HomeMy WebLinkAbout2011-00336 - plumbing ° ,' � ' � CITY OF ORONO PERMIT N .: 2011-00336
2750 KELLEY PARKWAY
� ' ORONO, MN 55356- DA'rE�Ssu n: 05/12/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 2670 KELLEY PKWY �I��
PIN I�, : 33-118-23-12-0047
LEGAL DESC I : STONEBAY OF ORONO CONDOMINIUM
� : LOT 000 BLOCK 000
PERMIT TYPE � : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE ��
NOTE: FIRST FLOOR:2,WC,2 LAV, 1 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WASH�R
VALUATION OF PLUl�vIBING 2500
�
AP�LICANT
PLUMBING FIXTURE FEE 50.00
AMERICAN MECHANICpL CO,INC. STATE SURCHARGE PLBG(VALUATION) II 1.25
7120 71ST AVE.N. TOTAL I 51.25
PO BOX 205
LORETTO,MN 55357- �, PAID WITH CC# 9327 II
(612)750-0278
Minnesota State License#: 1065381 PM
O'WNER
O C DEVELOPMENT I
2670 KELLEY PKWY ' �I
LONG LAKE,
AGREEMENT AND SWORN STATEMENT
The work for which this permit is i�sued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit i��for only the work described and does
not grant permission for additional�or related work which requires sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 1 ays at any time after work has commenced.
The appli s le for ass ring all required inspections aze
reques d in con c with the�tate Building Code.This permit may be
revok d at an �me due cause. il � /�/ ��
/ /
Ap ic rmitee Signature Date Issued By 'gnature Date
SEPA TE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV .
� II
i
� � . D(.M 1, F�UR CITY'i7SE(��I.(Y
' O���O City of Orono � �� � �`
P.O.Box 66 Date Receiued:.. Permit�#
2750 Kelley Parkway
►� Crystal Bay,MN 55323 Appraued By: ��Amount:$:� �
� �`, � (952)249-4600—Main
Ha�y (952)249-4616—Fax
CITY OF ORONO - PLUMBING PERMIT
�� (All Commercial Permits Must be Approved by the State Prior to City Approva)
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GEN I�AL i1�1FORMATION
1. ' You may apply for plumbing pernuts by mail or in person at the City offices. Applicatio�s will be
reviewed and a pernut will be issued within two working days. �
2. ', Permit cards will be sent by return mail after a review is completed. PERMITS 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 pernuts may be issued ONLY to licensed plumbing contractors and to property wners
�residing in the dweliing.
4. �i When any new construction or remodeling is involved, a separate building permit must be
�i obtained.
5. iAll wark must be done in accordance with State Code requirements.
6. �,All wark must be inspected and air tested before it is covered. Call(952)249-4600.
;(24-48 hour notice required)
' TYPE OF�PERI�SIT
r (Check At1�That App1�)
�Resi;dential ❑ Commercial(Approval Required) II
❑ New ❑Additional ❑Repairs ❑ Replace �I
❑ In AFccessory Structure?
*Ydiu will need arior aanroval and may need CUP.(Per Orono City Code,Chapter 78,Articl�N)
Job.Site I!Owner`Iriformatic�n, , ��
�
Site Address: (.P a �2.�
Owner: I� � Mailing Adc�ress:
C�ity: � Zip:
Home Phone: Alternate Phone:
Contract r Ii��'armation:
� � . � � ��� � �
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Contractdr: �r , Contact Person: �
C
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Address: � +� b '� State Bond#:
, �
City: �D!'� Zip:�3 S�xpiration Date: �� � « I
Phone: � �������'Oa7� Alternate Phone: Q
��, � Insurance—Current:
� 1
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. �
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory � Sewer Ejector
Bathtub � Laundry Tray O
Shower ' W asher t
Kitchen Sink ( Water Heater
Disposal � Water Softener
Dishwasher + Wet Bar
Sillcocks Miscellaneous
❑ Yes,this section applies
The replacement of only one Residenrial fixture or appliance that meets all three of the following
requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludin�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 Pernut $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
M ' I
� �
.
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.0�1)
��S�v° �'
X.oi2s$
(contract price) (minimum$5 .00)
2. STATE SURCHARGE I�I
x.0005 $ II
(contract price) i
�3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00_II!�
�
�4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $_ ��
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charge for the
pemaitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged
to ttie customer for the work done. If any material, equipment, labor or installarions are shed by
the c}wner, tenant or any other party, the reasonable market value of such items must be add d to the
estimated cost or contract price for permit fee purposes. In the event that there is a disput� on the
amomnt of the job cost, the City may request the submission of a signed copy of the actual �ontract.
The und�rsigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in �trict accordance with the ordinances of the City and the regulations of the S ate of
Minnesot�a, and certifies tha all statements made on this application are complete, e and
correct. '
, �i
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,/ ���
Applicant��'s Signature: Date: / � �i
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� v�� j� E TIME �
CITY OF ORONO CALLED IN �" �� `�
INSPECTION �I I��� SCHEDULED � �3.,3 Z�
PERMIT NO. onn �e�
ADDRESS � v ��
OWNER - TE PHON NO. —7SO'� �
CONTRACTO �
� DESCRIPTION �
� �
� ❑ FOOTING j ❑ PLU I G FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL I ❑ ME ICAL RI p LAKESHORE/WETLANDS
y ❑ FRAMING I ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION � ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB II ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL I ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ' ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI , ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MHET YOU:_YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PRO�EED PROJECT COMPLETE
W ❑CORRECT WORK 8�PROCEEQ ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FORIREINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
0 CORRECTUNSAFECONDITIpNWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALLIINSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CA ILTO ARRANGE ACCESS.
Cail for the next�nspection 24 hours in advance. (952) 249-4600
OwnerlContractor on si :
Inspector.
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