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Home My WebLink About2011-01038 - plumbing � � • CITY OF ORONO PERMIT NO.: 2011-01038 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 09/13/2011 952 249-4600 FAX: 952 249-4616 REPR TED ON 9/13/2011 ADDRESS : 2670 KELLEY PKWY�� q PIN : 33-118-23-12-0087 LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES LJNIT#319 (2)WATER LCOSET,(3)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(l)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER (1)WASHER VALUATION OF PLUMB[NG 2500 APPLICANT PLUMBING FIXTURE FEE 50.00 AMERICAN MECHANICAL CO, INC. STATE SURCHARGE PLBG(VALUATION) 1.25 7120 71ST AVE.N. PO BOX 205 TOTAL 5125 LORETTO, MN 55357- PAID WITH CC# 9327 (612)750-0278 Minnesota State License#: 065381 PM OWNER Citizens Independent Bank 5000 36TH ST W ST LOUIS PARK, MN 55416- AGREEMENT AND SWORN STATEME1vT The work for which this permit is issued shall be performed according to the approved plans and speciYications,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 specitied 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 of 180 days at any time after 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 cause. / / /�� Applicant Permitee Signature Date Iss d y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. i� \ + � ~ ' CITY OF ORONO P RMIT NO.: 2011-01038 � 2750 KELLEY PARKWAY ORONO,MN 55356- D TE ISSUED: 09/12/2011 952 249-4600 FAX: 952 249-4616 ADDRESS � : 2670 KELLEY PKWY -��J� � PIN : 33-118-23-12-0087 LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES (2)WATER LCOSET,(3)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOS (1)DISHWASHER (1)WASHER VALUATION OF PLUMBING 2500 APPLICANT pLUMBING FIXTURE FEE 50.00 AMERICAN'MECHANICAL CO,INC. STATE SURCHARGE PLBG(VA ATION) 1.25 7120 71ST AVE.N. TOT 51.25 PO BOX 205, LORETTO,MN 55357- PAID WITH CC# 93 7 (612)750-027,8 Minnesota State License#: 065381 PM OWNER TEMPORARY NAME , AGRE�MENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant perrnission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and becor�e null and void if construction authorized is not commence ithin 180 days of the date of issuance,or if consVuction is suspende a per' 180 days at any time after work has commenced. The appl' t is Y sible for assuring all required inspections are requeste ' co ce with the State Building Code.This permit may be revoke any i or due cause. / I` / t� / ) � i (o`" � ; ��2 ✓/ Ap rcqi e ignature Date Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � h � ' � , e ' �'+'�.�rtX}�� ,�p�,� City of Orono � ` 3� P.O.Box 66 =DaT�,�#esse�v� �' ��errn�t�f'(�'�� . 2750 Kelley Parkway � � � �- � � ' � � � Crysta7 Bay,MN 55323 � ��Approu�i3$y .�4monnt� ` ,��•� (952)249-4600—Main �°... ' (952)249-4616—Fa�c CITY OF ORONO - PLUMBING P RMIT (All Commercial Permits Must be Approved by the State Prior to Ci Approval) � n htt ://wv�w.dli.mn. ov/CCLD/PDF/ e lumb lanreva df , � , , � � � . _� �.. � a , ; , � � � . � . �_ ,.. . .. . . . :�„ . :�k.'- ,., y ; , . .a�z,.. �. , .14, ...,9.' l. You may apply for plumbing permits by mail or in person at the City offices Applications will be reviewed and a pernut will be issued within two working days. 2. Pernut caxds will be sent by return mail after a review is completed. PERMI S ARE NOT VALID UNTIL YOU RECEIVE A PERMTT. WORK MUST NOT BEGI UNTIL THE PERMIT CARD IS POSTED ON TAE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors an to property owners residing in the dwelling. 4. When any new construction or remodeling is involved,a separate building p rmit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952)24 -4600. (24-48 hour notice required) °T�.'E C3�'PE��TT �;� =��k:A11�'h�t A �� .) � - # � ❑ Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs Replace ❑ In Accessory Structure? *You will need nrior anproval and may need CUP. (Per Orono City Code,Cha ter 78,Article IV) ��3��'��>�W,�E�#'�Ol1Tic�l'��1 , >� Site Address: C � Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: �Cc��trac��r.�'c�rmafi:on � Co , .� . � � � . .. � , �il�Q _ ,�il�r cE,O . / ntractor: �� Contact Person: � � Gh � Address: �l�d Y �� t— State Bond#: � City: 0 Zip:��xpiration Date: , Phone: ��— � SZ�— D��1( Alternate Phone: ❑ Insurance—Current: 1 �' - ' . FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub � Laundry Tray Shower r Washer 1 � r Kitchen Sink Water Heater � Disposal � Water Softener Dishwasher ' Wet Baz Sillcocks Miscellaneous ❑ Yes,this section applies The replacement of only one Residential fixriue or appliance that meets all three of the following requirements: 1. Does not require modificarion to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip next section,if this applies; Cost of Pemut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Nezt Page) 2 �• ,, ` If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum ee of$50.00) � �� x.0125$ contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar a ount charged for the pernvtted work including materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or install 'ons are furnished by the owner, tenant or any other party, the reasonable market value of such ite must be added to the estimated cost or contract price for pernut fee purposes. In the event that th e is a dispute on the amount of the job cost, the City may request the submission of a signed copy f the actual contract. , The undersigned hereby applies to the City for issuance of a Plumbing P 't, agrees to do all ' work in strict accordance with the ordinances of the City and the regula ons of the State of Minnesota, and certifies at al ements made on this application are complete, lrue and correct. Applicant's Signatur : Date: 3 C" "' ' DATE TIME � CITY OF ORONO CALLED IN INSPECTION OTICE SCHEDULED `�'��'�� PERMIT NO.��`��0�� COMPLETED ADDRESS °?4'�� /�-U � �l OWNER TELEP NE NO.� g8 9 �Z `�� CONTRACTOR Ja�✓N-�4 �; DESCRIPTION �� `dg � �e�" � � ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL I v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED .�:7SSl3ECERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CA�L FOR REINSPECTION TEMp11RqRY- V BEFORECOVERING �RMANENT ❑CORRECT UNSAFECONDITION WITHIN HOURS. INSPECTOR WILL RETURN C' PHOTO TAKEN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. �� Call for the next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor on sit - Inspector. � /`� J White Copyllnspector's File Canary CopylSite Notice I