HomeMy WebLinkAbout2014-00619 - plumbing I _ ♦
, CITY OF ORONO
* 2 P1 1 4 - 0 0 6 1 9 *
2750 KELLEY PARKWAY
DAT ISSUED: 06/18/2014
ORONO, MN 55356-
(952) 249-4600 FAX: 952 249-4616
ADDRESS : 2670 KELLEY PKWY 311
PIN � : 33-118-23-12-0079
LEGAL DESC ,' : STONEBAY OF ORONO CONDOMINNM
: LOT 000 BLOCK 000
PERMIT TYPE � : PLUMBING(>$500)
PROPERTY TY�E : RESIDENTIAL
CONSTRUCTIO�N TYPE : FIXTURES-MULTIPLE
NOTE: 2)WATEI�CLOSET,(3)LAVATORIES,(1)BATHTUB,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOS ,(1)DISHWASHER,(1)
WASHER
VALUATION OF PLUMBING 4000
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALU TION) 2.00
AMERICAN M�CHANICAL CO,INC. MAIL-IN FEE 2.00
7120 71ST AVF�.N. TOTA 54.00
PO BOX 205 �
LORETTO, M1�1 55357- Payment(s)
(612)750-0278� CREDIT CARD 6915 54.00
� OWNER
Citizens Indep�ndent Bank
5000 36TH ST;W 311
ST LOUIS PA�K,MN 55416-
AGRE�MENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plaj�s and specifications,applicable City approvals,and the
State Building Cbde. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All pro�isions of laws and ordinances governing this rype of work
shall be compied with whether or not specified herein.This permit will
expire and becodne null and void if construction authorized is not
commenccd wit in 180 days of the date of issuance,or if construction is
suspended for a eriod of 180 days at any time after work has commenced.
The applicant isl responsible for assuring all required inspections aze
requested in coqformance with the State Building Code.This permit may be
revoked at any�ime for due cause.
� �� � / 1 r/ /
Applicant Pe�rriitee Signature Date Issu By Signature Date
• FR(Jhi :Ameripan Mechanical FRX N0. :763 477 4085 Jun. 17 2014 09:23RM P1
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City of Orono
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� Z�so xat�y ra�Way
Cryaral Fsar,Ntt 1 ss3z3 APP��BY Amount.S:: :
(952)249.4G00—Main
(9>2)249-4G1 C—Fax
y�'R �c?� CITY OF ORONO—PLUMBING PERMI"�'
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fSHO (AII Commexcial Aermits Must be Apprnved by t6e State Priar ta Gity pprovai)
-� htt ://www.dli.mn. v/CCLD/P'DF/ lumb lanr f
; GENERAL INFORMATION
1. You may apply for plumbin�permits by mail or in peison at th�City offiCes, AppliCati ns will be
' reviewed and a permit wil!be issued within two wqrking days.
� 2. Permit cards wiil be sent by retum m�.il after a review is compleGed. P$1ZMITS ARE N T
VAL1D UNTLL YOU RECBi'VE A P�1.tMTT. 'WOItK MlJST NOT BEGIN
PERMIT CAIiI)YS POSTED OiV 1'�Y�.rOB S1T�.
3. Plumbing permits may be issued ONLY to licensed plumbing oantractors and to pro owaers
residing in the dwelling.
4. When any new ConstruCtion or remodeling is irsvolved,a sepaiabe building pEx7ni[must
obtained.
5. All work must be done in accatdance with Sffits Code i�aqurte�le�tLS.
6, A Il work must be inspecbed and air tested before it is covered Call(952)249-4600,
(24��48 huur naticx required)
TYPE OF PER�NIIT
Check All That A l
Residential Commercial A ov81 uited
❑ ❑ A �q
� pr )
❑New ❑Add�tionak ❑Repairs []Rep
i ❑ Tn Acc�ssq Structvre?
ry
*You will nee�nrior aanruval snd may need CUP.(Per Orono C�ty Cade,Chapter 78, �Cle I'V)
Job Site/Owner I.nfarmation_
Site Address: �
Chvn�r l�tailing Adcbress:
. . �
City: Z�p•
_.. _._._ __..._...--- ---_ _ .
Hoxne Phone: Alternate Phome:
Coi�tra�cEor tnfo. ation:
Contractor: Il�l�l�Contact Person: h �
�
Address: f� State Bond#: ��
City: Zip:���Expiration Date: ��3�~ �
Phone: �(1YL,~��7� Alternate Phone:
' ❑ Insurance-C�urent:
1
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If 8�bove does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1. 5%of conuact price with a(Min um Fee of S50 00)
/� i
v X.oi s$
(contract price) ( ' um 00)
2. STATE SURCHARGE �j),.._
(��(/ x.000 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2. 0
�
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S
■ I * CONTRACT PRICE or JOB COST means the actual or estimated d llar amount c ged for the
I permitted work including materials, labor,profit,and other fixed costs. t is the amount be charged
j to the customer for the work done. If any material, equipment, labor or installations are fumished by
I the owner, tenant or any other party, the reasonable market value of su items must be added to the
estimated cost or contract price for permit fee purposes. In the event t there is a d spute on the
! amount of the job cost, the City may request the submission of a signe copy of the a 1 contract.
't'he undersigned hereby applies to the City for issuance of a Plumb' Permit, a s to do a11
Work in strict accordance with e ordinances of the City and the egulations of the State of
1�vlinnesota, and certif'ies all tatemen made on this applicati n are compl te, true and
c�orrect.
�ipplicant's Signature: Dat : �Y
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F BSMT 1 2 OTHER FIXTURE BS 1 2 OTI�R
TYPE FL FL ? QO TYPE FL FL ? ICO
J
W ter Closet � Floor Drains
L,a�vatory � Sewer Ejector
Bathtub ( Laundry Tray
S ower ' Washer '
'tchen Sink � Water Heater
D sposal ( Water Softener
D shwasher � Wet Bar
Svllcocks Miscellaneous
[k] Yes,this section applies
'I'he replacement of only one Residential fixture or�ppliance that meets all ee of the follo ng
r�quirements:
1. Do n require modification to electrical or gas service.
I 2. Has a total cost of$500.00 or less;excludins�the cost of the� e or appliance:and
' 3. Is improved,installed or replaced by the homeowner or licensed plumbing con ctor.
Skip next section,if this applies; Cost of Permit $ I 5.00
State Surcharge $ 5.00
Mail-In Fee(If Applica le) $ 2.00
Tota!Permit Fee $
(�'ermit Fees Con6nued On Neat Page)
2
�� ✓
J ATE TIME
CITY OF ORONO CALLED IN i
INSPECTION NOTICE SCHEDULED :Ofl
PERMIT NO. � / COMPLETED ��
ADDRESS o? 7D C`lL i"! - �/
OWNER T LEPHONE NO 'd-2-7�
CONTRACTO�
� DESCRIPTION �< `���
� ❑ FOOTING PL G FINAL ❑ EXCAV/GRADI G/FILLING
Q O POURED WALL ❑ CHANICAL RI ❑ LAKESHOR LANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOV
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTI N
Q O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER R MOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/R OVAL
2 01NNERICONTRACTOR TO MEET YOU:_YES NO
ti COMMENTS:
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� RK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUP NCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR YVILL RETURN ❑CITATION ISSUED
❑STOP OROER POSTED.CALI INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours' advance 9-46 Q
OwnerlCoMractor on site:
' Inspector:
White CopyAnapector'a File Canary CopylSMe N ice