HomeMy WebLinkAbout2016-00209 - plumbing � CITY OF ORONO * 2 0 1 6 - PJ 0 2 0 9 *
` 2750 KELLEY PARKWAY DATE ISSUED: 03/04/2016
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 425 LAKEVIEW PKWY
pI� : 06-117-23-32-0004
LEGAL DESC : LAKEVIEW OF ORONO
: LOT 1 BLOCK 1
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
COPISTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (5)WATER CLOSETS,(6)LAVATORIES,(2)BATHTUBS,(2)SHOWERS,(1)KITCHEN SINK,(1)D[SPOSAL,(1)DISHWASHER,(1)
FLOOR DRAIN,(1)LALINDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WET BAR
VALUATION OF PLUMBING 16000
APPLICANT PLUMBING FIXTURE FEE 200.00
STATE SURCHARGE PLBG(VALUATION) 8.00
AMERICAN MECHANICAL CO,INC. MAIL-IN FEE 2.00
7120 71ST AVE.N. TOTAL 210.00
PO BOX 205
LORETTO,MN 55357- Payment(s)
(612)750-0278 CREDIT CARD 6203 210.00
OWNER
Source Land Development Inc.
182]5 45TH AVE N
STE D
PLYMOUTH,MN 55446-
AGREEMENT 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 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 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. r�'j
��O�.l �-c� o� �v c��-e� �`�,�--FS l� �`J � 1 �
Applicant Permitee Signature Date Issued By Signature Date
FROM :American Mechanical FAX N0. :763 477 4085 Mar. 02 2016 08:05AM P1
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�pN City of Orono �,; �oR C u o�
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o P.o.so�ss �'� �te Rece;ved: �— . ..J/�.. `:' : ,.,,; ,
z�so KeHey Partcway
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s'* c (952)249-4600�Mein ��.
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CRY OF OFtONO—PLUJII�iNG PERMIT
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1. .�ou may�app,ly�Qr pfumbing per�its by mail or in per9an at the Ci#y�offrce�. Applicatior�aviN tye
r.etiii�wed�nd� perrxiit�rill be is�ued mvithi�twa anorlcirtg�dag�s.
2. I�rrriit cards�cilE b�sant by retum m�!aftar a re�ri�is eomplet�d. RERI�#tTS�;i�fl���tLtfl -
UNTIL YOU FiECEI`V'E A PERIWIT. W'Qi�C.MUSrT P�OT IN UNl`ILTHE;P � 1T CARL��1 �.
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3_ 'Plumbing perrriits may be is5ued ONLY tQ r,cense�plumbing�cantractors.and ta propert�+�rr�r�
,��+ag..��a tktis�ltirsg-
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must be done in accordance with State Code ceq,uirements.
6. A�wooic�be is�sp�cteci ar�d air test�d be�r+e�i��s t�nrer� C��F9��24�6dQ.
(24�hour notic:e reqa�ed�
TYPE OF PERMIT{Chedc A!!That P►pply} :
�esfdec�tiat �Corrrmercial (,�ptovai Requiredj [Ba�xfl��Devi�e:.�'A'V'B ��
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3o'b`S�te 1+17wner InformaCiat:
Site.A�dress: �ft�e (l(@�v t�o��U�
�Q�e�r: �/D►��a�l �vH�S aWa�g..f�dc�ss:
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;Ci�n'trac�or lr�armafion:
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�G"�ty: ��r�� �ip:��� �Expira�on�a�te: �;,�
Phone: �� ��"� ��7� Aitemate Phone:
�nsu�ance—Current:
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FROM :American Mechanical FAX N0. :763 477 4085 Mar. 02 2016 08:07AM P2
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FIXTURE SSMT 1 sT "2"0' OTHER FIXTURE BSAAT 'I sT zND OTH�f�
TYPE Flbor Fbor TYPE Ffoor Fbor
Water.�{i� � � F{ovr.Dr.a�ns. �
Lavatery ( � Sewer Ejedor
���b Laundry Tray �'
Shower t � Washer �
��'+en 9i� � Y��a� �
Dispv�I � `�4f.ater Softerter
Dishwasher � Wet Bar �
Sillcocks Misceltsneous
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1. CONTRACT PR E * is 1.25%of contract price with a (Minimum Fee of 550.00)
���� ,_x.0125 $---�� �
(contract price) (minimum $50.00)
2. .STATE SURCHARGE
�L GUU �.oaas � �r
���
3. POSTAGE 8� HANDLING (Only on Mail-In Apptications) $ 2.00
4. TpTA�PERMIT FEE(Add Lirres 'E-3 Abav�j s �_ r �
* GO�NTF2A�T Pf210E or J4B CQST means the� ac;tuai or estimate�d doNar amaunt charg�d fc>r th�:
permitted work 'tncluding materials, labor, profit, and other fixed costs. lt is the amount to be charged#o
#he customer for the work done. ff any material, equipment, labor or installafions are fumished by the
owner, tenant or any other party, the r�asonable market vaiue of such items must be added to the
estimated cost or contract price for permit fee purposes. In the event thaE there is a dispute on the
amount of the job cost, the City may request the submission of a signed copy of the actual contract.
