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Home My WebLink About2015-01101 - plumbing A I , � CITY OF ORONO z 0 1 5 - r� 1 1 0 1 * 2750 KELLEY PARKWAY DATE ISSUED: 08/31/2015 I ORONO, MN 55356- ' 952 249-4600 FAX: 952 249-4616 ADDRESS : 2670 KELLEY PKWY 308 PIN : 33-118-23-12-0076 LEGAL D SC : STONEBAY OF ORONO CONDOMINIUM : LOT 000 BLOCK 000 PERMIT YPE : MEC�9r2d'I�AL(>$500) �IU-Mb�� PROPER TYPE : RESIDENTIAL CONSTR CTION TYPE : FIXTURES-MULTIPLE VALUAT�N : $ 4,000.00 NOTE: 2 TER CLOSETS,3 LAVATORY, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASH R ' APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(V LUATION) 2.00 AMERICA MECHANICAL CO,INC. MqIL-IN FEE 2.00 7120 71ST�VE.N. PO BOX 205 TO AL 54.00 LORETTO,MN 55357- Payment(s) (612)750-0 78 CHECK 15939 54.00 OWNER Citizens Ind pendent Bank 5000 36TH�T W 308 ST LOUIS PARK,MN 55416- AGR EMENT AND SWORN STATEMENT The work for hich this permit is issued shall be perfortned according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This permit is for only the work described and dces not grant pe�ission for additional or related work which requires separate permits. All ptovisions of laws and ordinances governing this type of work shall be comp d with whether or not specified herein.This permit will expire and be me null and void if construction authorized is not commenced w�thin 180 days of the date of issuance,or if construction is suspended for s period of 180 days at any time after work has commenced. The applicant s responsible for assuring all required inspections are requested in c�nformance with the State Building Code.This permit may be revoked at an time for due cause. R �g� r�+� �� P -�� g , .�, , ,S Applicant P itee Si ature Date Issued By Signature Date ► � ' FOR C1TY USE ONLY /� � City of Orono �ONO P.O.Box 66 Date Received: ��I r�Permit# `Z D� S—b � �� 2750 Kelley Parkway , � Crystal Bay,MN 55323 Approved By: �� Amount$: J��"� � � � (952)249-4600—Mai❑ y � � +' (952)249-4616—Fax f �`� CITY OF ORONO—PLUMBING PERMIT i��s H��:�' (All Commercial Permits Must be Approved by the State Prior to City Approval) � htt :l/�.ww.dli.mn.Qov/CCLD/1'UF/ c lumb lanreva . d1RECE��E� GENERAL INFORMATION � � �a;� 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 working days. C�TY OF ORONO 2. Permit cards will be sent by return mail atter a review is completed. PERMITS ARE NOT VALTD UNTii.YOU RECETVF,A PERMIT. WORK MLiST 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 owners 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. Al) 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 That A 1 �Residential ❑Commercial (Approval Required) �New ❑ Additional ❑ Repairs ❑ Replace I ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site/Owner Information: Site Address: � /�G � �✓ Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Informati n: � Contractor: -/j��GC�ontact Person: �� Address: �' � State Bond#: .�C�< < Ci �� Zi 5�''��"Ex iration Date: �Y� —�� p� P ��/— /� Phone: ��,�'�� D�7� Alternate Phone: � ❑ Insurance—Current: 1 . , • I PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT l r 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 I PERMIT FEE CALCULATION(S) � BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of only one Residential fixture or ap,�liance 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;excludinQ the cost of the fixture or appl�ance: and 3. Is improved, installed or replaced by the homeowner or licensed plumbing contractor. Skip next section,if this appties; Cost of Permit $ ]5.00 State Surcharge $ 1.00 Mail-In Fee(If Applicable) � $ 2.00 Total Permit Fee $ I x P (Perm�t Fees Cont�nued On Ne t age) i � 2 i , � • I IT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply; 1'ollow guidelines below: 1. CO1vTRACT PRiCF. * is 1.25%of contract price with a(Minimum Fee of$50.00) , 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) � �� ■ * CONTRACT PRiCE or JOB COST means the actua] or esYimated dollar amount charged for the permitted work including materials, labor,profit, and other fixed costs. it is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are furnished by 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 City may request the submission of a signed copy of the actual contract. PLUMBING PERMIT APPLICATION AGREEMENT 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 that statements made on this application are complete, true and correct. Applicant's Signature: l Date: I II 3 �� ✓ � ATFi� TIM CITY OF ORONO CALLED IN '� INSPECTION O �C�O�/�� SCHEDULED � PERMIT NO. OMPLETED ADDRESS � ec OWNER " ELE ONE O. CONTRACTOR �� '"`� � DESCRIPTION � � 4~j ❑ FOOTING ❑ DEMO-FI AL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING I ❑ EXCAV/GRADIN /FILLING y ❑ FOUNDATION WATERPROOF �UMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTI N Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/ EMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCONTRACTOR TO MEET YiOU:_YES_NO y COMMENTS: W � � d �"� �G?i � � — �O � � �t�4� Gt G s�� W . . � �K• ' L��. Gl, ' ra�rt �i Q 2 � c c� - � �� W � ^ � G/w<<� s O+✓ J � ❑WORK SATISFACTORY:PROCEED �'PRO;tECT COMPLETE W ❑CORRECT 1MaRK 3 PROCEED ❑ISSUE CERTIFICATE F OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORA V BEFORE COA/ERING PERMAN NT �CORRECTUNSAFECONDITIONWRHIN HOURS. p pF{pTOTAKEN INSPECTOR YVILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION RE(�UIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 49-4600 OwnerlContraator on site: Inspector: �"--' White Capydnspector's File Gnary CopyfSMs N fee \�� D/�7�, � TIME CITY OF ORONO �/I y� l CALLED IN �«� �� INSPECTION NOTI « � SCHEDULED �� e"'Sl�+.— PERMIT NO.o��co P� � ADDRESS � � 2 OWNER T NE NO. �8 J� 7 CONTRACTOR � DESCRIPTION ""�-- ~ ��`-'w W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTI F NAL Q ❑ POURED WALL ❑ PLUM I ❑ EXCAV/GRADING/FILL,'ING y ❑ FOUNDATION WATERPROOF AL ❑ TREE REMOVAL Z ❑ RADON SLAB MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J �INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNE NTR�CTn O MEET YOU:�YES_NO � COMMEN7S: � � � � •Z � O a — � a� 6 f ,G�B — .�t�rs�t ,,-2�l.a0 �. _ __ __ - O ' _ - / � / �'j�tA G � .s d✓ � d[ O I� � — CJ� W Q — o r/fC !' L� — _ 2 . ��"•L � /,S`' �/o l� n l,c W � � ""._._.. W � j W ❑WORK SATISFACTORY:PROCEED �JECT COMPLEfE � O CORRECT WORK&PROCEED O iSSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE COND�TION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN � ❑STOP ORDER POSTED.CALI INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952) 249-4600 Owner ontractor on site• ��,� Inspector. White C lln ector's File Canary CopylSite Notice oPY SP