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HomeMy WebLinkAbout2012-01239 - plumbing - � � � � CITY OF ORONO * 2 0 1 - 0 1 Z 3 9 * 2750 KELLEY PARKWAY DATE ISS ED: 12/13/2012 ' ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS ; : 2670 KELLEY PKWY �3/O PIN : 33-118-23-12-0078 LEGAL DESC ; : STONEBAY OF ORONO CONDOMINIUM � : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE � : RESIDENTIAL CONSTRUCTION Tl'PE : FIXTURES-MULTIPLE NOTE: UNIT 310 2 WC,3 LAV, 1 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,WASHER VALUATION OF PLi;JMBING 4000 APPLICANT PLUMBING FIXTURE FEE 50.00 AMERICAN MEC NICAL CO,INC. STATE SURCHARGE PLBG(VALUATI N) 2.00 7120 71ST AVE.N.� PO BOX 205 TOTAL 52.00 LORETTO,MN 55�57- (612)750-0278 OWNER WOLF,MARK&DANELLE 2670 KELLEY PKjVJY#310 LONG LAKE,MN 55356- AGREEM�NT AND SWORN STATEMENT The work for which tk�is permit is issued shall be performed acwrding to the approved plans and specifications,applicable City approvals,and the State Building Code. ,�This permit is for only the work described and does not grant permission�'or additional or related work which requires separate permits. All provisioc�s of laws and ordinances goveming this type of work shall be compied witl{whether or not specified herein.This perrnit will expire and become n�ll and void if construction authorized is not commenced within 1 0 days of the date of issuance,or if construction is suspended for a periold of 180 days at any time after work has commenced. The applicant is resp nsible for assuring all required inspections are requested in conformpance with the State Building Code.This permit may be �revoke time�'or due cause. ?�i � �j' � �`1 ��'�' / / Applicant Permrtde Signature Date Issued By S' ature te , SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED E. ' 12l1212012 03: 13IFAK 7634773629 1�002/004 � ` r � I I � ' It.'f.,'YPlE'US$'ONLY � ~�-��� c�cy or��000 ���. ��.��. ':���'� : � aa�a– ia 3 q ,'O�'��Q�� h.0.Box 66 •"patF•Rt�cOSvqd'•. :.-... .�'Pdmit 9 �, � .{,. �� 2750 Kclicy Parkway ' •'''.• •''>•.':'. . C DD ,a �Zd ' �I �rys�l lisy,`MN 55323 ��►pp�l�.e�`�1y;:•.. YR�pount$: 7. . � ' . . ���i�,y� (952)'249-4bt10—Main 1,,. � (:952)249-4616—rs�t CYTY O�F OkIONO—PLUMBING PERMIT j (All Commercial Permits Must 'b'e Approved by thc State Prior to City Approval) � ` � la� revA ,. df II i►tt ://ww�r.d '.ntn, v/C.CLD/PD F'/ c lunnb ... .. , . .. . . . � ' U�;N RAL 1NFO�Rlv1,a1�'I4N' � ' ' ' I.I You may apply fvr p�umbing pctmits by mail or in person at the City offices. Applic�ttions will be revicwcd and a permit will be issu�d within two working days. 2 Permit cards will bc sznt by retum mail after a r�view is completed. PERMITS ARE NOT � VA1.ID UNTII.YOU RECEIV�,A PERMl7'_ WO K U T B�; N NTIL H 1'E;RMIT CARD iS POSTED Q THE JOB Cr'CE. 3� Plumhing per,nlits may be issued�ONLY So licensr,cl plumbin�;eonuactors and to proporty wners � � ' residing�o tlie�dwolling. � 4� Whcn any ncw eonstruction or remodeling is involved.a separate building permit mus�be I obtained_ with State Codc uiremcnts. } f � , ,,.