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HomeMy WebLinkAbout2012-01240 - plumbing .��� • r CITY OF ORONO * 2 0 1 z - 0 1 z 4 0 * 2750 KELLEY PARKWAY DATE ISSUED: 12/13/2012 �� ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRE5S : 2670 KELLEY PKWY .#�3I S PIN I : 33-118-23-12-0083 LEGAL�ESC : STONEBAY OF ORONO CONDOMINIUM : LOT 000 BLOCK 000 PERMITiTYPE : PLUMBING(>$500) PROPER�I'Y TYPE : RESIDENTIAL CONST�UCTION TYPE : FIXTURES-MULTIPLE NOTE: UI�IIT 315 2 WC,3 LAV, 1 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WASHER VALUATION OF PLUMBING 4000 APPLICANT PLUMBING FIXTURE FEE 50.00 AMERICA MECHANICAL CO,INC. STATE SURCHARGE PLBG(V LUATION) 2.00 7120 71ST VE.N. PO BOX 2(�5 TO AL 52.00 LORETTO;�MN 55357- (612)750-0�78 OWNER Citizens Indiependent Bank 5000 36TH 6T W ST LOUIS 1�ARK,MN 55416- AGR�EMENT AND SWORN STATEMENT The work for�hich this permit is issued shall be performed according to the approved pllans and specifications,applicable City approvals,and the State BuildingjCode. This permit is for only the work described and does not grant perm'ssion for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compi�d with whether or not specified herein.This permit will expire and becbme null and void if construction authorized is not commenced wi�thin 180 days of the date of issuance,or if construction is suspended for�period of 180 days at any time after work has commenced. The applicant i�responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revok�y�ime for due cause. � �i �ti i � � i i Applicant Pe itee ignature Date Issued By i ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE A . 12�12/2072I03: 14 FA� 7634775629 �j002/004 ' * I , ;•.FoR� �•�:Y�• S�:'ct CY• i .�,r�-o�-�-.�. c��y or�rono �� � � � . � ,� �� aa�a- �.z �o 4 � r.o.sox G6 ��.�,ote;lde���ed:. �Perrt;t!1 —._..� I� �I ,!���'. °�; ��5o Kzn�Ps�4y �,:;.. :.��,:,; . . ., sa. Crystal Bay,MN 55323 �a A,�CdV��$j*,, �,AmU t$: '�,��a��� (952)249-4600—Main . . � t952)2d9-4616—Fax , ��r..... � I • C�TY OF ORONO—PLUMBYN�G PERM T (All Commercial Permits Must be Approved by thc State Priar to Ciry Ap roval) '!►tt :llwww.dli.mn.�ov/CCLD/PDF7 e lumb lanre��u . cli' ! VENERAT.. INFOKMe�T'10N �. .. . . � . , , � � t. You may upply for plumbing permits by mail or in person at the Ciry offices. Appl'cstions will be reviewed and a permit will be issued within two working days. ?. Pennii cards will be sent by return mail after a revicw is eompleted. PERMITS A E NOT vA�ID UNT1L YnU RECEIVE A PERMIT. WO K MUST NOT BF . N UN IL T ar 1'ERM1T CARb iS POSTED ON THE JOB SyTE. 3. Piumbin�permits may be issued�ONLY Ta licensed plumbing contracturs and m p perty owners rc�iding in tl�e dwolling. .� i I �. WHcn any new'construalion ar�emodeling 1s involved,a sCparate building p�rcnit ust bc obtaincd. 1;'I,':';t"0"I? n^ i, . F A I�wo��c z u,s��i��$ne in accordance with State Code requiromenes. � �, ,�i'1 wor�C���st b��r�spected and aic tested besfor�it is covercd. Call(952)249�60 . f�l�C�'•''r���� (24-48 l�our notice rcquired) I .' �T`Jtr1�E'��=P��?1� -- r.