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The undersigned hereby appliss to the City for issuance of a Pfumbing Permit, agrees to do all work irt
strict accordance with ordinances of the City and the regulations of the State of Minnesot�, �nd
certfies that atl state n m o his application are complete,true and correct.
App�nt's Spgnature: �; ,��J�(�
Building Offici�f/Inspector: Date:
Pag�2
�� DATE TIME �
OF ORONO CALLED IN
INSPECTION N E SCHEDULED �''
PERMR NO. 2�� COMPLETED
ADDRESS �� � �-Q / ��� '�
OWNER TELEPHONE NO. �{�
CONTRACTOR ,
� DESCRIPTION �/ ��l�,CJ ��
w ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL LUMBING RI ❑ EXCAV/GRADING/FILLING
�Q ❑ FOUNDATION WATERPROOF ❑ LUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL R� ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
¢ ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ S WER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE EPTIC INSTALL
2 01NNERICONTRACTOR TO MEET YES_NO
� COMMENTS:
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W KSATISFACTORIf:PROCEED ❑PROJECT COMPLETE
� ❑CORR WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail br the next inspection 24 hours in advance. (952) 249-4600
OMmerlContra site:
inspector: �
WhiM CopyAnapactor's File Canary CopylSke Notics
� � �.�1/�
T TIME
CITY OF ORONO CALLED IN �/2���
INSPECTION N TJ� SCHEDULED 3-� �
PERMIT NO. ul�" c er o
ADDRESS
OWNER ELEPHONE NO. 3 ?g"7 ��—'
CONTRACTOR '
� DESCRIPTION � l �
tN ❑ FOOTING ❑ D -FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL BING 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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 01MNERICOI�ITMCTOR TO MEET YiOU:_YES_NO
� COMMENTS:
� � �• o? �� ��"�s ' �kJ� ' /�!/C ��-!!G_
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W�'�'�RKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE
E
W ❑CORRECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING �RMANENT
❑CORRECT UNSAFE CONOITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 taurs in advar�e. (952) 249-460�
OwneNContractor on site:
inspector: � '"^'
Whib yllnspector's Flle Canary CopylSite Notke
V l �O�+ �
� ii"��
DATE TIME
CITY OF ORONO CALLED IN /(
INSPECTION NOTICE SCHEDULED ��
PERMIT NO. �O/(o -OD ZO9 COMPLETED �
ADDRESS �Z� � � � 1; e_s.R.� p<<��a
OWNER TEI.E HONE NO. �n �2 ` 7��ZT
CONTRACTOR .�U��' �Y1¢�1 �
� DESCRIPTION ��� u�'1� �/Yl� f
t� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF J�\LUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB �❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ EPTIC INSTALL
� OWNERfCONTRACTOR TO MEET YOU: YES_NO
c�.� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W�RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-4600
OwnedContractor on site:
Inspector. t` �
White Copyllnspector's File Canary CopylSite Notiee