�� �� ��, F��i wo����s7 bfe,done�n accordance �1 1;.; " _; ;. ' `;�.^. �, �I wd I dss be inspected and air tested be�t'ore it is cover�ed. Ce�ll(952)249-4600. i�' .?' (24-48 hour notice required) � � � � '��iF�E:�'��R�;°. --j �i.�k is,F'an�c:,e� —__ . .�� � . � .. � i ' ^_iyy pf F N6°n .� � '�'ys�l+�`ik'/�T��`•.�1�l�..A ���r ) , . . . .;r� Y :. , .. . . � `�„1 �. .. . 'C, � ._ ._.'l�.Certl , ...,,: ..__.. .,.._.. ��� , � �75:1'C' :;x'�� '� . .`��51d�9'1SIa�`r;at+ i �'(,Ori11'�1CfC1A�(A�fOVSI�e(�u1P�), ' �-_ ,,"t�n i e , ; -` 9;7 �� .<�(�., , _ _....._, ..__.. _. ,. 8y', a5i 7'� ,�.y nR aIPS R place _ .. ❑�New U Additio�nal,��� � r fi`�'--��. ''' �''';�1��D, k � � �� 'i � , ..; . � �: ,y��,y,i =��, �,�K�.l 'I.�y� tr �. �' . ,a;�rr v�'�i ❑I 1►y ACccssO '��nacture? �; ,• � � 78 i �e IV � ' : � ' d,�n �,need C-l�. �raOrono Ci�y Codo;.!�h�it�'._._,�_.__ _l_.__. _ .__ _ __ Fwill- � �,�r�si rovt��a�i �y — ( , r �Ul . , it rTs�'�,� t,�:': >, �. ._ __..__ � . Job Site/Owner�Inforrri�t�orr: � , -c , � �sr��; i:.. . r' upl.. '�C.� �+�� :'t' t' 4 � �.�.M� 5)�. . ,.� .'V�4P� �f'.�� • (� � . Slt� Ac#d�es�. r . . .� . .__ Y A'+ , �';��� ;;Jit � C' !�i� _� "`�'��� � ��`�,:.� ".� ��,i k v ��^��T.r i'���'; r . _ ,, . r ?'If, 4 ' � ; � ` ' ?:�.' 'h/j ddress: O�net'-� " .. � � ., aili�tg A . IS, �1' '�:1,; '�f(� .:1�Y-: f'h� 7!tllk?c : r 4. ;S1I � W,- :4t11Q� P;; �. Cit� _„ , , „ �•:�.,�.,., � . . �� ���r,�s ��,i:��: , , . :. �, ,,.- , cr ��F :n�,• Alt�rh�ate Phone:. , Hojme Pho�B. ' � �c��� � , . �,. ; i, �. ,r�� ;,.�.; � ,r:�. ,,r , „ r��cc ;_ .� .. .. Cajntroctor lnformat�rnt: " ' __ _ _ _- ___..w. _,. _ ..__—_��j .!M p� i• 'a �' !t o`i �'� Cdntr�lcror: � � ' �� Cor�o�Person: . ._ _.. _. _. _, _...__ . .:_ ._._ �. __. / �� _-. - _ . �G.�a �;s�� c�: �: ��� Stat��Bond#: �' �c�idt'�s�:'� '�" G�y�'� �17� ' ;a"Zlp:� �x�it�atinn Date• ._' .b�� � . � . , ..1 �; `;,. '",`1`��' . .��d " 7$' Alt�rr►ate Phane: � , F'lao�� � ., , . _.:.. _. . _ _._ __..�._.___.._� ._ __. � :,;;� , �.:� ���n�., ��►; ��. Insurance–Currcnt: _ ._._. ... _ .; .. r �' • , 0 � I — ; i� , � � , � _ ,..� � ' , N. ....._ _. . .._i��.� �.�.Y�-4� . � ' tl _' - ��._' l.. ... ......___•___...._.... . ,. _....._. ..�.- 1�� .-., . ...� . i , � .. IF , � �,_ 1 . �r •i �. � 1! '. ���. .. �.,. � . ' �.�f � ! �-C�� Ae'k .. .. ..,.«.,.... ...... ��..,.__..._ .. . ..? i I �.'� ...�,..� r-�-•� _ ti.. 4........,.... ; ,., � .. , . .� . , � _. ._., . ._ .,_, .. 12/12f2012 03: 13IFAX 7634773629 f�003l004 , , • ; I� . . . ;;�r�.�,,,.,, _','.�:,,';'::,..�• . . ' ' � ":i5i��"� '�tC;��e��.,..