-�":i�,E,csvm�� --------; . . � . I r ; i�y . Ciiy;►P f 1 r,^�,: .��{7�C�G L��I,I'T�1�.t.�A � . , __. __. � T..., _.. � .., • ll.r . ,,,,y .. ,, �em�:� ��.. . �, � � Tt Rlde I ' ,ri r. r� ''�,,�. � �� �' s'ial v�-� ❑Commercial(Approval Roquired), �}� _ __ :�„u :,� y � : „ , ; __,_..,. _----_._ . _ ; • " , . , ,z ,:� .. _ _. •'�IY'4 Y �! ( ,)aF i�T.�y �.. 1V�w"� �]AcJditiona qr DIt �n�r-{� irs �],R`�c ylaca ��,,, � . ��.�� �J L.. ;, ��� ,j �'L� ♦ '�I� j� J I i Y x�'y� J " I [� yn nCbcss� '��ruc.tureA rov �.�..need�@,'�r;Orono Cltj+Code,;���apt�r_ 8 n � ,,� �' �� tfls���..,� � as� h `t1�, r- --- Yau�erul " ,` ` }� .nrticle lv) � . ...,.�r� •�� t - �� � . ' � �;F . _„A.� ����aer�� � ,,., ; � , . I ,, ,. . _ . _. ..._ _ :..,-. _.____. _._ _ _ __--- J�b Site/Ovm nforr�ation:.: � � . . , . �-�- . �-[S�.F.. i:� .. � �(�'Sa ..,s .; ., �tl �)P.,; ,_ . , .: ,)I .i:'il�. i7F . .. fC"�i:1 . riY;..l�f��1 3�: . .,t,� ; , '� �,� I Site Ad�lr,esfiy ,, l�D'� . . , . � Vr"� .i K,,'�j'.S�l.�, v'�(.ri JE5 �1 _�� �., : . Y�`�)�2"'r� � ��v" .. , <.,�.� �_ _a dl:: Qwne��'� tz�: . ' P ����� �.,�. 1vlati�'ng�Address: T ' ��i�,t .,r,c-;� _ ,� .d i);�v'i.� 9kc .N':;j7�; �;z� �. . n ] ��- ..r•,� :n�'t�i��. � �i�'i; �r� �:hw ���ci, ��t�- i�� �j�. �n<� r�IC;', � . ���f�.(�C�, .. � � .� . .. . � ,-..; .A�i I Hoime �1�o�i��` T�`�';, ,ct; �•rd:t�<:f�-ti� �pCt�t�i�te Phon��: � =.0. �C<!. � �`1, le � �,�a.['. �����. '� ����: �.,:;)i.. �I � . .�b -. .r � .. , . � . .�ontrRctor lnFormation: � .....�.M_._. _ __. _ . .�_._.--- .._ .__ __._.__ . ( ��� ��, ; �:�I��i / - . . s,. - � _ li -�.I.��. I Conlractor: _ . � �nt�c,t Persvn: _ . _ _ _. ' � / �� __,, - ,����������i G�a �. ��F��,,�r �. �����t�ite���Bond#: , �k`zldi°es5: ' �'r:,.� �r . Z�p:�'�' C�tpir�fion Date: r�� }`��3 , City: � . , _.. � . i � ��---� � �-�-�� , . .. . ��t� rh - , r;p�.te one: ,,, , . y r i ,, L'hOn�� � .y,r ,,� �<. , ,i�, .: . - . .. , -._ __ _. .. _ _..�_. � _ ;I )a , F:)�,,�,t r t�, ,;�, � Insutance-Current: . � . . _ _.� � 0 1;f ,,' �' � c' ,,' , ,, .. M , . ,. p� ,� ' � t 7� . , , � ._ . . ,� � , , `,�1,-� ,�, ..�1 e : ., , . __ ., _ . _ ...,.,. . _ . ..._._ ._. . ;,...., .._... , : � �J � �,� '; �r r{ � ��,'�� , . '� t' �< _..,.._.,.__. _.._._ ...�--___. �;;l�•,:'li'. ;r.i, , J-.:. ... .t�__. >�..�-.._-- .. . ,,. ��y 12/12/2012 03: 141, FAx 7634775629 f�003f004 � , r � , .. . ...,: ... . . . � � . ........ , ,... . . ... :..,...::�- . � , .. :.... : � : M� F'IX URE EiSMT 1 2 OTHER FIXTIJRE 135MT I' 2 OTI•IER 1��YP� f�� FL �-^ TYPE FL r•i. ��n �c_�►� ��.dV Wa[eh C:loset n Floor Dcains o�- Lavaaory � Sewer Ejector Hachtpb ` Leundry'(�ay t Showpr . ' W�h� I Kitchgn Sink I Water Heatcr Disposal � Wattr Softener �,, ,,�.>>ni2 0 -� ,� -� �„� ��,��,. ���� .: ; . ,. .. . Digh ashcr I Wet Bar `` ' Sillco'ks Misccllancous .__ ._ .. �._..._ _..:._._ .r.__.._._ . _ ._. . ..... _. . _,:.. - - ---_____ _ - �--- ,;.;fi,. _ ._,_ .. ._ , ,. ... , , ___ _ _,.--�--- _---��:..,. ..._ , :..._ , . _.... ....__ I.._.. , . ...�.... _._.,- :.r.