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Home My WebLink About2011-01037 - plumbing ' '�' ' �� , CITY OF ORONO PERMIT NO.: 2011-01037 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 09/13/2011 952 249-4600 FAX: 952 249-4616 REPRINTED ON 9/13/2011� 36 ' ADDRESS : 2670 KELLEY PKWY PIN : 33-118-23-12-0069 LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NO"CE: PLUMBING FIX"I'URES: UNIT#301 (2)WATER CLOSETS,(3)LAVATORIES,(2)BATHTUBS,(l)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER (1)WASHER VALUATION OF PLUMBING 2500 APPLICANT PLUMBING FIXTURE FEE 50.00 AMER[CAN MECHANICAL CO, INC. 7120 71ST AVE.N. STATE SURCHARGE PLBG(VALUATION) 1.25 PO BOX 205 TOTAL S l.25 LORETTO, MN 55357- PAID W[TH CC# 9327 (612)750-0278 Minnesota State License#: 065381 PM OWNER Citizens Independent Bank 5000 36TH ST W ST LOUIS PARK, MN 55416- AGREEMENT AND SWORN STATEMEIYT "I'he work for which this permit is issued sha11 be performed according to the approved plans and specifications,applicable Ciry approvais,and the State Building Code. This pennit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / /� / Applicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � . � • , _�R _L , .. � �� U' �� .�. 1 Y O,¢�� City of Orono , ' � P.O.Box 66 I�ats�'�e�aave �'�ern�t#�� 2750 Kelley Parkway ' ;, � � � � Crystal Bay,MN 55323 rA.p�rrrav�B_y ` � �tiaou�lt$ � (952)249-4600—Main �seao$y (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT (A��l Commercial Permits Must be Approved by the State Prior to City Approval) htt ://www.dli.mn.aov/CCLD/PDF/ e lumb lanreva . df � � , ° �.�� %: . ..; ` £ �.. ��. 1. You may apply for plumbing permits by mail or in person at the City offices. Applications 'll be reviewed and a permit will be issued within two working days. 2. P�rnrit cards will be sent by return mail after a review is completed. PERMITS ARE NOT V,ALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PCRMIT CARD IS POSTED ON THE JOB SITE. 3. P�uxnbing pernuts may be issued ONLY to licensed plumbing contractors and to property o ers r�siding in the dwelling. 4. V�Jhen any new construction or remodeling is involved,a separate building permit must be q�btained. 5. �11 work must be done in accordance with State Code requirements. 6. t{�11 work must be inspected and air tested before it is covered. Call(952)249-4600. (,'24-48 hour notice required) � �� `T�'PE a�F�E:�.Y�TT az , �. �he��k�#��`� ' `l �� ❑ Res�dential ❑Commercial(Approval Required) i ❑ New ❑Addirional ❑Repairs ❑Replace ❑ In�Accessory Structure? *Yrou will need arior approval and may need CUP. (Per Orono City Code,Chapter 78,Arti le IV) �ob`Sii e��O�n�r In�'or�nation � .s <: �� ,. �- . � : � � �� Site Alddress: 6 Owne�: I )o'f"l o� Mailing Address: City: Zip: Hom�Phone: Alternate Phone: C�� ; tciY In�axmat�ari: Cont� , , ractor: ` v��.�Sntact Person: � Add�'ess: �� '.� State Bond#: Cityi ��' � Zip��`,�xpiration Date: Phor�e: �i�l�' �� Alternate Phone: i ❑ Insurance—Current: 1 � • �_ � • \ � r e 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 ❑ 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;excludine the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed pluxnbing 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 Negt Page) 2 , Y i , .. J •. � • If above doe$not apply;follow guidelines below: 1. �CONTRACT PRICE *is 1. %of contract price with a(Minimum Fee of$50.00) �� x.0125$ �ntract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ I (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CON'�'RACT PRICE or JOB COST means the actual or esrimated dollar amount charged fo the permittad work including materials, labor,profit, and other fixed costs. It is the amount to be ch ged to the c�pstomer for the work done. If any