HomeMy WebLinkAbout2015-01174 - plumbing CITY OF ORONO * Z 0 1 5 — 0 1 1 7 4 *
c ' I 2750 KELLEY PARKWAY DATE ISSUE : 09/15/2015
ORONO,MN 55356—
952 249-4600 FAX: 952 249-4616
ADDRESS : 2670 KELLEY PKWY 205
PIN : 33-118-23-12-0053
LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM �
' : LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (2)WATER CLOSET,I�i(3)LAVATORIES,(2)BATHTUBS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER, (1)WASHER
VALUATION OF PLUMBING 4000
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 2.00
AMERICAN MECHANICAL CO,INC. NIAIL-IN FEE 2.00
7120 71ST AVE.N.
PO BOX 205 j TOTAL 54.00
LORETTO,MN 55357- Payment(s)
(612)750-0278 � CREDIT CARD 6203 54.00
OWNER
Citizens Independent Bank '
5000 36TH ST W 205
ST LOUIS PARK,MN 5541 - ,
AGREEMENT AND SWORN STATEMENT
The work for which this permit is i�sued 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 dces
not grant permission for additional'pr related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or npt specified herein.This permit will
expire and become null and void if ponsVuction authorized is not
commenced within I80 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 ass ing all required inspections are
requested in conformance with the tate Building Code.This permit may be
revoked at any time for due osuse.
� / /
Applicant Permitee Signature Date Issue y Signature Dat
FROM.:American Mech�.nical FAX N0. :763 477 4085 Sep. 15 2015 08:4 AM P1
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2750 Kclley P:akwly � . , !, `" �
('ryatal Bay,MiV 55323 APP!'�'��Y� �1m01�?ka�.;:�j , : ,.
(9S2)249�4600-Main ;a; '�,""'"^''"„ �:v:
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� (952)Z49-4G 16—Pux . , 1,•:,,,,;: ; .
5�"R ��`fi CYTY U.F URONO—FLUMSiNG PERMIT .,. ,,...,
�f H��' (All Comrn�rc:ial Pcrmits Must be Approved by the State Prior ta City Appro )
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1_ �uu may a}�1y for plumbing permits by mail or in per,on at the City o#�iCes. Applieations will bc
�cvicwcd and a permit wilf be issued within two working days. I,
2. erniit cards will bc sent by renirn mt�il afier a revi�w is completed. PERMITS ARE NOT
V�i.TI�UNT'fL YQU RECENE A PERMiT. WORK MUST NOT SEGiN UNTiL,TN�
�EltMIT CARD YS pOSTED ON THE JQB SiT�,
3. Ptumbing permits ma.y be issued ONLY to licensed plumbing contractors and to property own •
residing in the dwelling.
4. When any new constntctiun or rcmcxicling is involvccl,a scparate builc�ing permit must be
�btained.
5. Il work must bc danc in accordancc with Stste�ode rzquirCments. �
6. A11 work must be insrected and air rested beforc it is covered.. Call(952)249�6p0. '
(Z4-48 hour notice requircd)
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csili�ntial ❑Commercial(Approval Required)
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❑New ❑Additional ❑Rrpairs ❑Replace
❑ ln Accessory Structure?
'"You will need rior a rova#a�id may need t�P.(Per Orono City Caie.Chapter 78,Article N
:� azte�:•�rner Tnfor�t�on: i�
Site Address: Q � !�J�
Qwner: Mailing Address:
City: Zip: I
Home Phone: Alternate Phone�
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Contrac or: �,r ��ntact Person� �� �
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Address: ` ����j� State Bond#:
Cit�: Zip�� Expiration Date: 4 ��
Phone: Alternate Phone: ��Z�`d�,j_�
(� Insurance—G�urent: Q
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FROM :Rmerican Mec�anical FAX N0. :763 477 4085 Sep. 15 2015 08:4S�M P2
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FIXTU1tE, F3SMT 1 2 . .OTHER FIXTUktE BSMT 1 Z p
TYPE FL FL TypE �, � �
Water C3oset � Flopr Drains
T_,nvgYo Sewer EjectoP
Bathtub I Laundry Tray I
Z
Shower • W�b�
ICitchen S�ink �
/ Water Heater
bisposal � Watcr Softenet �
Dishwasher / Wet Bar
Sillcocks Misceilaneous
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❑ Yes,this section applies
The replacement of unly one Rcsidential fixture or a�nliance that mccts all three uf thc folluwing
requirem nts;
�, ll es not re uire modification to cicetriCal or serviee.
o q gas
�. Has a total cast of$500.00 or tcss,cxcluding the eost of the fixture or appliancc:and �
3. is improveai,installed or replaced Uy the homeocmer or licensed plumbing contractor.
Skip ncxt sccCior�,if this applies; Cost of Pernut $ 15.OU
Srate Surcharge $ 1.00
Mail-In Fee(if Applicable) $ 2.00
I Tota!Permit Fee S
(Permi# I ees Continued Oo Next�a�c) ,
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FROM :American Mechanical FRX N0. :763 477 4085 Sep. 15 2015 08:48R P3
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tt Above�toes��ot apply;follpw guidelines helpw:
�, CUN'rRACC YRTCF, �" is I.25%of contracc price wirh a(!Viinimum Fee of S3U.00) I
� � x_OI25$ �� r
{contract nricc) (minimum 550.00)
z. srA�sYrnc�c�:
— x.000s $ Z r
(conaac�pricc)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $_,� _ 2.OU
4. TOTAL PERMIT FEE(Add Lines 1-3 Abuvc) $ �'"/ �
• * CQNTRACT PRICE or JOS COST mcans the ectuel or estimated dollar amdunt chargcd for th
pe1r111itted work includina materials,ta�or,profit,and othcr fixed costs. it is the arrtount to be cla�ge
to [hje customer for the work done_ If any material,equipmen�tabor or installattons are furttished b
thc 'wncr, tcnant or any other pany,the reasonabie market value of such it,ems must be added to th
esti ated cost or contract pricc for pemiit fcc purposes. in the event that th�re is a dispu�on th
�tno ir►t af the job co:;t,the Ciry may request the submission of a signcd copy of the actual contract
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The; undersigaed hereby applies to the City for issuance of a Plumbing Permit, agrees to do al
work in strict accorJance with the ordinances of the City and the regulations of the State o
Minnesota, and cerii�cs that all ctatzme made on this a}�lication arc eom.plete, true an
correct.
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Applicant's Signature: Date: ��
3
�. �- `�
DATE TIME
CITY OF ORONO CALLED IN �n '�7
INSPECTION NO I E SCHEDULED I C�-o4�-IS : C�
PERMIT NO. ' � l conn ED
ADDRESS
OWNER TELEPHONE NO. � -4�/1-373 7
CONTRACTOR ' y
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� DESCRIPTION
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ P MBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ,�PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 h urs in advan 2) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice