HomeMy WebLinkAbout2013-00542 - plumbing � CITY OF ORONO * z 0 1 3 - 0 PJ 5 4 2 *
2750 KELLEY PARKWAY DATE ISSUED: 06/20/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2670 KELLEY PKWY _ � ,( ���� � � �
v�—r
PIN : 33-118-23-12-0085
LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: PLUMBING FIXTURES:
(2)WATER CLOSETS,(3)LAVATORIES,(1)E3A'I'H'CUB,(1)SHOWER,(1)KITCHEN SINK,(1)DISFOS�.,(])DISHWASHER
VALUATION OF PLUMBING 4000
APPLICANT PLUMBING FIXTURE FEE 50.00
AMERICAN MECHANICAL CO, INC. STATE SURCHARGE PLBG (VALUATION) 2.00
7120 71ST AVE.N.
PO BOX 205 MAIL-IN FEE 2.00
LORETTO, MN 55357- TOTAL 54.00
(612)750-0278 PAID WITH CC# 6915
OWNER
Citizens Independent Bank
5000 36TH ST W
ST LOUIS PARK, MN 55416-
AGREEMENT AND SWORN STATEMENT
I he�vork for which this permit is issued shall be performed according to
the approved plans and specifications,applicablc City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or rela[ed work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied wi[h whether or not specified herein.This permit will
expire and become null and void if construc[ion authorized is not
commenced within 180 days of the date of issuance,or if construc[ion is
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due caus
C����� � �� ��� b�ao� �3
Applicant Permitee Signature Date �
ssu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
06/19/2013 21 :43 FAX 7634775629 [�002/007
. - . �
�cmr us�a3vi.Y
�a A r City of Oron� �� a �
��r/� Y.O.I3c�x 6b T]Hta 1ic Pctmit N b��"'� �
V 2750 Kelley Parkway , .
Crystu!Day,MN 55323 A�x�mCivcd F3y: _.,__�, Amount$:_�,_
(952)7A91i60U�rAuin
('952)249�616-Nax
y� c.`� CITY OF ORONO—PLUMBING PERMIT
f'�'��'sHo��" (All Commarcial Parnvts Muai be Appiroval by the State Prior to City Approval)
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GEI�TERAL 1NFORMATIOIV _
t. You may apply for plumbing permits by mail or in peason at the Ciry off"ices. l�pplications will be
reviewed and a pernut will be issued within two working days.
Z. Permit cards witl be sent by retum mail afner a review is completed. PERMI.TS AR.E iVOT
VALLD UN"FYI.,YOU R�CE[VE A P'ERMI'f. WORK MIJST NOT BEGIN UNTQ.T'HE
PERMIT CARU.I�PQ��P QN THE JOS STTE.
3. Plumbing pmYnits may be issued Oi�i��.,Y to licensed piumbing contractors and#o property owners
residing in the dw�eliing.
4. When any new canstruction ar remodeling is involved,a sepatate building percnit must be
obtainad.
5. All work must be done in accordance wid�Stace Code cequirements.
6, A.lt work must be inspected and air tested boforc it is coWered. Cal!(952)2a9-Mi00.
(?A-48 hour notice required)
TYk'E OP PERMIT ,
(Check All �'hat AUUIv)
�tesidential ❑Cammercial(Approval Required)
❑New ❑Additional ❑Repairs ❑RAplace
0 ln Accessozy SCructure7
"You will n vrior annro�val and may need C;ITF.(Pe�Orono City Code, Chapter 78,Article N)
Job Site/Owti�r Infor�natioxa:
Site Address:
pwner: Mailing Address: _ .......... ...-
City: Zip:
Home Phone: Alternate Phone:
Contr�ctor Infc�rmat�an:
ContracCor: d ��Gant�ct Person_ �
Adclress� a State�3ond#: � �
City: G� Zip:��Expiration Date: (��r� /�
Phone: � '� Altemate Phone:
❑ lnsu�rance—Current:
�,�'�.�.'....__...��......�...,_
1
06/19/2013 21 :43 FAX 7634775629 t�003/007
. �
' F1XT�Jy.tE BSMT l 2 O'I��R FIXNRL� $SMT' 1 OTHRR
' TYPE FL FL �J� TYPE FL FL �
J
' Weter Close� � Floor Drains
' I.avatory ? Sewer Bje�ctor
J
',Bathtub � i„aundry'fl'ay
'Shovver / Washer
Kitchen 5ia1c � Water Heater
Uisposal � Water SoPtet��
D�shwashher � Wet Bar
Sillcocks Ivliscellaneous
�
❑ 'Yes,diis sectioq applies
The replaAcement of only one Rnsid�ial fixtur�ar.anqlians.�that meets all t}uee of the followinig
reyuiremeixts:
1 i I7Oes ot require modi�ica�tion to electrical or gas service_
2.' Has a tal�l cost of$500.00 or 1ess;exclu ' the cost of the fixturc or appliance:and
3,', Is impraved,instalEed or reptsced by the homenwne�r or lioensed plumbing contractor.
Sicip next section,if this appl ies: C:ost of Permit $ t 5.00
State Surcharge � 5.00
� MAiI-Jn Fce(tf Applicable) S^, 2.00
Tota!Permit�oo s T
(Permrt Fees Contiuued On l�ieatt P�e)
2
,:,.. _.._ . .. _...—_.._....
06/19'�2013 21 :43 FAX 7634775629 �j004/007
. • . �
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If above do�not appiq;follow guidelines below.
1. CONTRACT P Y *is 1.25°0 of contract price with a(Minimnm Fee of S .00)
� �/ x,0125�
(�a�cepaice) (minim sso.90)
2. S�'A;C�SiTRCHARGE �
. _.......,.x.OQOS $._�
l��t�)
3. POSTAGE�t HANDLING(Only on Mai�-In Applicatiqns) $ 2.
4. 7'OTAL FERM[T FEE(Add Lin� 1-3 AbovC) S `
■ * CONTRACT PitICE or JOB COST means th� actua! ot estimated dolla�r amount cha for the
permitted work including mate�ials,labor,profit,and o�ar�ced costs. it is the amount to e chacged
tn thc custoaner for t�e work don� if any material, equipmenr,labor or installations arc f ' hed by
the owne�,temant or any other party,the reasanable market value of such ite�s muat be ad ed to the
estimated cost or comract prics for pe�rtnit fee purposes. In the eve�rt t#�at the�e es a dis e on the
amount of the job cnst, the City may request t�e submission of a signed copy of the actual contract
T�e undersigne�i hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
wdrk in strict accordance with the ordinances �f tbe Ci.ty and the rcgulations of the S o of
M�nnesota, and certifies th�t sil statements made on this applicstion are complete, and
co�rect.
� /,,f �y�
Appliaa�t's Signature: _�...� Date: (Y � �
3
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aci3 -�,vSc,c�► ✓ ��3` ac� �a�
�fi/3 � pp gap ,� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED / -5� -/6
ADDRESS o�b�D ���<ley /�i�CW y, � =5 � �
OWNER TELEPHONE NO.
CONTRACTOR �/�'1��<<-'�� i��� •
� DESCRIPTION P�►� ���LS ' �`���-4�S
tN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP
W-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED �T COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952� 249-46��
OwnerfContractoron site:
inspector. � ��`"� �
White Copyllnspector's Ffle Canary CopylSfte Notice