HomeMy WebLinkAbout2015-01570 - plumbing CITY OF ORONO * 2 0 1 5 - 0 1 5 7 0 *
2750 KELLEY PARKWAY DATE ISSUED: 12/16/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2670 KELLEY PKWY 312
PIN : 33-118-23-12-0080
LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: 2 WATER CLOSETS,3 LAVATORY, 1 BATHTUB, 1 SHOWER, 1 KITCHEN SINK, I DISPOSAL, 1 DISHWASHER, 1 WASHER
VALUATION OF PLUMBING 4000
APPL[CANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 2.00
AMER[CAN MECHANICAL CO, INC.
TOTAL 52.00
7120 71ST AVE.N.
PO BOX 205 Payment(s)
LORETTO, MN 55357- CHECK 16201 52.00
(612)750-0278
OWNER
Citizens Independent Bank
5000 36TH ST W 312
ST LOUIS PARK, MN 55416-
AGREEMENT AND SWORN STATEMEIYT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period 80 days ny time after work has commenced.
The applicant is resp s' le for ur� g all required inspections are
requested in confo a e with t e ate Building Code This permit may be
revoked at any ti f due ca / ^
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Applicant Pe itee Signature Date Issued By Signature Date
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�./ � 2750 KeTlcy Parkway �,�
;� Crystal Bay,MN 55323 Approved By: _�� A�nount$� �7�'
�� � (952)249-4600—Main
� � ,�. ' (952)249-4616—Fax
`��',,i, . G`� CITY OF ORONO—PLUMBING PERMIT
`` �k�����'"�`�'f (A��Comrnerc�a�Fe�a��ts��sE be Approved by Elte State Prior to City Ap�gova�}
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GENERAL iI*IF�R�IATi(�I*I
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.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALdD UI�T�'�L Y�U R£C�IV�A PER�ViT�'. TV4'OR�lY�US7'N�DT�£��'rI�T�.TTM?��L T�'I�
���+ilA!I�`I'�CAR��S�4S�''E`I�bN��E.�0�3 Sl['E.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
reyiding in tF�e dwelling. �
4'. 4Vl�er�dlly 11cw tii;Nsti�Crion C,-r�,Y:l;L�::n�;:s i:vQ:v�u,�.�i,r3�3ie'aitii�in�j�v9-�?�.t.:itsi��? '��:
obtai ned.
5. All work must be done in accordance with State Code requirement9.
6. All work must be inspected and air tested before it is covered. Calll(952)249-4600.
(24-48 hour notice required) .
TYPE OF PERMIT i '
(Check �ll That �lpply) '
, Residential ❑ Commercial (Approval Required)
� � ❑ New ❑ Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure'�
*You will need prior aAproval and may neea CTJP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/ Owner Information: � � �
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Site Address: � (v �� �� '�� �� ��G�,� � i �
Owner: Nfailing ddress:
, _ - ���y: ��!r1� c:a �i�:
Home Phone: Alternate Phone:
Contractor Infarmation:
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Contractor: '/f ,��. • Contact Person: ��Cd��'1C ��
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Address: �`�� O�� State Bonc�##: �+'" � �/�����„�y
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City: ���,� ' �� ��� Zip:���J� Expiration Date: � ��' ,5���� �
Phone: �4lternate Phone: � ������� ����1 -
_ . YL: 1riSL'.T�??C,'C— �L:t1"C:?T:I C�
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PLtTMBING FIXTURES BEING INSTALLED
FIXTURE BSMT i'" 2�" OTHER FIXTURE BSM'� 1" Z'�" ' OTHER
TYPE FL �L ��'�� TYPE FL FL ,�,n l\
J�L�._1 ,�L J
Water Closet � Floor Drains
Lava�t�r� SewerEje�t�r '
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� �jP.tht�ih j,�i]!?�CjI'��'(''r3�
i i i i i ` i � 3 i i , i
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Shower Washer
1 f
Kitchen Sink � Water Heater
Dispo�al � �Water Softener
Dls},��'aSher � ��et iR�r�
i � � � � � � �
Sillcocks Miscellaneous �
' �� PERMIT FEE CALC'�ULATION(S) � � � � � �� � ��
' � ' � � � r� ncr�r� r�����: �rin�� c��,1�r�=� c-r,��rr �,� �
. � l�L �/I - .s� . .(1 l.t� �J l.( i 1 VL .
❑ Yes,this section applies �
The replacement of only one Residential fixture or ap,pliance that meets all tHree of the following
re�uiremenYs:
1. Does not require modification to electrical or gas service. '
2. Has a totat cost of$500.00 or Iess;exciudin�;the cost�f the fixti�re or appFiance:and
�, jf:tt��PQVZ��,:'5:3:�_t"�i?1't?$?�3C?d�J�f':�1�_� J�'?1�;�111�i i;3"�:�_?�SZ��s;I,R=1�i+?j Ct?:T?":Ci�[. - -
Skip next section, if this applies; Cost of Permit � $ 15.00
State Surcharge $ 1.00
Mail-In Fee(If Applicable) $ 2.00
'Fatat Permrt Fee � $
_ . _ i
(Permit Fees Continued On Next Page) �
2
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'/� \ D E TIME "
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED
PERMIT NO.�v�5 ��5�7� coMP�Ere�
ADDRESS
� 2(fl`7 C lC_�_ (L��L�.;c���Z.
OWNER TELEPHONE NO. L��Z `7.-S�)--OL7�
CONTRACTOR , � ����-.
� DESCRIPTION �/L��l�����1 �� �
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ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ UMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF UMBING FINAL
❑ TREE REMOVAL
Z ❑ RADON SLAB MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREP ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-U ❑ FOUNDATION/REMOVAL
J /'
❑ DEMO-SITE EPTI NST L
2 OWNERICONTRACTOR TO MEET YOU. YES 7 „ �i �
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� O WORKSATISFACTORY:PROCEED �PROJECT COMPLEfE
W O CORRECT WORK 6 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT Y1fORK,CALL FOR REtNSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52 9-46��
OwnerlContractor on site:
Inspector:
White Copyll�apector's Flle Canary CopyiSfte Notice