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HomeMy WebLinkAbout2012-01069 - plumbing '" ,` CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 2 0 1 0 6 9 * DATE ISSU D: 10/23/2012 ' ; ORONO, MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS � : 2670 KELLEY PKWY �Z f C7 PIN i : 33-118-23-12-0058 LEGAL DESC � : STONEBAY OF ORONO CONDOMINIUM : LOT 000 BLOCK 000 PERMIT TYPE I : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYP�E : FIXTURES-MULTIPLE NOTE: 2ND FLOOR:2 W�C,3 LAV, 1 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER VALUATION OF PLUN�BING 4000 I PPLICANT PLUMBING F'IX\TURE FEE 50.00 AMERICAN MECHA ICAL CO,INC. STATE SURCHAR�E PLBG(VALUATION) 2.00 7120 71ST AVE.N. MAIL-IN FEE � 2.00 PO BOX 205 i LORETTO,MN 55357-i l TOTAL 54.00 (612)750-0278 , � OWNER Citizens Independent B 5000 36TH ST W ST LOUIS PARK,MN�55416- AGREEMENT ND SWORN STATEMENT The work for which this pe �t is issued shall be performed according to the approved plans and spe�fications,applicable City approvals,and the State Building Code. This p�ermit is for only the work described and does not grant permission for add�tional or related work which requires sepazate permits. AIl provisions of lalws and ordinances governing this type of work shall be compied with whet�er or not specified herein.This permit will expire and bewme null and oid if construction authorized is not commenced within 180 day�of the date of issuance,or if construction is suspended for a period of 1�0 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance 'th the State Building Code.This permit may be revoked at any time for due ause. �' i � ��I'y2�-Q-z( i i Applicant Permitee Sign ture Date Issued By S' ature Date �SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV �. � � Fot�ciT�:us�or��.� , f�����., City of Orono ,�f� �,t P.O.Box66 Date�teceived: �'� PeCmit# � � 2750 Kelley Parkway i 4 a ;� � . � Crystal Bay,MN 55323 App1'oved By: AmounC$: �'�d '�� �'�����^' (952)249-4600—Main ����a�� (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT I (All Commercial Permits Must be Approved by the State Prior to City Approval) htt r.1/��ww.dli.mn.�f�vICC;L[)1:P1)FI e �lumb.lanrev� f. df GEN RAL IN�ORMATION 1.I You may apply for plumbing permits by mail or in person at the City offices. Applications ill be reviewed and a permit will be issued within two working days. 2.I' Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT I VALiD UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE I PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property o ners � residing in the dwelling. 4.j When any new construction or remodeling is involved,a separate building permit must be obtained. 5.I All work must be done in accordance with State Code requirements. 6.I All work must be inspected and air tested before it is covered. Call(952)249-4600. i (24-48 hour notice required) ' TYPE OF PERNIIT Check All That A 1 I . R�sident�al ❑Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑Replace ❑ I Accessory Structure? *�ou will need qrior aauroval and may need C1.!I'.(Per Orono City Code,Chapter 78,Article IV) Job Si e/Owner Information: Site Alddress: 0 < � � Owne�: Mailing Address: Citv: t___._�_��---_--------- Zin: --- — Home IlPhone: Alternate Phone: Contr ctor Information:' Contr Ictor: �� tact Person: K � � Address: �U�X �� State Bond #: � l�� / % City: � L� Zip:�3�Expiration Date: /�a?' ""/ I �/���6��CJ�7(g Alternate Phone: Phone� I � Insurance—Current: 1 . . � ����'�' - ��. ��Z,1�T�C���TU:��. __ �... �� F[XT RE BSMT 1 2 OTHER FIXTURE BSMT 1 2 THER TYPEI FL FL TYPE FL FL Water Closet Floor Drains Lavatc�ry Sewer Ejector Bathtu f Laundry Tray Showa�- � Washer Kitchen Sink / Water Heater Dispos I Water Softener / Dishw her / Wet Bar Sillcoc s Miscellaneous � ; <. ' 1��.�`.�1I.�.���C��{�� :� �ER,.�'���+��� °BA��.S1����' �4��.�`�'A'1�����"IIE � � ❑ I Yes,this section applies The rep�acement of only one Residential fixture or appliance that meets all three of the following require�nents: I 1. Does not require modification to electrical or gas service. I 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and I 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 Appticable) $ 2.00 Total Permit Fee $ (Permitl Fees Continued On Next Page) I 2 , . :., II - I , �����,:�����.������.��� ���� ��������, ..... ; If abo�ve does not apply;follow guidelines below: 1. CONTRACT PR10E * is 1.25% contract price with a(Minimum Fee of$50.00) � ��� - ,� , X.oi2s $ (contract price) (minimum$50.0 ) � 2. STATE SURCHARGE � � �� �d �� X.000s $ (contract price) I 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 ! 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �) ( ' ■ * ONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged or the p itted work including materials, labor,profit, and other fixed costs. It is the amount to be c arged to the customer for the work done. If any material, equipment, (abor or installations are furnis ed by th owner, tenant or any other party, the reasonable market value of such items must be added to the es imated cost or contract price for permit fee purposes. In the event that there is a dispute n the a ount of the job cost, the City may reyuest the submission of a signed copy of the actuai c tract. PLLIM�3I�iC'a �?��I�ITT AF"PI.I��`Ti+Q�,A.C'..iR���VTE1��I The urhdersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to o all work n strict accordance with the ordinances of the City and the regulations of the St te of Minne ota, and certifies that all statements made on this application are complete, tru and correc . �/� Applicant's Signature: / Date: /�/��' ^ l �R£S�'� F,O�'t11 � � � � 3 � ao� � J DATE TIME CITY OF ORONO CALLED IN �Z�/y �Z- INSPECTION OTICE SCHEDULED � Z � PERMIT NO. ���a -��0� COMPLETED ADDRESS a'� �� K-2�—�-�-/ p��cJ(i � �--1 D OWNER TELEPHONE NO. q5� -a�5 a�63 CONTRACTOR f-tyl�lQ12-- ��/'� � DESCRIPTION ���-/7'�h �� v��f � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 ❑ SEP��FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:��_YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED C�tOJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHtN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. White Copy/lnspector's File Canary CopylSite Notice