-,•. FIX URE BSMT 1 2 OTHER FIXTURE BSMT I Z �TFlGR , TYPF' FL �L, ��) TYpL FL f i. �. � ' I Floor Drains ', � WatCr Closet n Lav�tory OI`, Sewer EjccWr � �I �� � Bathltuh � Laundry Tcay � Sho�+vcr Wesher ( , hilc�en Sink r WeuerHeater 1 � nis�ocal Wster Softancr . .�n/�n i n-(�'I n n � . �n �ir.7� i F��`i: �i�JY��i O, , • �al(}n'7 t`^j+!. Disl�w�sher � ( W�B� ' Sill¢��cks . Miscellandous '' � �� , ,._ _ _,__._.__._..,,�.,, _... ._�__ __ , , ._._.__... .___. ,__ ,,... . . .. _z - -- .__ .. i � �., , .- r ,. , � � ' ,._.... .._ _ �: j y _ ;� ___. •�,� IE� ,. . �- " , _ _{. ,, �. ... ... _ ,,,.,: I� ,° . �, . �. � , � . � ,, �-; ��:, � .d: , , '� �M.,n . �.N•�ys kA.� tt.e���,}'i;�;�"y;1�P���?4� �} ,:� ii; ,r+ �r��i���p�%'r.A., 'e {' : ��o f,�`',�''n' -fy�1.:�?y:n�r•�5��:,� .t . ;�ri�''M'�� UN,�� ia ,.� I i . ' , '..# ' . "49: .. ' . ,' [� ___ ...Ycs.Lhi.4 scclion applies , : _ _ __.... _ _ I u, „ , � 4 taccment-ofonly�one Re idential txturo or p�lianc��that meet,g sll threc of-the..fallowi •--- _ . - - � �' �rep ,-�, ,, ,.�� � � �'rc�uiremcnts: ;.._. __ . ,. _ __. .. ,._ . _ .._ ,_ _ ' ;� I " � �' Do t reguire modificatir�n to elec�rica ,, � ---_ ._,. � � ��r g�s5 service. ' _ ---Z— W;as a total Q�of�500.80 or less;cxcl ' thg�st of the fixture ar-a�aplisnce:.. cL. .__ _ _ .' , �.i 4 T . p _ ._ g , � r. , 3. Is�mprovec�,installed or replaced by[he�iom�o�vner ar I�censed lutnbin eontta� . .. ... . ...�. _....._ .. i ._.: .. .... . . .. e ' I � oyl � $ �J�oO 1 . �:i h ��x.�.t,.,,,� � i . Skip next section,if ihis applies; Co`�t of`Permit . .$ ��Q _.. ..� _.....- - . ._ -' State-S�rchargt _ _ ' �,I c.�; ; MA�1-'In Fee([f Applicable) $ 2 ' �.�'otal Permit N ee _. _�,$_.. .._ . 1_ _.__ ..__ ._.__ _. _.. .. _.. ' (Permit F�es Contlnued On Next Page) . .. __. ,_..___ z.-_ ._ _ ._ _ _ _ . _.. � w • ,�c . _ .. ._ . I :. ' � I. _. _ _. .. . ;. �i: �;c,_ ��r,,` , 2 ' , i . f� 1 , ", ;. w . _. .�. .. , „_ � „ ��,.:�i � �:, .,�. _ � '. �.� ,, � k'�. P,' , . ., ' I ,. . _ c, ., � . ,.r �. �. 12112 2012 0�: 13 FAx 7634775629 f�004/004 , �,f • � • y'�y' ' 'p.. �.�,y�I:';: :..�', �.;1.•'�: 1 f xbclve does not apply;follow guidelines below: I I, CONTRA(T PRICE s is I.25%oF contracc price with a(Minimum Fcc of SSO.00j �� � � � %_�I25$ � � j — ; (commct price) (.�. imum S50. O) I 2. STATE SURC.. AR �; �n � , �c�v� x.0005 S _ (contrscs price) , ;, pOSTAGL�&HANDLING(Only on Mail-1n Applicasions) $2.00 � 4. TOTAL PF.RMCT FEE(Add Lines 1-3 Abovc) $ � ' � ■ * CON'I'RACT PRICC or!OB C05T means the actusi or estimated dollar amount charg for the 1,, ,i, ��,� ,�•, . ,� c�mi;tted a!�or�C-`�ac:lud'ln8 m�rials,Iabor,proFt,and other fixed costs• It is the amount to b :charged 1� .' ��^ o thz customer for the work done. lf any material,equipment, Iabor or Installatians �'e fu ishcd by hc owner, tenant or any Other party,The rea�onablc market value of such items must be Ad d to the estimated cast or con[tact price for permit fee purposes. In the cvcnt thac there is a dispu on lhe a�mount �f the job eost. the City may request thc submission of a signed copy of the actual eontract. ___ _____ .r_._ _._ _ . , ..