HomeMy WebLinkAbout2014-00754 - plumbing � � CITY OF ORONO * z 0 1 4 0 0 7 5 4 *
2750 KELLEY PARKWAY DATE ISS ED: 07/16/2014
' . ORONO, MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 2670 KELLEY PKWY 218
PIN : 33-118-23-12-0066
LEGAL DESC ' : STONEBAY OF ORONO CONDOMINIUM
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIX'�URES: (2)WATER CLOSETS,(2)LAVATORIES,(1)BATHTUB,(1)SHOWER,(1)KITCHE SINK,(1)DISPOSAL,
(1)DISHWASHER, �
(1)WASHER
VALUATION OF PLUMBING 4000
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATIO ) 2.00
AMERICAN MECHANICAL CO,INC. TOTAL 52.00
7120 71ST AVE.N.
PO BOX 205 Payment(s)
LORETTO,MN 55357- CREDIT CARD 6915 52.00
(612)750-0278
OWNER
Citizens Independent�ank
5000 36TH ST W 21$
ST LOUIS PARK,M�I 55416-
AGREEMENT AND SWORN STATEMENT
The work for which this permit 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 permission for�dditional or related work which requires separate
permits. All provisions af laws and ordinances goveming this type of work
shall be compied with wlheffier or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced wit � 80 d i the date of issuance,or if construction is
suspended f a pe 0 days at any time after work has commenced.
The applic t is spo s e for assuring all required inspections are
requested n fo te Building Code.This permit may be
revoked t r due cause.
� �
� / /
App ant Permitee ignature Date Issued By ature Date
♦
� ' FOR C USE O1�FLY
� City of Orono ��
�-�� P.O.Box 66 Date Receive� Permit# ��
� � 2750 Kelley Pazkway ' �
Crystal Bay,MN 55323 Appcoved By: AmowH$; «
(952)249-4600—Main
(952)249-4616—Fa�c
y�'t �c`� CITY OF ORONO—PLUMBING PERMIT
�kESHO� (All Commercial Permits Must be Approved by the State Prior to City Ap roval)
htt ://www.dli.mn. ov/CCLD/P.DF/ e lumb lanreva . d
GENER�AL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications ill be
roviewed and a permit 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 POSTED ON THE JOB SITE.
3. Flumbing permits may be issued ONLY to licensed plumbing contractors and to property o ers
r�siding in the dwelling.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
($4-48 hour notice required)
� TYPE C1F PERMIT
(Check AIl That P� ly)
�Residential ❑ Commercial(Approval Required)
❑ New ❑Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need arior apAroval and may need CUP. (Per Orono City Code,Chapter 78,Articl IV)
Job'Site I/�Owner Information:
Site Address: � � �
Owner: Mailing ddress:
City: D Zip:
Home P one: Alternate Phone:
Cantr� r Tnformation:
Contractor: � � ��Contact Person:
Address: State Bond#:
City: L � Zip�_�3��►7Expiration Date:
Phone: (D l����� ��7� Alternate Phone:
, ❑ Insurance—Current: �
1
�
r �
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
I
Disposal � Water Softener
Dishwasher ' Wet Bar
Sillcocks Miscellaneous
❑ 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; excludins 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
.
.
• ' � �, �- �
•� ,. ,v:�, � � � �: „, , � �
:,. . . �.�. ,.. �. ,, ��.�� . ..,�� . : .�� . ��,� � �. ��� .
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25°/ f contract price with a(Minimum Fee of$50.00
r-
x.0125$
(contract price) minimum$50 00)
2. STATE SURCHARGE � "'—
x.0005 $
(contract price)
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 charg d for the
pe�nitted work including materials, labor, profit, and other fixed costs. It is the amount to e charged
to the customer for the work done. If any material, equipment, labor or installations are fu ished by
the�owner, tenant or any other party, the reasonable market value of such items must be ad ed to the
estimated cost or contract price for permit fee purposes. In the event that there is a disp te on the
amount of the job cost, the City may request the submission of a signed copy of the actu contract.
I
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agree to do all
work in strict accordance with the ordinances of the City and the regulations of th State of
Minnesota, and certifies that state s made on this application are complete, true and
correct.
d
Applicant's Signature. Date:
i
�
�
I 3
DATE TIME
CITY OF ORONO cALLED IN
INSPECTION NOTI E SCHEDULED
PERMIT NO. a0� ' �6�� COMPLETED �— -!G
ADDRESS a67b glle � w � Sc*.7�e '� o?!
OWNER TELEPHONE NO.
CONTRACTOR ���r� ` ��'
� DESCRIPTION l F �L �"b��oa�-
l~N ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FIL ING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ F�NAL ❑ WATER HOOK-UP �-FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REM VAL
_
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET Y�U:_YES_NO
y COMMENTS:
y /f s� Q� r�.t �� �n�t�� t��s </ .e�
� /n•t O •r�'� �cHle rl� -�'i i?�� .r/4 L
� ,� s <<t - �.� .► a -�y
�
0
W
�
Q
�
2
�
W
�
�
J
d
W� ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
� ❑CORRECT VIfORK 8 PROCEED ❑ISSUE CERTIFICATE OF CCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY '
V BEFORECOMERING PERMANEN
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR NfILL REfURN
❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 2 9-46��
OwnerlContractor on site:
�
Inspector: /^^'
WhiM Copyllnspector's File Cenary CopylSite Not