HomeMy WebLinkAbout2013-00388 - plumbing * . ,
CITY OF ORONO * Z 0 1 3 - 0 3 B 8 *
� 2750 KELLEY PARKWAY DATE ISSUE : OS/2U2013
, , ORONO,MN 55356-
' (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2670 KELLEY PKWY �1•� I
PIN : 33-118-23-12-0049
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, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 LAUNDRY TRAY
VALUATION OF PLUMBING 4000
I
APPLICANT PLUMBING FIXTURE FEE 50.00
AMERICAN MECHANICAL CO, INC. STATE SURCHARGE PLBG(VALUATION) 2.00
7120 71ST AVE.N. MAIL-IN FEE 2.00
PO BOX 205
LORETTO,MN 55357- TOTAL 54.00
(612)750-0278 PAID WITH CC# 6915
OVWNER
Citizens Independent Bank '
5000 36TH ST W '
ST LOUIS PARK,MN 55416-
AGREEMENT AND WORN STATEMENT �
The work for which this permit is is�gued shall be performed according to
the approved plans and specificatior►s,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 ardinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if Gonstruction 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
a ,
FOH CPIY DSI ONLY
CiiY O�OI'000
�. �LO/VO P.O.Box 66 Dete Raeivd: Pamit Y
2750 Kelley 14dc wy
� CryMI 8ey,MN 55323 Mpo�'d By: Ame�mt S:
(952)249-4600-Meio
a �. (952)7R9�616-Fax
��' c.` CITY OF ORONO—PLUMBING PERMIT
��KESHOa`E (p11 Comm�cial Pormits Murt be Approved by t6e State Priw to City Approval)
ht ://www.dli.mn. ov/C LD/PDF/ lumb I nr . df
GENERAL INFORMATION
I. You may apply fm plumbing pumita by mail or in pmson at tha Ciry offices.Applicadons will ba
reviewad md a permit will be issuad within two working days.
2. Pelmit cards will ba sent bY���il aRar a review is comploted. PERMITS ARE NOT
VALID UN1'II.YOU RECENE A PERhIIT. W ORK MU3f NOT BEGIN UNTIILT'HE
P�T CARD I3 POSTED ON THE JOB SITE.
3. Plumbing pamits may be issued ONLY W licensod plumbing contractors end to property owners
rasiding ia the dwolling.
4. Whan any new conslruction or remodeling is involved,a soparete building pamit must be
obtainod.
5. All work must be dona in accordanca with Stata Code requiremmm.
6. AII work must ba inspacted and a'v tastad befora it is covarod. Call(952)249-4600.
(24-48 hour eotice required)
TYPE OF PERMIT
Check All That 1
�Reaidepiial ❑Commacial(Approval Required)
❑New ❑Additional ❑Repa'us ❑Replace
❑In Accsasory Structure?
;You will need orior aoorovd and may ueed CI�P.(Pw Orono City CodG Chap[er 78,Acticle I�
Job Site/Owner Information:
SiteAddress: .lV�C� [�C�j eH �E�(.tM � �l
Owner: Mailing Address:
City: Zip:
Home Phone: Alteraate Phone:
Conhactor Infoimation:
Contractor: �LY1Pi'fr/1A(�[i/t4Mfst' ContactPerson: -?�'1 � .t,.
Address: ��;��b�_ State Bond#: ` �
City: � Zip:�.�'Expiration Date: I��3 I'�3
Phone: F���7�— ���AltematePhone:
❑ Insurance—Current:
1
, . . �
• ;
FDCTURE BSMT 1 2 OTF�R AIX1'IJRE HSMT I OTHER I
TYPE FL FL TYPE FL FL
� WaterCloset � Floorlhaina
I
Is�.ary 3 sewerB;ocrur ;
; Bathmb � Lawdry Tray /
, Shower Washar
�
Kiuhm�Sink Wuu Hmtar
�
,' Disposal ' Water Softona
, Dis6wesha WetHar
; Sillcocks Miscellanaow
I
I
❑ Yes,this section applias
i
� Tha roplacemmit of only one Residm�tial fixture a aooliancs t}at meafs all tiva of the following I
raqu'vemonts:
: l. gQg}„pys require modification to alactrial or gas smvice.
� 2. Has a��of SS00.00 or less;occludina tha cost of the fvctiue or appliance:and I
� 3. Is imprrned,iretalled or replacal by ihe homaowna or liwnsed plumbing coatractor.
Skip noct seaion,if this applies; Cost of Permit S 15.W
Stata Surcharga S 00
� Mail•in Fos(If Appticable) S 2.00
' Total Permit Fee S
(Pe�mit Fea Cootinned Ou N�t Paee) I
2 �
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i ff above does not apPlY;follow guidelinea below:
I� I. CONfRACI'PRICE•is 1.7,5%of contract price with a(Mmimum Fee of S50.00)
dr-
�O
x.0125 S �
(cootracipria) (sioimam55Q00) �,
2. STATESURCAARGE /yy� 9 �
°'�/" x.0005 S v �
(conaeamice) �
3. POSTAGE&HANDLING(Only on Mait-In Applications) S 2.00
II 0.TOTAI.PERMIT FEE(Add Lines 1-3 Above) S �l
• *CONTRACT PRICE or lOB COST means the actual or estimated dollar amount cherged for the
�� pecmitted work including materials,labor,profi;and ot6er fixed costs. [t is the emowt to ba charged
!o tha customer for tha work dona If any�terial,Wuipmenr,lebor a installatims ere fumiahed by
the ownw.tenant or any other paAy.the reasonable marret value of such items must be addod to the
estimatad cost or contracl price for pecmit fee pu�pases. In dro want thst thae is a dispute on the
amount of the job cost,the City may roquast tha submission of a sig�rod copy of the acival contract
The undersi�ed hereby applies to the City for issuance of a Plumbing Pemiit,agrces w do atl
work in stxict accordance with the ordinences of the City end the regulations of the Statc of
Minnesota, and certifias that all statements made on this epplication are complete,aue end
carect.
' A licanPs Si � Date: S o'D_"/�
PP Bie��se: _
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DATE TIME
CITY OF ORO O CALLED IN
INSPECTION OTICE SCHEDULED
PERMIT NO. � � v3 COMPLETED �—�-/�
ADDRESS Zz�7a /CG/�,� �iC�iv y• S c�%t�� aZ d�
OWNER TELEPHONE NO.
CONTRACTOR ��c ✓c�� �� .
� DESCRIPTION �/�- ���G ����U���
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION W/�TERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB I ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION I� ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL �i ❑ WATER HOOK-UP /�1LOW-UP
W ❑ AS BUILT-SURV�Y ❑ SEWER HOOK-UP ��❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE I ❑ SEPTIC INSTALL
2 OWNERlCOPITRACT�R TO MEET YOU:_YES_NO
y COMMENTS: �
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W ❑WORK SATISFACT�RIF PROCEED �OJECT COMPLETE
� ❑CORRECT WORK SI PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,�ALL FOR REtNSPECTION TEMPORARY
V BEFORE CONERIN PERMANENT
❑CORRECTUNSAFE�CONDITIONWRHIN HOURS. p pHOTOTAKEN
INSPECTORIMLLRETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call fortF�e next inspection 24 hours in advance. (952) 249-46��
OwnerlContractdr on site:
Inspector: � � '""' 1�
White Cbpyllnapector's File C�nary CopylSke Notiee