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Home My WebLink About2012-00407 - plumbing '. ' � CITY OF ORONO * 2 0 1 2 0 0 4 0 7 * I 2750 KELLEY PARKWAY DATE Issu n: 05/15/2012 ORONO,MN 55356- � 952 249-4600 FAX: 952 249-4616 ADDRESS : 2670 KELLEY PKWY �'30,� PIN : 33-118-23-12-0073 LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE � : RESIDENTIAL CONSTRUCTION TYP : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (2)WATER CLOSETS,(3)LAVATORIES,(2)BATHTUBS,AND (1)EACH: SHOWER, ITCHEN SINK, DISPOSAL,DISHWASHER,AND WASHER VALUATION OF PLUM�ING 4000 AP LICANT pLUMBING FIXTURE FEE 50.00 AMERICAN MECHANI AL CO,INC. STATE SURCHARGE PLBG(VALUATION) 2.00 7120 71ST AVE.N. i TOTAL 52.00 PO BOX 205 LORETTO,MN 55357- (612)750-0278 WNER Citizens Independent B 5000 36TH ST W ST LOUIS PARK,MN 55416- AGREEMENT A D SWORN STATEMENT The work for which this permit s issued shall be performed according to the approved plans and specific tions,applicable City approvals,and the State Building Code. This pe it is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws�d ordinances governing this type of work shall be compied with whether dr not specified herein.This permit will expire and become null and voi¢l if construction authorized is not commenced within 180 days of he date of issuance,or if construction is suspended for a eriod of 180 d�ys at any time after work has commenced. The applic s esponsib for assuring all required inspections aze requested i c fo ith�e State Building Code.This permit may be revoked y ti f e cau e. ► ,( �,( Z � Appli rmitee Signatu Date Issued By Sig re ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � , i c us�ax�,� �Q�"Y _'�� P o oX Orono l�ate I�eceive � � �ermit# o�fJ!�-- �� 1 �,�. , � 2750 Kelley Parkway � � �r Crystal Bay,MN 55323 Approved By: Amaunt$: � :�� (952)249-4600-Main (952)249-4616-Fax CITY OF ORONO— PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) titt�://www.dli.mn. ovtC'C;:LD/PllF/ e �lumb lanreva . df GEN RAL INFURIyIA`T"IC�1�T 1. � 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. Permit cards will be sent by return mail after a review is completed. PERNIITS ARE NOT VALID UNTIL YOU RECEIVE A PERNIIT. WORK MUST NOT BEGIN UNTIL THE 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. 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. (24-48 hour notice required) ��E a�PE��T Check All That A 1 '�.�c sidential ❑Commercial(Approval Required) / w ❑Additional ❑Repairs ❑Replace ❑ I Accessory Structure? *�'ou will need prior aanroval and may need CUP.(Per Orono City Code,Chapter 78,Article V) Job Si e/:Owner Information� , Site dress: �l/ � Q �`� � � �� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Cantr ctor Information: Contr ctar: �'��„l /�Contact Person: Addre s: ��1r� � State Bond#: City: /' Zip:��Expiration Date: ` � /iv� Phone. /Ol�'"7�,�� Alternate Phone: � Insurance—Current: � 1 . � . � � __� � , , ,.. ; � .,. � Y��' . '. �.: „ �, . . , ��. � . ..._.. _._.; . ,` ..:... .,,g..... . IXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER �'YPE FL FL �2� TYPE FL F ,��v ater Closet � Floor Drains avatory � Sewer Ejector ' Bathtub � Laundry Tray �hower � Washer � Kitchen Sink r Water Heater isposal Water Softener � ishwasher � Wet Bar �illcocks Miscellaneous �. � � �� £�� . �� "°� � w� �� ",�,�� ] Yes,this section applies �'he replacement of only one Residential fixture or appliance that meets all three of the foflowi ig requirements: I 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: nd 3. Is improved,instatled or replaced by the homeowner or licensed plumbing contra tor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-1n Fee(If Applicable) $ 2.00 Total Permit Fee $ _ (�Permit Fees Continued On Next Page) 2 . . , i . , , ' , ��,�.' � �•..< . . ,:. ., �:.r.�.._ . .:_. ...... . .� �� ..... ..:.�.:. ..._...:�' .._ :._.. ..� � �� a .�. .... . . .. . . ... .. .a ,,, . If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.0 ) CiC.CJ_ x.0125$ (contract price) (minimum$5 .00) I 2. STATE SURCHARGE QD� x.0005 $__� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ' I* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charg for the �ermitted work including materials,labor,profit,and other fixed costs. It is the amount to b charged �o 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 d to the �estimated cost or contract price for permit fee purposes. In the event that there is a dispu e on the �mount of the job cost, the City may request the submission of a signed copy of the actual contract. x � � F � ; ��, � �.; . . ...... : ��.� . � The liundersigned hereby applies to the City for issuance of a Plumbing Permit, agrees t do all wor' in strict accordance with the ordinances of the City and the regulations of the tate of Min esota, and certifies that all statements made on this application are complete, t ue and corr ct. Applicant's Signature: Date: ��Y � �` �� ;;��'5+�� t�� &:' , �. �_ �,- 3 V C�r� DATE TIME CITY OF ORONO CALLED IN S� tl� INSPECTION NOTICE scHeou�E� S—/7-lZ ��' PERMIT NO. U — D �COMPLETED ADDRESS a�7� � ��-1 OWNER ELEPHONE NO.f�Z 7S0 �Z�� CONTRACT�R �i,l; �L�l�i � DESCRIPTION � �`�I`� � ❑ FOOTING ;❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL �❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL , ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE I ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL i ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO M�ET YOU:_YES_NO � COMMENTS: a j o � a � 0 � W � Q � z W � W k � � '�, � � ❑WORK SATISFACTORIf�PROCEED �6�PROJECT COMPLETE W ❑CORRECT WORK 8 PFrOCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CA4L FOR REINSPECTION TEMPORARY V BEFOREC�/ERING � PERMANENT ❑CORRECT UNSAFE C�NDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WlL�RETURN ❑STOP ORDER POSTE .CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUI�ED.CALL TO ARRANGE ACCESS. I Ca11 for ttre next inspection 24 hours in advance. (952) 249-4600 Owner/Contractar on site: Inspector. White opyllnspector's Fite Canary CopylSite Notice I I