�..... — •-- '";r 9..,-... _.� . ...y_. .,:Y..... ;n"C: ._ - -. ...,��� .. l ... _. � � � .. �. ��i��b'��� � � ¢:.. � I . . .. . . . . . , , ,.�.i�, . � � f'r , � � -:��y ,, ��, ,�'�"�: � t" L � ' � � � , ' , : ; -. . ,. -. . , , .. , ,�' I " ! ,.;y,1 i I�'.�V ;�:j _..:;�i;':v� � ��r�ti ��T�.si ,�1 , � I '� �'r�n.�"'1i 'W,*�'+i�tiw,;Y Iw� �r` u ' _ _ . ..�. -� :.��'�u��.�F�:ti A' 'a �..r. _ . s -v-'� ... i . i .. ,....�..r �. . � ;f,. 'f . � . . . 1 . ,.,.'P I . i ' ` --!--Yos.-kliTs secti�;applies . _` . _. . . _. __ ;_. . :_._. � i� '�ii, � , � , :..� u,_ar� i � , q ' yvnc_. , � � :..... #lovuing-. . _ __.. __ _ ___...._ . ` _ re uir�ments '- -..._ ._ . ._ . .. __. �� ; �'he r�la�cemettt af onl rtesidential fixture or�aenlisaotthat mects all three of th�fo';`. - , I .. , � 1' � 2: H�s-a��gtal�rost of$SOa.00 or less;e 1 � F�service. oes ot rcc uire modification to electricat u� 1, D 'n he cost of the fixtuce oc.,applia�nce:.�nd .. .____ � + �� 3, Isi improved,ins�alled or replac�d by the hoihtowno�or licensed plumbing contr�ctor. � i _ S.:.. _. ; _...__. .,.; ...._, -- .. �. _ . , _...�..�._. ._. ._ _ _ , ' ` ' kip next scc�ion,if this applies; C`�os[b�P`Permlt $ 1�. � .� ' ' ;-State�Surchargc._,. . __. .. .._.i� • _ ..... �__ i _ __._ ...._.�. _.: _. _ _ , Nf�ni{-1�ti�Fee(If Applic�ble) $ . -T�taLPermit Fec .... $ � --.. _ __� _.__ _ .._ _ ._..� __...._. .... _-----. _. . __ I . I � � I ntinued On Next Pa e) (Perm�t Fees Co g ' __...._ ._ _....�. , .,, ,..,ry . . . ..__.. . _ _. , __ __..i_ ._ . r� , .. , , , t . ;.,, . ; , , _... _ _ ,.. ._ _,_._ , �r�._ ..: _ .. -.�_ _._ ..__._._._.. . . ._ :- � ,. F�,; _.,_t} � 2 ,nlf,r.t i�cT' ,� '.7Tti: � .� -,i:. '�'.� tta�, . 4a . .,t� r�+. ', , __ .__ :C',:;.!i I:',;�..z.^.[".;�. i � �Ir�r � f7f1' ,�i'r'�i. � .. . � �",1' . .'�.(, '�' _ 7LY� 12/72/2012 03: 15 FA� 7634775629 f�004/004 �I , . � � j I�� � ...�.. .q�'fN�.i�,Y':1 �����'• � ♦ � I ' lf above c�oes not apply;fpllow guidelines bciow: ' 1��. CONTRACT PR10E �' is 1.25%of contract pricc with a(Minimum �cc oT 550.00) � ' � ,�,h/�— — (�l/�/ x.0125$ � (wnlraM price) ( Imum 550.00) � 2l STATE SURCHARGE � �� x.0005 S � � (wndact price) 3 I� POSTAGG&I•iANDLING(Only on Mail-Jn Applications) $ 2.00 ' �.',TOTAI.PERMIT FEE(Add Lin�s I-3 Abovo) S ` / ' • ' (:U1�TKAC:'1' PEtICE or JOB COST means the actual or..estimated doilar amount �hargod fur c 'I^;'??i 2`?'I� n^ ,-p��ltOcd,�Nr,�c,iti�I�d�g materiAls, Isbor,pmfit,and other fixed costs. It is the amount to bc charg ,.�,„„,, ;„ , to'�''��us'tbmcr�or lhz work done. If any material,equipment, Iabor or installations are fumishcd y ` � '��`"� the owper, tenant or tu►y otb�r party, lhe reasonable merket value of such items must bc addcd to t c estimat�ed cost or contract pricc for permit f�o purposcs. ln the zvent that thei�e is a dispute on t c �mount of the job eost, the City may rcquest the submission of a cigned copy of the actuaf co�t� i. I � __._ _____._;_ -....._ - , ,-:- .. .... � ' , . ._ ,� .....___-- , �'� f�: t� ( -. � ���� �• `�� ,C ,r�;. �m-- .,� ..