Loading...
HomeMy WebLinkAbout2012-00575 - plumbing �� . ' CITY OF ORONO • 2750 KELLEY PARKWAY * � 0 1 2 - 0 0 5 7 5 * DA ISSUED: 06/20/2012 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2670 KELLEY PKWY ��j I�ij PIN : 33-118-23-12-0084 LEGAL DESC I : STONEBAY OF ORONO CONDOMINNM I : LOT 000 BLOCK 000 PERMIT TYPE I : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTIO�T TYPE : FIXTURES-MULTIPLE NOTE: 2 WC,3 LAV, 1 TUB, 1 SHOWER, 1 SINK, 1 DISPOSAL, 1 DISHWASHER VALUATION OF PLUMBING 4000 APPLICANT pLUMBING FIXTURE FEE 50.00 AMERICAN MEC�rIANICAL CO,INC. STATE SURCHARGE PLBG(VALUATI N) 2.00 7120 71ST AVE.N: TOTAL 52.00 PO BOX 205 LORETTO,MN 55�57- PAID WITH CC# 9327 (612)750-0278 ', OWNER Citizens Independe t Bank 5000 36TH ST W _I-- ST LOUIS PARK,ri1N 55416- AGREEMEIVYT AND SWORN STATEMENT The work for which this ermit is issued shall be performed according to the approved plans and s�ecifications,applicable City approvals,and the State Building Code. �s permit is for only the work described and does not grant permission for dditional or related work which requires separate permits. All provisions f laws and ordinances governing this type of work shall be compied with w ether or not specified hereia This permit will expire and become null d void if construction authorized is not commenced within 180 ays of the date of issuance,or if construction is suspended for a period o 180 days at any time after work has commenced. The applicant is responsi le for assuring all required inspections aze reGuested in conformanc with the State Building Code.1'his pertnit may be revoked at any time for�ue cause. � � / / Appiicant Permitee Si ature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO E. 06/19/2012 221:58 FAx 7634775629 f�001/003 � ,i , I , . �O C�ty Of �11 ',•� . . ' '4 a.,j•..;..w,, � i� •:�+.:i�7•,�:. �..i.:} �I'OQO 1 ,.�. ��,,t� � r::'.. �1�:�. ,�. ��'��A ';•„�2 Y`w`.:Iml!� NII.�'�..n;9yti� P.O. ..al.,, �:,. ,;.�,••,.;,;;,.,,, r�•• , ,, • H tv��:. ,� t ' ,�:'r';',". ; R�ox 66 ' •� � i,,,;,. , ,.:•;•�,:y: O O ,..;r: . �,u:- k'�i;'::::. :. ; . :,: � : '•� C SSlnlea MN55323 i+�•• ;'�r: ..r'"�;.�:�='�:;+`:��'.;�:�;..• :• ,: :�,:J . ! ' ' ' •y'�::P.. , 3...�`: .i� �il �Y Y� `,��"�.,•�+:.. �,�,; ..; . • (932)2494600—Main .;';;.;..:,ti„�,:.v,�.,:;��•'��•,•,•.•. :,:, .. .;.•;• . . ;� .>.,,�,�,•. ....... .,,,...• ...,. •..._�•' . . � :+ � (952)249�4616—Ps�c , CITY OF ORUNO-PLUMBING PERM T �F (All Commerciat Permits Must be Approved by thc 5tate Prior to City A ) htt •/ . ovl CLD D / � . dli. , ...;.. . . b ref� . f yn�]�, .j.�., ,� • �x.. . . , ..... �: '', �,,,, �::• ,•� .., u.: e a.• �... . , .. ',�41'7",i7A':I. �'�'•�, 5 :: ... i�r�:^i�..•.� �}i�'i '(�,�lit.:�q• �,�': '•;�•i:,�q1�.X T:r•. ,.�;:�'��y.1:1,�:'i ed�:.:..• :� ;�.i,,:ti.� , ., ...•..,,�� , , ... „k e ..... . � ....�1l�i.N..�•.....1l�A'.�.IA�� ,� � ,,.. ...,,„, • • ., ,. ;,... ..:,,; . . �..; • •rfk� , . ,:• .....�. :., ,•,.,., :.�,x�>,, :,... ..•;.:�:.