HomeMy WebLinkAbout2012-00170 - plumbing '" � � i CITY OF ORONO
- j 2750 KELLEY PARKWAY * 2 0 1 2 — 0 0 1 7 0 *
DATE ISSUED: 03 02/2012
" ORONO,MN 55356-
' 952 249-4600 FAX: 952 249-4616
ADDRESS : �670 KELLEY PKWY ��JD�
PIN : 33-118-23-12-0035
LEGAL DESC : ISTONEBAY OF ORONO CONDOMINIUM
: ILOT 000 BLOCK 000
PERMIT TYPE : IPLL7MBING(>$500)
PROPERTY TYPE : IRESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: 1ST FLOOR:2 WC,3 LAV,I 2 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WASHER
VALUATION OF PLUMBING I 4000
APPLIC NT PLUMBING FIXTURE FEE 50.00
AMERICAN MECHANICAL C ,INC. STATE SURCHARGE PLBG(VALUATION) 2.00
7120 71ST AVE.N.
PO BOX 205 MAIL-IN FEE 2.00
LORETTO,MN 55357- MISC FEE 0.00
(612)750-0278 TOTAL 54.00
PAID WITH CC# 9327
OWN R
Citizens Independent Bank
5000 36TH STREET W
ST LOUIS PARK,MN 55416- j
AGREEMENT AND S ORN STATEME1vT
The work for which this permit is issue shall be performed according to
the approved plans and specifications,a�plicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or r�lated work which requires sepazate
permits. All provisions of laws and ord{nances governing this type of work
shall be compied with whether or not sp'ecified herein.This permit will
expire and become null and void if con�truction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at a�y time after work has commenced.
The applicant is responsible for assurin all required inspections are
requested in conformance with the Stat�Building Code.This permit may be
revoked at any time fo�due cadse.
`�'K-a.�'� �cJ � l l ��]Vj't,��C� l l
Applicant Permitee Signature Date Issued By gnature Date
SEPA TE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
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02/28/2012 19:47 FAX 76�4775629 . 007/009
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I CITY OF ORONO-P�UMBING PERMIT
(All Coc�lmercial Permits Mast be Approved by tlte St�te Prio�to Ciiy Appmval
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1. •You may apply for plumbing permits by mail oc iq person at the City o1�Fices. Appli ' will b�
reviewe�and a perinit will be issued wi[hi�tvro working days.
2. Petmit cdt+ds will be seat by roNm mail after a review is complcted. PERMIT5 A RB NO
VALID Tll.YOU RECETVE A PERMIT. WO US B
P��M �CARD i5 POSTED ON THE JOB 61TE.
3. Plumbin�peRnits may be issued ONLY to licensed pliunbing oontractors and tc�properly wncrs
rosidi�g the dwellins.
4. When an new coastrueUon or remodeling is imolvcd,a separate building permit must bo
, � , . .„ . _. ... :obtaiacd�,_,.���
S. AII work must be done in accordance with State Code rcquir�ments.
6. All workImust be inspeeted and air tested before it is covemed. Call(9S2)249-4600.
(24-48 hbur notke rcqai�
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�Residential ❑Commercial(Approval Required)
❑New ❑AddiUonal [] Repairs ❑Rcplaee
❑ in Accessoq Structure?
"You '1 n e � a �ena may need "c�p,(Pcr Otono City Codc,Chapte�78,Arti le 1V)
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Site Address: I 0 �
0��: I' Mailing Addr�ss:
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City: � Zip:
Home Phone: Alternate Phone:
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Contractor: '= Contact Person: yu
Address: I�U d a o�.._ Stat�Bond#:
City: Zip: ��Expiration Date: / ' �'��
Phone: ��7���a� Altemate Phone: ' " ,'7
_�/� lnsurance—Cutrent:
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02/28/2012 19:47 FAx! 7634775629 �008/009
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FI BSM1' 1 2 OTNER FIXTURE BSMT 1 2 O
TYPE ! FL FL 1YPE FL FL
Water IosCt �`lopr Drains
Lavatory 3 s�w�r E;oocor
Bathlub 2 Laundry 1'ray
5how¢�' l Washer /. '
�{itch n Sink ! Water Heater
. .. _., :. .. ... Disp�sal_ _ . .,.-_ . . . ./ Water Softener � ,,. ,,
Disl�vashcr / Wet Her
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Silldocks Miscellaneous
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�] Yes,this section applies
'�hc rcplaccmcat of only one Rcsidcntial fixturc or a,ppliittice ihat moe[s sll chtee of the fol low g
tequiremenu:
1. Doos not cequire modificat,ion bo electrfcal or Gas serv;ce.
2. Has a�,.�of 5500.00 or lesa; cl 'n tha cost of the Sxture or applience and
3. is improved,installed or roplacod by the homaowner or licensed plumbin�con o
, Skip nex[section,ifthis applies; Cost of Permit S IS 0
-State 5wcharge $
Mail-in Fee(Tf Applicable) S
-Total Permit Fee S
�
� (Permit Fee�Continued On Neit P�ge)
2
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02/28/2012 19:48 FAx 763�773629 . 009f009
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!f above does nqt apply;Eollow guidolines below:
1. CbNTRACT PRiCF. +'is 1.2S%of contract price with a(Minimum Fee oi$50.00
� ��
x.0125 S
(con![acl priCe) (mlaim�m
2. STATE SURCHARGE � � �
���� x.0005 S
(�+�P�)
3. PQSTAGE&Fi�iI�IDLING(Only on Mail-Tn Applications) S
4. I TAL PERMIT-FEE Add Lines 1-3 Above - S
T� ( )
, r. ,::�. ,., ,, �;�+-GONT CF�R-lEE or JOB COST moens thc actual or estimatcd dollar amount charg for th - r r� :^�a
permitte�v�rork including materials.labor,-profit,and ot6er IIxod costs. it is che amount to b char
` t�the cu Wtner�for the work done. If any matc�'ial,cquipment, labor or installations ar� ishcd
the own ;"tenant or any other parry,tbe reesonsble market value of such icems must be to th
estima cost or cont�act price Eor pertnit fee purposes. In the event that there is a dis on th
amount�f the job cast,the City may request the submission pf a signed copy of the a�tual n
:_ _ _
,
��!!�il '� ,•'�,n,.�•,?� '` �:� {
The under�igned hereby applies to the City for issuance of a Plumbing Permit, agrees do Il
work in s�rict accordance with the urdinances of the City and the rebulalions of the tate f
Minnesotaj, and certifies that all statemems made on this application are complete, e d
correct.
��
Applicanti�'s Signature: ��:�
� (
I
' 7
3
o�-^ DATE TIME V
CITY�F ORONO CALIED IN � �
INSP CTION NOTICE SCHEDULED ' -� �
PERII�IITNO. o?�/c?- DO/7v COMPLETED
ADD�iESS ��7O D
OWNER LEPHO NO. �52 �S� ��`�
COI�TRACTOR �„/u���
� DESCRIPTION ������� ���
� ❑ FC�OTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ P¢URED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FBiAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ II�SULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ F�ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ F�INAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ �EMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ �EMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ pLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OYI�NER/CONTRACTOR TO MEET YOU:_YES_NO
� C�MMENTS:
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W I ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLEfE
W' ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
�j �CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
U; BEFOREC�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
I ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
Owner►Contractor on sit
Inspector.
White Copyflnspector's File Canary CopylSite Notice