HomeMy WebLinkAbout2013-00568 - plumbing v
CITY OF ORONO * Z 0 1 3 - B 0 5 6 B *
2750 KELLEY PARKWAY DATE ISSUED: 06/26/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1579 MAPLE PL
PIN : 08-117-23-33-0033
LEGAL DESC : CRYSTAL BAY VIEW
: LOT O11 BLOCK 006
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES:
(3)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,
(2)SILLCOCKS,(1)FLOOR DRAIN,(1)WASHER AND(1)WATER HEATER
VALUATION OF PLUMBING 10170
APPLICANT PLUMBING FIXTURE FEE 127.13
SABRE HEATING&AIR COND INC. STATE SURCHARGE PLBG(VALUATION) 5.09
15535 MEDINA ROAD
PLYMOUTH,MN 55447 TOTAL 132.22
(763)473-2267 PAID WITH CC# 1207
OWNER
Maple Place LLC
550 25TH AVE N
ST. CLOUD,MN 56303-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
pertnits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Perm�tee�gnature Date Iss ed By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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I�R CITY USE ONLY
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0 � P•O•Box G6 Date Received.� l miit f! aDj3_ �p O
2750 Kclley Perkway �1 �
3, t. :�;�� Crysta113ay,MN 55323 A�roved f3y: A►nouni$:_ �a• ot�
�� (952)249-46W-Main
(952)249-4616-T�sx
CITY OF ORQNO--PLUMBING PERMIT
{All Commercial Permits Must be Approved by the State Prior to City Approvat)
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GENERAL INFORMATION
1. You may appIy for plumbing permits by mail or in person at the City offices. Applications wilt be
reviewed and a perinit wiIl be issued within two working days.
2. Permit cards wiA be sent by return mail after a review is campleted, PERMITS ARE NOT
VALID UNTTL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
ERM1T CARD I P ED ON THE B SIT
3. Plumbing�rmits may be issued ONLY to licensed plumbing contractors and to property owners
residing in tl�e dweping.
4. When any new construcLion or remodeling is involved,a separate building permit must be
obrained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspeeted and air tested before it is covered. Call(9S2}249-4600.
(24-48 hour notice e•equired)
. TYPE OF PER�VIIT
Check AI1.That A I
�Residential ❑Commerc'sal(Approval Required)
[�New ❑Additianal ❑Repairs ❑Replace
❑ In Accessory$tructure?
*Yau wi[I need arior� roval and may need G�'.(Per Orono Ciiy Code,Chapter 78,Article T�
Job Site/Owner Information:
Site Address: ___t.`�-1�� t�i+�(�i��� �-��(� �(� . ,.,,_. ,_..
4wner: Mailing Address:
City: Zip;
Home Phone: Alternate Phone:
Contractor Information:
Contcactor: ��gg�� � �t Contact Person: ��/,�;��;/,(,-t N)
Address: '� ' �c' ; '1� State Bond#: )' . ��_ ���.n ,
City: ���'� '6` Zip:�� ') Expiration Date: �..�•�1�LC�I '.�
Phone: �ll�G�j"�-����). .�.�.�>`l AlternatePhone: ���j-1��;'` � 1xX
_ Rl- � 1 "1)
dTI1SU1'1I1Ce-CUTICIIt: Q.�J
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FKTURE BSMT 1 2 OTHER FIXTURB BSMT 1 2 OTHER
Tn'� FL FL TYPF FI, gL
Wster Closet � � Floor Drains i
1
Lavatory 4 Sewer Ejector
Bathtub Laundry Tray
z
snoW� , wasn� }
Kitchen Sink } Water Heater �
ti
Disposal ` Water Saftener
Dishwasher � Wet Bar
Silicocks Miscellaneous ��
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❑ Yes,this section applies
'The replacement of only one Residential fixtura or a�gliance that meets all three of the following
requirements:
i. Doe�not require modification to electrical or gas service.
2. Has a���of$SOO.Oa or less;�xcluding the cost of the fu�hue or appliance:and
3, Is improved,instalted or replaced by the homeowner or licensed pEumbing contractor.
Skip naxt section,if this applies; Cost of Permit $ 2 5,00
State Surcharga $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Tota!Permit Fee $
(Permit Fees Continued On Next Page)
2
. � • �
If above does not apply;follow guideiines below:
i. CO�V'FR�CT PRIC,� *�s I.2S%of contract price with a(Minimum Fee of S5U.00)
` ih��`�U.�c� , X.oias$ 1�?_.,_�. iJ�
(cornrect price) (minimum$50.00)
2. STATE SURCHAR�
I�I'�C, •�;i C.! x.0005 $ �.��
(contract price)
3, POSTAGE&HANDLING(Only on Mail-In Applications) $ ..�-�p—
4. TOTAL PERMrI'FEE(Add Lines 1-3 Above) $ l �-'j� � �
• * C4NTRACT PRICE or JOB COST means the actual or estimated doliar amaunt charged for the
permitted work including ma.terials,labor,profit,and other�xed costs. It is the amotuii to be chargeci
to the customer for the work done. Tf any material,equipment, labor or instaliarions are furnished by
the owner, tenant or any other pariy, tlie reasona.ble market value of such items must be added to the
estimatsd cost or contract price far pertnit fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request the submission of a signed copy of the actua[contract,
The undersigned hereby applies to the City for issuance of s Plumbing permit, agrees to da all
work in strict accordance with the ordinances of the City and the reg�xlations of the State of
Minnesota, and certifies that all statements made on this applicatian are compiete, true and
correct.
Appticant's Signature: �_�--��()C,t. -���'�L�. ,�� ',�,C.k�• Date: (/i�(� � 7.�1.'
�
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3
DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE rSCHEDULED �1.0/Z-1 I l 3 /O�,OO rA,,,�,
PERMIT NO. �O� �—' �/..JC COMPLETED
ADDRESS /S �7 �'��r�/� P� �
OWNER TELEPH � N�� `��`��g�� /
CONTRACTOR ��
� DESCRIPTION ` ��� �
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ GOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑C RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �7 CITATION ISSUED
� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Calt for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContractor on si :
Inspector. _ _—_ _ _ -__ __
White Copyllnspector's File Canary CopylSite Notice
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 1'0-�/-/,3 �
PERMIT NO.�Ol3- a��� COMPLETED
ADDRESS 1579 /r/I�Q ��
OWNER TELEPHONE NO.7�3 zs3 �174 �/
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CONTRACTOR S�ZP�
� DESCRIPTION �G ��
� ❑ FOOTING � PLUMBING F AL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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. ❑ FOILOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c� COMMENTS:
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� ❑�lilORK SATISFACTORY:PROCEED � ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED " ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. �/����
White Copyllnspector's File Canary CopylSite Notice