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Home My WebLink About2012-00408 - plumbing ` ' CITY OF ORONO * 2 0 1 2 0 0 4 0 B * - 2750 KELLEY PARKWAY DATE ISSU D: OS/15/2012 • '� ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS I : 2670 KELLEY PKWY �3D�p PIN ' : 33-118-23-12-0074 LEGAL DESC : STONEBAY OF ORONO CONDOMINNM I : LOT 000 BLOCK 000 PERMIT TYPE !I : PLUMBING(>$500) PROPERTY TYPE ' : RESIDENTIAL CONSTRUCTION TYP� : FIXTURES-MULTIPLE NOTE: 2 WC,3 LAV,2 Ti�B, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WASHER VALUATION OF PLUM$ING 4000 APPLICANT pLUMBING FIXTURE FEE 50.00 AMERICAN MECHANICAL CO,INC. STATE SURCHARGE PLBG(VALUATION) 2.00 7120 71ST AVE.N. TOTAL 52.00 PO BOX 205 LORETTO,MN 55357- (612)750-0278 OWNER Citizens Independent Ban& 5000 36TH ST W ST LOUIS PARK,MN 5�416- AGREEMENT A D SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specific tions,applicab►e City approvals,and the State Building Code. This pe it is for only the work described and dces not grant permission for additio�nal or related work which requires sepazate permits. AII provisions of laws'and ordinances governing this type of work shall be compied with whether pr 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 80 d�ys at any time after work has commenced. The ap ' t is sible forassuring all required inspections aze requ ed i co o with lhe State Building Code.This permit may be rev ed any i fo ue cau6e. �/�� /�� , i / Appli ant P itee Signatu e Date Issued By ature ate SE ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . � � � • ' FOR CITY USE NLY City of Orono E� �"�'� ° P.O.Box 66 Date Received: Pen it# „��,,� , ��'� 2750 Kelley Parkway � �' A roved B Am unt$: s�� ,�'� �1 Crystal Bay,MN 55323 PP Y ' ��a,�},yde,'` (952)249-4600—Main "�res��'� (952)249-4616—Fax I CITY OF ORONO — PLUMBING PERM T (All Commercial Permits Must be Approved by the State Prior to City Ap roval) I�tt�:I/www.dli.mn.Rov/C;C;:LUl1'1)F/ e �lumin .lanrer a i. .df GENERAL INFORIYIATTON 1. You may apply for plumbing permits by maii or in person at the City offices. Appli ations will 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. PERMITS AR 'NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNT L THE PERMIT CARD IS POSTED ON THE JOB SITE. � 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to pro erty owners residing in the dwelling. 4. When any new construction or remodeling is involved,a separate building permit m st 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) TYPE Q F PERMIT. Check All That A l esidential ❑Commercial(Approval Required) �� New ❑Additional ❑Repairs ❑ Repla e �'� ❑ ]n Accessory Structure? *You will need prior approval and may need(:'l.)P.(Per Orono City Code,Chapter 78, rticle IV) ,ob Site f Owner Information: �ite Address: � ` (� a e Q�� c ,.�G�. qwner: Mailing Address: C�`ity: Zip: Home Phone: Alternate Phone: ontractor Infonnation: _ '' C�ontractor: /�� Contact Person: � AI'�ldress: ��X �� State Bond #: � � City: /' � Zip:��xpiration Date: � �/ �� Pl�one: /!I��7� '��7� Alternate Phone: � � lnsurance—Current: � 1 . , . `':�P�'�� T�'�:.�� ..�,T��T��;�,,�D. ; F1X�'URE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER i TYf�E FL FL ,.��(, TYPE FL FL ,�� Water Closet � Floor Drains Lavatory � Sewer Ejector BaKhtub � Laundry Tray SI�'ower 1 Washer f � I K�tchen Sink ' Water Heater D�isposal Water Softener � Dishwasher ' Wet Bar 5ilicocks Miscellaneous � I� ��,�� A.�'TC1�(S� � �� ' `� �.��. ;�'��.7E �.. , . k � � , ' , .:: ._ .a� . �.aF�... .. .., w ..._. _... . . . .�. ; ❑ Yes,this section applies ' The replacement of only one Residential fixture or appliance that meets all three of the follo ing ' requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or applian e:and 3. Is improved, installed or replaced by the homeowner or licensed plumbing co tractor. 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 � . • i . . _ ' � _. �� ......� ._ .�(��T��.$54�7`.�-fi P��`�. � If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$5 .00) • •(�t.C/_ — x.0125$ � (contract price) (minimu $50.00) 2. STATE SURCHARGE o�� x.0005 $_ _ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ ?• � �� PERMIT FEE Add Lines 1-3 Above) $ 4. TOTAL ( ■� * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount ch rged for the permitted work including materials,labor,profit,and other fixed costs. It is the amount t be charged to the customer for the work done. If any material, equipment, labor or installations are urnished by the owner, tenant or any other party,the reasonable market value of such items must be dded to the � estimated cost or contract price for permit fee purposes. ln the event that there is a di pute on the � amount of the job cost, the City may request the submission of a signed copy of the act al contract. �., �PI.�C31�I1��?`� ; ': '��.t�� G1�E�YvIENT hereb a lies to the Cit for issuance of a Plumbing Permit, agre s to do all T h e u n d e r s i g n e d y p p Y work in strict accordance with the ordinances o f t he City an d t he regu la tions o f t e S t a t e o f Iv�innesota, and certifies that all statements made on this application are complete true and cc}rrect. � ', ' '; '� � %� 'i-� Applicant's Signature: Date: �I � °; R4S�t �`��"�il � <` .`. , � � _ �. _.� � . 3 s1..� AT� TIME ✓ CIfiY OF ORONO CALLED IN � � I�PECTION�IQTIC_E,f)� � SCHEDULED S� -� �— P RMIT NO o�(D �/ D COMPLEfED ADDRESS a�O7D ,� dWNER TELEPHO O.9� �� g�� CONTRACTOR �C'�� DESCRIPTION �� 1�� CI FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAOING/FILLING Q Cl POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y �1 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z �7 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q �] RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �] FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � p DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i �] DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL v ,t] PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z �WNER/CONTRACTOR TO MEET YOU:_YES_NO � ICOMMENTS: a � jl o; �� o� �� W� �� Q; W � ��* W �iNeRKSATISFACTORY:PROGEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE C�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL iNSPECTOR ❑IWSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call br the next inspection 24 hours in advance. 952 249-4600 � ) OwnerlContractor on site: Ins or. p� White llns tor's Flle Canary CopylSite Notice �PY P