NER
RUYF,PATRICIA '
2670 KELLEY PKWY
UNIT#116 I
LONG LAKE,MN 55356-
AGREEMENT AND'SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specificatio�s,applicable City approvals,and the
State Building Code. This permit i for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws an ordinances governing this type of work
shall be compied with whether or n�t 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 daysl,at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked y time for due cause.I
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Applicant Permitee Signature � Date Issued By Sig ture Dat
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
12/1 2012 03:p1 �AX 7634775629 I �001/001
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FQi1•C1TY U�.F:ONLY
�,.�¢��w., City of Oruno ' • ':... a �a � J et, � LjG
� P.O.Du�66 �'Date�Recei�uds: .'1!ermit�1
i1��.�� ��', 2750 Kellry 1'arkwuy . • . .. �,
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�� Crystal Bsy.MN 55323 :� ,fi�•'.X�.; .
��,��� (952)2G9-4600—Main
•;�s�„�, (9i2)2a9-d616—Fax
CIT'Y OF OY20N0—PLUNIBING PERNl�T
I(nil Commercial Permits Must be Approved by thc State Prior to City Appcov�l) I
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GENEIZAL TNFOTtI�r[A�,TiQ11[ . � �� ��
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I. �You may apply for plumbing permits by mail or in person at lhe City ofCces. Applicatipns �Il be
'reviewcd and a permit will be issued within two working days.
?. ''Pcrmit cards will be sonl by return mail after a troview is eompleted. PEItMITS ARL NOT
'VALlD UNTIL YOU RECEIV�A PERM(T. Vy0 K MU NOT B GIN UN iL THE
'PERMY't CARU 1S PO�D ON THE JO S TE.
;, �P{umbing pc�mits may bo issuedONLY to liccnsed plumbing contracto�and to property ow�ers
'rasiding in the dwcllin�. '
4, �Whon m�y ncw ccrostruction or rcmodeling is involvcd�a separate building perntit must be
�oblained.
,, „-,„ ,,._ „,�., 'All�uo,�l��7ia.�t be done in aceordancc with State Code requirements.
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6.' �AII work musc 6c rospected and air tcsted before it is covored. Call(952)249 600. ' r �^-
�(24-48 hour notice required)
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� � - .omfriercial(Approval Required) ^. � _ .
� ntial ❑�' _ _ .. _ .
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� N�,�,� �� ❑Additional- - .._. - �Ret.�airs �,.
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'Y�nu will need_, or�� Rpnr�_�and may need C.0 (Pe�Orono Ciry Cod�.Gha fec 78,Article.l ) ,
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Job Sit�/�ne,r,Cn�fo�m�C�.on,:.. . . . ,
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Site Address•' ,
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' Contact Persan: """'��'�'' �¢�
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C:ontra�tor: � ��r�Q , -
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Addres`�:� � ` G�a - �tate�Bond#;
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C:ity: ',
� a Alternate Phone: �^
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12/12 2012 03:00 FAX T634773629 f�0021003
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t�IXTURE BSM7' l 2 O'1'9iER 1�IXTUR� BSMT 1 2 OT! L�Ci
TYPr•. �I. r�. TI�E CI. FL
W acer Closet Floar Drains
Lavatory 3 Sewcr Ejeccor
Ba[hn�b � Laundry Tmy
Silowcr ( Washer (
Kitchcn Sink ( WaterHeeter
,� :.^ �� � ^ Dispoxal -• - --. ��, � Water Softener .
Dishwashcr ( W et Bar
Sillcocks Miscellaneous
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❑ Yes,this section applies
'I'hc replacement of only one Rssi tial F rc or liance that meeLs all tiv'ee of thz fpilowit►S
rtquirements:
1, l�ocs not require madification to cl�ctrical or gag service.
2, Ha�a al cos �f SSOO.UO or lcss:excludin�thc wst of the f�xturc or apPliance=an�
3. Is irnprovcd, installed or replaeed by the homcawner or licensed plumbing contraekir.
Skip ncxt section,if this applies; Cost of Permil S 15.00
State Surcharge $ 5.00
Mail-ln Fec(lf Applicable) $ 2.00
Total Permit Fee $
(Pcrmit Fecs Continued On Next Pa�e)
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12/1 /2012 03:01� FAH 7634775629 1�003/003
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If above d�es not apply;follow guidelines bclow:
' II',. CUN'r ACT PR10E "' iR 1.259/0 of contr�tct price with a(Minimum Fee o�S50.00) I
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x.U125 S
!� i (oonQac�pri�x) ( imaM SS0.0�
� 2. 5rA'rE suRC 1ARCE ' �
I �`, x.000s $ ��. .
(contract priae) .
3. POSTAGE&HANllLING(Only on M�il-Tn Applications) S 2.00 _
4, TQTAL PI�1tMIT FEE(Add Lines 1-�Above) . $ /
��;r y,7���,� ��- �• '�+CONTRA,��PKT�F or JOB COST mean� the actual or estimated dollar amount charged fo the ,��r^^
permitted work including m�terials,labor,profit,and othcr futed costs. i�is tkie amoun�to be ch
to th¢customer for thc work done. If any material,eyuipment,labor or ingtallatinns are fumish� by
the o!umer,tcnant or any othcr party,the reasonable markct vt�lue of such itr.tms must bc added t thc
estimatcd eost or contrawl price for permil fee purposes. In the cvent thaz there is a dlsputc v the
amo�nt of the job cost, thc City may requcst the submission of a signoe9 Copy of the ttietual cont t
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The undiersigned hereby applies to the Ciry for issuance of a Plumbing Permit, agrees to d all
work in strict aecordance with the ordinances of the City and the regulations o1' the Sta �f
Minncsotf►, and ccrtifies thal all staternents made on this application dre complet�, crue and
correcl.
npplicAnt's Signature. _ . .� Date:�._���
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D E TIME
CITY OF OROMO CALLED IN /
INSPECTION OTICE SCHEDULED / /�
PERMIT NO ' COMP ETED
ADDRESS -�
OWNER TEL NE NO. �� 1 �'��7�
CONTRACTO�i ^
� DESCRIPTIOI�
� ❑ FOOTING I ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL I ❑ MECHANICAL ❑ LAKESHORENVETLANOS
y ❑ 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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ' ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACT R TO MEET YOU:_YES_NO
��., COMMENTS:
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� ❑WORK SATISFACT�RY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY
p ❑CORRECT WORK,�ALL FOR REINSPECTION TEMPORARY
V BEFOREC01/ERIN PERMANENT
❑CORRECT UNSAF CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR UkILL RETURN
❑STOP ORDER POS�fED.CAIL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQy1RE0.CALL TO ARRANGE ACCESS.
Call for t�e next inspection 24 hours in advance. (952) 249-4600
OwnerlContract�r on site:
Inspector. I
White 4opy/lnspector's File Canary CopylSite Notice