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Home My WebLink About2012-00093 - plumbing • CITY OF ORONO PERMIT NO.: 2012-00093 . 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE [SSUEn: 02/07/2012 952 249-4600 FAX: 952 249-4616 ADDRESS : 2670 KELLEY PKWY PIN : 33-118-23-12-0054 �`�� LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 2 WA"I'ER CLOSETS,3 LAVATORIES, 1 BATHTUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WASHER VALUATION OF PLUMBING 3000 APPLICANT PLUMB[NG FIXTURE FEE 50.00 AMERICAI� MECHANICAL CO, INC. STATE SURCHARGE PLBG(VALUATION) I.50 7120 71ST AVE.N. TOTAL 51.50 PO BOX 205 LORETTO, MN 55357- PAID WITH CC# 9327 (612)750-0278 OWNER Citizens Independent Bank 5000 36TH ST W ST LOUIS PARK,MN 55416- � AGREEMENT AND SWORN STATEMENT The work for which this perniit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant pennission for additional or related work which requires separate permits. All provisions of laws and ordinances governing[his type of work shall be compied with whether or not specified herein.This permi[will expire and become null and void if cons[ruction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended Y'or a period of 180 days at any time after work has commenced. I�he app�ant is responsible for assurmg all required inspections are re ested m c ance with the S[a[e Building Code.This permit may be r�ked at y t� e r due cause. ; / i'� �1-� j - � � / / �" � i ! ! i C7'"l^{ ( j 1 � ,:�' � �-�'_�-_ Applican erm' ee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � ' � ' ��'� ��1'��X�, , � 0,��,0 CiTy of Orono � ' P.O.Box 66 �ate:l2eCe�ued` Perrrtit# � , 2750 Kelley Parkway � � � - � Crystal Bay,MN 55323 ?�prQved�B� - ` �moa�t�t� (952)249-4600—Main � � (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT (?�11 Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df �C�T� Il�T��R�TA�1'I��T '. 1. You xnay apply for plumbing pernvts by mail or in person at the City offices. Applications 'll 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 NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL TH PERMIT CARD IS PO5TED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property o ers residing in the dwelling. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. Aill work must be done in accordance with State Code requirements. 6. Aill work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) T'Y,PE'4F PER�%ITT �.- . ' 4 . . ,. �� '�:-. . '�.�"�. ^��•.��;� � � ,"�� `�]Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need nrior auaroval and may need CUP. (Per Orono City Code,Chapter 78,Articl IV) ��b.=�#e �C��iu�er�or�at�c�n ��: ' � : Site Address: � �70� (P�(, �� Owner:( ��1,2v► S ��.�w� Mailing Address: City: Zip: Home Phone: Alternate Phone: �ontcact x J�'ar�n�t�on;, : �,,,/•.�, ,c� / Contractor: � Y"�"'/�`�ontact Person: � ( c� Address: "(� ��C �o� State Bond#: �� 7� City: /'G-�v ZipS�S�Expiration Date: �.�' ��-3 Phone: ��`7.�Do?7� Alternate Phone: 7G�- �77`�� ❑ Insurance-Current: ,G 1 � �1'L"�B�t�''r�'��T"TJRES BEIl�TG INSTALlED ;_ � 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 Shower ( Washer / Kitchen Sink � Water Heater Disposal ( Water Softener Dishwasher Wet Bar � Sillcocks Miscellaneous P�ERMIT FEE CALCULATION(S) � � BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of only one Residential 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 Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 . ' " l. , . I If above dbes not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) I� ��d� x.0125$ (contract price) (minimum$50.0 ) 2r STATESURCHARGE x.0005 $ I i (contract price) 3� POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4.� TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged or the permi$ted work including materials, labor,profit, and other fixed costs. It is the amount to be c arged to the icustomer for the work done. If any material, equipment, labor or installarions are furnis ed by the owner, tenant or any other party, the reasonable market value of such items must be adde to the __ estimalted cost or contract price for permit fee purposes. In the event that there is a dispute. n the amoux}t of the job cost, the City may request the submission of a signed copy of the actual c ntract. The unde�signed hereby applies to the City for issuance of a Plumbing Permit, agrees to o all work in s�xict accordance with the ordinances of the City and the regulations_ of the S te of Minnesotal, and certifies that all statements made on this application are complete, tru and correct. i Applicant�s Si ature: Date: —��( Z � r 3 -�DOS� �� ✓ -�- � DAT � TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � v � PERMIT NO. �O I Z�DOO�j�OMPLE ED ADDRESS C� � � '� OWNER TELEPHONE NO.� �1-75�-D°�� CONTRACTOR � � DESCRIPTION �� ❑ FOOTING ❑ PLU I G FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL 0 MEC ICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � MA �L�M �� Sr � o _. �. � 0 � W � Q � Z w � W � j � ❑WORKSATISFACTORY:PROCEED �JECTCOMPLETE W ❑CORRECT WORK&PROCEED !� ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.GALI INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor on sit Inspector. White Copyllnspector's File Canary CopylSite Notice