�•,,;,.:... w..... I 1. You ma a I for lumbin , Y pp y p g perm[u by mail or in person at the City o�oes. Appli ari ns will be , reviewod and a pemut will be issued within two working days. � I 2. Pecmit cards will be sent by return msil at�cr a r�view is oomplcfed. P'�RMiTS N .; VALID UNTTL YOU RECF�VE A PERNIIT. S OT �� I �'ERM11'CARD JS POSTED ON'I'HE,fOB STTE :� 3. Plumbit�g permits may ba issued ONLY to liceased plumbing oontraotors and to prn e owners � I residin6 in the dwelGng. :' 4. Whcn any new cpnstructioa or remodeling is involved,a separate building parmit m st obtained.--. . . _ . : ' I 5 All work must be done in acoordance with$tate Code r�quiremeats. b. AU wark must be inspected aad air bested beforo it is oovernd. Call(952)249�600. (24-48 bour noqce require� '•. •� .G .. .^rvu�..:'1"�:;•i'.i�'�f�w'":��wa;k•., ��tl;,'�r. ��nn�rr.• �,f;iveu::• :n. 3 .,. ,.. ..:�.. ' ^ , •.::•...:...:.. • ry � ' ,.�., •.... � ,.,•.,( .�, •i�nj�ln. ..17�y n � ��.:;:�.r�: .{C: ..... . . ••::::........ :�...a:•(�'•:d,.Yse•��!:� • •r {•• .I. ...... ...••.�...'... , r ' �,. r�`%.:,a���L�I;,it�Y,.,;...�.,...,•.�;��', • •�.:.. . , .. . �..::C',r...: n.. •'ip:p�y;L.. .i:':dl� '�44 M�.�, 'h. ,�{ ..... .•. . .. ,,.....•, . ... u..i,.. ..:ly) ...{'� �I�:c�1..,. ..r,..�Y.S.;,�:.;��,:. ,1 , . . .. .:.. :. . .r.. '1: :. .d�iF(���:.,.: p nt� ; . . . . ., . ,. :. ..,,.. i r;�,7f`ii ��i. .�.:„�� 9...n'.l.!.:i�.�r`l�.i. .. . ,., . ... �, ; � � � i.���� . .�.�' . . "....: ' A��.�. � • . . ..'�..�. .:.l.��...i�1�HN+1 �1�� . � � ....�� . (�' .� �i.t.�..:.}. . Y. I .'.' :. .' .... �. ..��a •�. . �.... . . � •...rt...rvi.�.i'�..:: . . .'..� .:�.�i'.:. , I I �esidenti�l ❑Commeccial(Apprvval Required) � � •i I ❑New ❑Additional ❑Re�irs ❑Repla � 4 � ❑ In Accessory Suuetuce7 { '�You will need orio anorov�and may need 5.3�.P,,(Per Orono Ciry Code,Ciuiptcr 7S, cle N) :� .:�.. � ,.,.., „ :.�.,. . .. ,. . . .,. . �`��b:;�lt���.�w� , .4�A��N�i:.I�,�a"i"'.M,;•':!: i��� , . ,,... , .,:�. ..;.. . ...;.,..�.. , :. :qi'•:� , ..: •�........�n.:ifi{"•" .I . i /,� I �ite Address: (Y ��� � .� , � I �wner• Mailing Addr�ss: `; ; �ity: Zip: � � J� : T�Iome Phone: Alternate Phone: � ... . ..:......: .....;,......,,.,..:•:.:.• • .:,.,;;G"�•.:��,�: ..:,r . .•.•::. . . ,.:.. ...-•., .. ot�tr�O��li�f�?c'�,s�:;,;�;;,,;;,;;,;,,;;;,; ;;; ,:,. ..,,;,..r .�, .� :,, �. .;�::.::, :`>:.;.::;:i�ii:i' �;:�sirj•.':�,,. <^;• :i I . .. ! .� Contractor: ��ntact Pecson: :; '! i ddress: State Bond #: � /��'1 ' ., , �� C�ity: r Zip:��"Expiration Date: /� "' ' :; Phone: ` ��d�'� Altcma.te Phone: �G.�` � ��� �� �i j � lnsurance—Current: 1 .S .! I l i I i 06/19l2012 22:58 FAx 7634775629 (�0021003 . . i •i i � . „ ;Y.; ,. . ,,,,, i -�..� �':'e;� �:;.;':, . . '• ...•,,•• 'r :�:., ��:,,;,' . .� FIX'fURE 6SMT 1 2 OTHER F1X'(URE BSMT t OTHER � TYPE Ff, FL � 1`YpE FG L � Water Closot Floor Drairis �� Lavatory � S�ra�j��. i I3athmb Laundr�,'tlay `' .� Showtr � �y�� ; ., Kitchen Sink ( �y�}t�� � Dis sal ' F� � Watar Softener : _ . _ : _ - -. . .. _ , Dishw�aher t W�d� ! i SiUcocks MisceUeneous �; i � � �i , � .; _ � � .:tll^w�.�A��"�Yii��Y��� � k. �.�1. '�'�i"1��. � ,1 . ,�,,.�;�,. ' T , . . '`*p ^N',y;�.'�,,';;•:c�e' y� v '"�w' „�!i�•�;:' ': . . � ;���.�i� .