material, equipment, labor or installations are furnish d by the o r, tenant or any other party, the reasonable market value of such items must be added t the estimat d cost or contract price for pernut fee purposes. In the event that there is a dispute o the amount of the job cost, the City may request the submission of a signed copy of the actual con act. The unders'gned hereby applies to the City for issuance of a Plumbing Permit, agrees to all work in s �ct accordance with the ordinances of the City and the regulations of the Sta e of Minnesota, and certifies th 11 statements made on this application are complete, true and correct. ' Applicant's Signature: Date: `�C � �` r 3 � • • « CITY OF ORONO PERMIT NO.: 20 1-01037 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUEn: 0 /12/2011 ' 952 249-4600 FAX: 952 249-4616 ADDRESS !, : 2670 KELLEY PKWY �'�O ( PIN '� : 33-118-23-12-0069 LEGAL DESC : STONEBAY OF ORONO CONDOMINNM : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (2)WATER CLOSETS,(3)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWAS R (1)WASHER VALUATION OF PLUMBING 2500 APPL CANT PLUMBING FIXTURE FEE 50.00 AMERICAN MECHANICAI�CO,INC. STATE SURCHARGE PLBG(VALUATION) 1.25 7120 71ST AVE.N. PO BOX 205 TOTAL 51.25 LORETTO,MN 55357- PAID WITH CC# 9327 (612)750-0278 Minnesota State License#: 065381 PM OW NER O C DEVELOPMENT 2670 KELLEY PKWY LONG LAKE, ', AGREEMENT AND WORN STATEMENT The work for which this permit is is ued shall be performed according to the approved plans and specification,applicable City approvals,and the State Building Code. This permit is or only the work described and dces not grant permission for additional related work which requires sepazate permits. Ail provisions of laws and rdinances governing this type of work shall be compied with whether or no specified herein.This permit wili expire and become null and void if c nstruction authorized is not commenced within 180 days of the te of issuance,or if construction is su en ed for a period of 180 days a any time after work has commenced. T e ap licant's responsible for assu ing all required inspections aze r u d i formance with the S te Building Code.This permit may be re ed time for due cause. �� / / // pp�c t Permitee Signature i Date Is By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1•�"'— ATE TIME ✓ CITY OF ORONO CALLED IN � � INSPECTION NOTICE SCHEDULED /D•�30 PERMIT N0..2D1�- O/O�7 co PLET ADDRESS o� O O--L OWNER EP ONE N . c"�71—7�nr�l�Z� CONTRACT�R ��p� A^-�-� ,,;- ---- >; DESCRIPTION � �� t � � ❑ FOOTING �PLU I G FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MEC NICAL 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 � � J O � �- �,1 r� ,� �� .ti. � -t-�r �'��%S' --r-- L; K, 0 � W � Q Z ,1 . ' /� c.� - ,i i K_ „ � -' x -1--dl. t)(" � � � i�f� � ;� �— � �-� ' l A �� S � �� ..,�,� ,, ,, W • � � �� ' � cJ (Z s1� � � � d � �I W K SATISFACTORY:PROCEED ��PROJECT COMPLETE W .� ECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED 0 INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: ' Inspector. '�� ' �� White Copyllnspector's File Canary CopylSite Notice � � (�./� � `�' � -� ATE TIME V , CITY OF ORONO CALLED IN � � INSPECTION NOTIC� / "`7 SCHEDULED _;� PERMIT NO.;��I �l O � / COMPLETED ADDRESS #`3U/ OWNER TELEPHONE NO.�O�o1 ��C2�L�2�� CONTRACTOR c-� t-v'�'1/ �; DESCRIPTION I � � ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL 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 v ❑ PLUMBING RI ❑ SEP C FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J O a � O � ti � Q ti Z W � W � � d � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE �� W ❑CORRECT WORK 8 PROCEED !�' ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. o �r,. White Copyllnspector's File Canary Copy/Site Notice