�_ . ,.. _ _ _ __.,__�._ _ -- > .__ . .�.. ., .... �..:_ � , _,. , _ . : .::.A,.. .. . . : . .. .. ., :: _. ......_ _ .�, ,..,,.. ,•-,. • �. ��.e.�,,'1�„'�..• ' ,�� ' . ' ,, , p�a.M,.. r .. , ' ., � , ! . . ,.� �Tha undcrsigned hcreby applies totthe City for is5uance of a Plumbing„Permit,�s.gre�s do all wot!k in strict accc�rdance with the ord�nanees of'the:City and thc regulattans„of the State�of Mi nesota, �nd eertifies that all statements made on this application are compl`ete, ie and co ct. __ �1�� ; ._ � `. `. _ _,�. _. _ � . _ , � Date:,�� ~ _ �-�— Applicant'�;Sign�aturc. ,,:; , _ . - . . , . ., � . . . .. ..., , , . . . • . .,, .,,� , • � �,.,,.�. �' �:s:.;;:,`��; r,�.�; . .. :,, .. . . ...� ';,. _ _ _ _ r ,1 a, . ��`Res.�'k:� :c�,,�„�.��. . �sy • , �I ' . . . ,�r . � .. , .�4. . � . . , . �. ,.,. , �lli . � . .!1 '1�. , �� � . . . . � . � . . .. .�I' �. . :?a �� ..,. .., ., ,� ��'r. .. ' .. . ..]E�: . .. I . I.i . , � - . . , . . .. �I � ..,J .. . �. i2.� .� .. . .. � , I. � � . , . . .� ., , . .. . , . � ry :C 7 , i • ilr ,-�.0 . ... , ._ . ,•.k .. . ;'.�D'''t ,. . ' ._ . �..��. . , IS� . . ' ;i�,'I�� . ..'�'. '3° _. ,. �� t' , . .. 1*� .. .. � , . . . , .� . �, �il .'!� ')I �F: . . . , . ,(, ,.'11�, . .� . .,. ��,9� ., . � , . � . y . .. . .� .. � .._. . . ,,.. . ., .,.,..,.. ..... , ....� ,.. . ...�.. _ .___. ...__. ...... ,.. . . . .. . . . � .�,. , � ��) y.; . . ,.. ,.. ,., , �. ��. . .,...�..._. . ... ._ . ,, �, . , i .�.11�. � ,lt . . . .;i :.[;` .,. . . ... . .. ' . � � fl .. .. :il, ,. . '.Y: , ,�.':'i.:, ,1�, , :ky� : ta! i'� . , '41� . . . �v .. �.l'; . , i .._.:i. t�:��.��,1. ., { � . , . �....�., .. � � . , � ."�C'��.".{,�,r 'I � ��,�.�, !�' . 3 .. ' .. . t .. f � � 1"� �;;�,! ,t: . ., . . ., t ... . _ "_ . '. _. . �. �'�;�1,., �. (.� � � D E TIME CITY ORONO CALLED IN � ' INSPECTION NO IC SCHEDULED � /� PERMIT NO. 3� C PLETED ADDRESS 7D — � OWNER 2 PHONE N ' �O CONTRACTOR ` � �; DESCRIPTION �/� i� � � � ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING I Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS ' y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL , J ❑ PLUMBING RI ❑ SE TI FINAL ❑ FOUNDATION/REMOVAL 'I � OW NTRACTOR MEET YO�YES_NO � COMMENTS: � W 0. o lf ��' /I�i�'r��^ �C�S�! � a � 0 � � � � � � � �'�i�F.J �l Q � z ; t� � \ � \ W � �.�–.___–_-------_' � ��— � /UwORKSATISFACTORY:PROCEED \ � PROJECTCOMPLETE I ` W ❑CORRECT WORK&PROCEED ❑ I SUE G€flTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OFiDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION AEQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� I Owner/Contractor on site: Inspector. � ' White Copyllnspector's File Canary CopylSite Notice '