��f 1.?sn aLMY•,:'•;','1.:,}•. '•i�M: �n, j I . ❑ Ycs.this section applies 'r ,, . : The rCplacemcnt of only one�sidential fixture or ap l�cg that meets all three of the f Ilo ng ` r�quiremants: •� h I. es not require modification to electrical orgas service. �� 2. l�as a t 1 c of 5500.00 0�less;E2cCludina the cost of tho fixture or appli nce and :; 3. Is improved,installed or replaced by the homeowner or licenstd plumbing on ctor. •� I Skip next scction,if this applies; Cost of Permit $ l �� 5tate Surcbarge $ � Mail-ln Fee(IfAppliaable) $ '� Totnl Permit Fee $ :; ., � .� 3 : ; �i .� ; (Permit Fees Continued On Next Page) � i , � i Z ' �i i 06/19/2012 2�:58 FAx 7634775629 �0031003 . , ; • , i • •� � 'i i .:.,,,.. ....,� � .. .... ` . . . ..1•��.•1�N4•\i,.Nh.� .. � t� I E � If above does not apply;follow guidelines betow: I� 1. CONTRACf PR10E * is 1.2536 of wntract price with a(Minimum R oi �,00) � � � a�a ^ � X.oizs s (oomt�ct pria) ' (i Inim m 550.00) f :f 2. STATE SURCY•[ARCE � � ` �v I x.0005 $ i (contraa prlca) " � .� i 3. POSTAGE&HANDI.ING(Only on Mail-In Applications) S ,� i � ` � ' i 4. 7'OTAL p�IYMIT F�E(Add Lines 1-3 Above) S ,j � ■ " CONTRACT PRlCE oc JOB COST mcans th� actual or estimabed dollar amo nt harged for the , _ . .... -... _ • ' " i perrtiitted vroik including materials, labor,profit,and othor fixod costs. It is tho a ou to bc chargcd' � � to the customer for the wor{c done. lf airy material,equipment,labor or installatio s c fumishcd by � the ownar. tenant or any other party,the roasonable market value of such items m st added to d�e r estimated cost or wntract price for pem�it feo purposts. In the even� that thero 's c dispute on the ; amount of the job cost,the Ciiy may requesc the submission of a signed copy of he ctual c;ontTact. � ,i .� � I' ��,iai;.•!H', i � ..'. „r+ •.�,•+�?,�g� • ,'� ,; � .. I �'V�..'�''��1•::�'rJJ1•i.•V I I k � 7'he undersigned hereby applies to the Ciry for issuance of a Plumbinb Permi a es to do all ; i work in strict accordance with the ordinances of the City and the regulation o the State of ��� Minnesota, and certifies lhat all statements made vn this applieation are co p ete. truc� and ; correct. ' :�: I . (.�' � � � , Applicant's Signaturc: Datc .,� � :, F ,'y'�,��.� � LL:•_..r;•�.•;.�.1:•,; , i �•n•.•.{...�. . . ; � �j �:.Yp�;::'. ,a • . ..Y. .. , •.i''i`7:.,ii'+Z�r..i��.... �.. 'I ,f I � .I I I .i 1 I �I I �I � 'I I � I •� I } 3 �•I i 's .I , � ��� I �� � DATE TIME �i� �CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �� —�=-�- PERMIT NO. n�h la—fX��Is COMPLETED ADDRESS �(�'')U I�t' llE'�.f �,K- [.(�'U ���� OWNER TELEPHONE NO. ����'7��' 0'��� CONTRACTOR �j}}�� (�(,��� ���� �; DESCRIPTION ����'� ���Gt'.I � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 C FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO ME�T YOU: YES_NO � COMMENTS: � W � � • � O a � O � � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED /�'PROJECT COMPLETE W ❑CORRECT WORK&PROCEED �SSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT , ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN ' INSPECTOR WILL RETURN i ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR i ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� Z49-4600 '' Owner/Contractor on s'te: �i Inspector. � ���� ', White Copyllnspector's File Canary CopylSite Notice I