�. ..il�.Vl .'�W�Ly�I . I . . ��`.���_�. .... ....., . � , . � _. .. t .. :1�� � _, . i� . . i .7 Thc undersigned hcreby applies to the��City for,tsst�ance of a Plumbing Permrt„agrees to do a � wark in stxict accordanee with the ordinanees bf tl�e .City and the rregulations� of the.State_.f ` I, Minnes�ra.', and certifies that all statements matie on?this application are cdirt�slete,� ttve an t'�� I correct.�;. ', [,���.��, `"�.� �`� � � .. . . . - . . ., . , �.. , .__.__. _ � .__._ ____ _.._._ _.. � � �� �-.:r � � ' �yre Applicant'�;,�a�r►� Datc: � , � , , ' ,. ,�,, , ,, �;a�-�; 1: , , ,; , , - - .._ - , � , t� ,, . .. . ,y , . • , .. • ' '.•:�;.: '. � '`•;':,�`i , ;1 ' ., �., ,�,., ,, �a.-.?x . :.:�.•l�e�e�-�+�����:<:,�,;.� _ _. _ _ __ . ,..,.<���:� ...... 1 [ ' '�"\� �: �1.�,�.i � . . , _ � YI- . � r..i.'.6i1.� . . ..;.!' . 1. . . ��.Ii�Ei� � . ,_. . .. . � . . . . 'i.1, ,. �,�1�.4'.. ii., ..11 ��1� �'� . . _ 1�': �;ti�l�-' � � .-_ !;l' ... � ,�� . „ . . - � . :. ,. . . .. . . � , ,17;: �.. sl6`it.,C, ��; ,-F... ,r ': <1�., . � .:. �.;.:.,K. ,..,- .: :' irl :t�:, , ,_ .� ,, r'.. v tti�.:�;.f�� 'U('�f':rl{' 'a' . . . .._ . , �� ri+�41'.F. .�. , . . �.S , �ile . , � �- � . . .. .illl:.11.k'� .�,{ _d' � � , , �W��" . , . r-z�.GC".�. .. . �. ...., ,.. �. 1: .,. t� .� J. , .� '� .��L � _ - � � _ .� . . ,�, ,.7.i: � .�y�„ �1�� .. .�. , I ..__._. .. ........--�.-III_-_....,...... ....,�- .... ._ ,. ..; .�... ........... - .. .,.�.�-,�.. . ..__.. _. .._. , �.. , . � � }� . � . . ., • , . .., .,:� �. .: .,. �.r y ' . � �,.� - - -_ _ ._._. ..!_..._.:_ _. ...z. . _ ,, . __.. �,.. _ ,."r` .ki::�-� 't' . , 'I.: _ � . . iY'i,t, ., • �� � t .. ,. . , . , . . ..� �„ . � `� ° � �i:, �,:; , .,-� �� r�,� r�,'..ST. .1 `;[l':�'IC� 2'.Cf'1t� ,r,,. . �� ,.. . -.1+1'.' . . � . . ., �n . � 'v's`. �U!.��. '��fal.� G,'E.;. ,�;f'. . , %IEr_',:p� .�. '1�..,. �If: . j'ii , , .. IY';'�� .. , �,� ,. . ,� ,.:i��(,'.. ��_�. �� . il .. :_:�.,,r�. , 3 � M I '� �,'�I ,� .ni': ♦i`a�:.f�ri���. ��....,...� . �� _..,,._e _ . . ... :_.. ... � �, _, . 1 � � � „�� ..,.� .. ,� , . '^` I . ti��',"4:'.:'§it �•fs�'r.'�. //T,/� � DA �1 TIME � v c� O /O` CITY OF ORONO CALLED IN l INSPECTION NOTICE HEDULED �� PERMIT NO.;� ��> � -�i�9a�MPLETED ADDRESS ��(�� C���l' -1 � !'a1!/ � /� OWNER TELEPHONE N � � � "a 7�� CONTRACTOR >; DESCRIPTION ` r�� • � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXC /GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 0 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 ❑ SEPTI INAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W C � , � ,�i r� ( c�' �,�• -�-- 0 � ;� l � --�� �1 `� % � a� W � Q � Z W i � W � � GW ❑WORKSATISFACTORY:PROCEED ❑�ECTCOMPIETE � ❑CORRECT WORK&PROCEED C=+'IS�SCIE CERTIFICATE OF OCCUPANCY W � �CORRECT WORK,CALL FOR REINSPECTION �RARY � BEFORECOVERING � � PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN �NSPECTOR WILL RETItRN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�0 OwnerlContractor on site: � Inspector. White Copyllnspector's File Canary CopylSite Notice