HomeMy WebLinkAbout2015-01530 - plumbing ' CITY OF ORONO * Z 0 1 5 - 0 1 5 3 0 *
� 2750 KELLEY PARKWAY DATE ISSUED: 12/07/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952 249-4616
ADDRESS : 2670 KELLEY PKWY 303
PIN : 33-118-23-12-0071
LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: 2 WATER CLOSETS,3 LAVATORIES, 1 BATHTUB, 1 SHOWER, 1 KITCHEN S[NK, 1 DISPOSAL, 1 DISHWASHER, 1 LAUNDRY
TRAY, 1 WASHER
VALUATION OF PLUMBING 4000
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 2.00
AMERICAN MECHANICAL CO, INC. MAIL-IN FEE 2.00
7120 71ST AVE.N.
PO BOX 205 TOTAL 54.00
LORETTO,MN 55357- Payment(s)
(612)750-0278 CHECK 16166 54.00
OWNER
Citizens Independent Bank
5000 36TH ST W 303
ST LOUIS PARK,MN 55416-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this rype of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. �
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Applicant Permitee Signature Date Issued By Signature Date
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POR CITY USE O'.�LY
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/ � �� 2?50 Kciley Parkway G
( 1 Crystal Bay,MN 55323 Approvcd By: i�,� Amount$: �11-���; �
� (952)249-4600-Main
`� � � � (952)249-4616-Fax
\�`, �:�/ CITY OF ORONO —PLUMBING PERMIT
�`':'�����i�'�'� (Alt Commercial Permits TVfust be�lpproved bv the State Pnar to City Appmval}
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GENERI�L TI�IFORM,ATIOI*1
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two warking days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALii�UNTIL Y�U REC�dVE A PER.MTT. wn��M�rcT���'�E�i?�L��?TIL TTIE
PERMIT C�1RD TS PO'STED�ON TII'E J�OB�;�T:�,.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to propert�owners
residing in tfie dwePIing.
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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.
(24-48 hour notice required)
TYPE OF PERMIT � ��
� � � (Check All T�hat:�ppl�) � � � �
�Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑Repairs ❑ Replace
❑ in Accessory Structure`?
*You will need��'iox apa�ova�a�d a�ay�eed CUP. FPer Ora�o C�ty Caae,C�aaptex 7R,Aa�icle IV)
Job Site/Owner lnformation: � � � �
Site Address: � �� �� �� "�:. � ��� ��-- �,..�
Owner: M�ailing�ddress: �
�ii�•: d�.i�:
Home Phone: Alternate Phone:
� Cn���a�fi;a�-��#'or�a�atio��: I
Contractor: �� °, � � � „� Contact Person: G = 't �.L
Address: ��b�)C ;���� State Bonc�#: ��� ���1��/
City: �d!%� Zip�����Expiration Date: ���5������
Phone: ��� � �Iternate Phane:
� I�suran:e—�,;,-;-�;,r:
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PLUMBING FIxTURES BE1NG INSTALLED ��
FIXTLJRE BSMT ' 1" ' 2'-"' f�THER FIXTURE �3S1V11� I" 2'•" 01�3ER
TYPE FL FL TYPE FL FL � �
�('�;� .��
Water Closet � Floor Drains
LF.auatory� � ,�� � SevverEjcctor
i TjathjLh , i i � i T 3112!�.T'y Tr2y i i i � ('.
Shower ' Washer �
Kitchen Sink � Water Heater
� �
Disposal r �ater Saftener
D1S�?W3S�:eZ i i � / i �eL�dr i � � i i
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Sillcocks Miscellaneous
PERMIT FEE CALCULATION(S) '���
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❑ Yes,this section applies
The replacement of only one Residential fixture or appliance that meets all three of the following I
requirernents:
1. Does not require modification to electrical or gas service.
2. Has a toCa1 cost af$50�'.0�'ar iess;exc[udin�tfie cost of tfie fixture or appPiance:and
�. TS::;[YtC�i2�,�:1�i3�:Zfs Jl;"2'}��3C��U�+r�12'1��31'?2OWi1?i 0:��CZ`:'S?t"�t t;��;:;��id1a��.,.....u.,..,,.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ 1.00
Mail-In Fee(If Applicable) $ 2.00
Totat Permit Fee S
(Permit Fees Continued On Next Page) i
2
. �
� P�ERMIT FEE CALCULATION(S)—JOBS OV��R $500.00
If above does not appiy; foltow guidelines below:
1. CONTRACT PRICE * is 1.2 %of contract price with a(Minimum Fee of$50.00)
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x.�l'25�$,
�eomd��t:pr���e} �mi�imo�m��50:f1B)8���
2. STATE SURCHARGE L /',i�,�.� � �
liU� x.0��5 $
(c o.^.?rac±pri ce 1
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TUTAL I'EItIViI T FEE (A�d Liraes 1-3 Abave) $---�—{--
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char$ed for the
perrr�itted worPc inctudin�materiais,ia6or,p�rafiC,airdo�her fixed costs. I't is tile amount co Ille charg,ed
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the owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the
amount of the job cost, the Ciry may request the submission of a signed copy of the actual contract.
PLUMBING PERMIT APPLICATION AGREEMENT i
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies ihat all statements made on this a�plicatio� are co�plete, true and
correct.
Applicant's Signature: Date:/�� � '
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i
3
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE , SCHEDULED
PERMIT NO. z o�s-��rs3r� COMPLETED 1 Z / -��
ADDRESS ZC2 �` �^ �
OWNER TELEPHONE NO.
CONTRACTOR ������'1 /�ZG�2�h t Gccl
� DESCRIPTION
�
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL �
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF UMBING FINAL ❑ TREE REMOVAL I
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION i
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS i
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP '
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�i CO MENTS:
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GW ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISS E CERTIFICATE OF OCCUPAN�Y
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-46��
OwnerlContrac r on site:
Inspector. �'�
White Copyllnspector's File Canary CopylSite Notice