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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(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (3)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER, (2)SILLCOCKS,(1)FLOOR DRAIN,(1)WASHER AND(1)WATER HEATER VALUATION OF PLUMBING 10170 APPLICANT PLUMBING FIXTURE FEE 127.13 SABRE HEATING&AIR COND INC. STATE SURCHARGE PLBG(VALUATION) 5.09 15535 MEDINA ROAD PLYMOUTH,MN 55447 TOTAL 132.22 (763)473-2267 PAID WITH CC# 1207 OWNER Maple Place LLC 550 25TH AVE N ST. CLOUD,MN 56303- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate pertnits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ��,��o� 1 � �a�, c� d�� �?�� �, ��, �3 Applicant Perm�tee�gnature Date Iss ed By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � . r _ � �;;.�,r; {� �4(: ��'�.. I�R CITY USE ONLY �p� City of Orono �� o 0 � P•O•Box G6 Date Received.� l miit f! aDj3_ �p O 2750 Kclley Perkway �1 � 3, t. :�;�� Crysta113ay,MN 55323 A�roved f3y: A►nouni$:_ �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) htt :/hvww.dli.mn. c�v/CCLD/PDF/�e tttmb�Ixnrev� . df 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$tructure? *Yau wi[I need arior� roval and may need G�'.(Per Orono Ciiy Code,Chapter 78,Article T� Job Site/Owner Information: Site Address: ___t.`�-1�� t�i+�(�i��� �-��(� �(� . ,.,,_. ,_.. 4wner: Mailing Address: City: Zip; Home Phone: Alternate Phone: Contractor Information: Contcactor: ��gg�� � �t Contact Person: ��/,�;��;/,(,-t N) Address: '� ' �c' ; '1� State Bond#: )' . ��_ ���.n , City: ���'� '6` Zip:�� ') Expiration Date: �..�•�1�LC�I '.� Phone: �ll�G�j"�-����). .�.�.�>`l AlternatePhone: ���j-1��;'` � 1xX _ Rl- � 1 "1) dTI1SU1'1I1Ce-CUTICIIt: Q.�J 1 ' . . FKTURE BSMT 1 2 OTHER FIXTURB BSMT 1 2 OTHER Tn'� FL FL TYPF FI, gL Wster Closet � � Floor Drains i 1 Lavatory 4 Sewer Ejector Bathtub Laundry Tray z snoW� , wasn� } Kitchen Sink } Water Heater � ti Disposal ` Water Saftener Dishwasher � Wet Bar Silicocks Miscellaneous �� � D"1""' � ❑ Yes,this section applies 'The replacement of only one Residential fixtura or a�gliance that meets all three of the following requirements: i. Doe�not require modification to electrical or gas service. 2. Has a���of$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.' � I 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: � W a � � �e�� 0 � � 0 � W � Q ti Z W � W � � � �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 �/ U 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: � W a � M.A� �- �E-c.� ��F-- �� 0 �. � 0 � W � Q � 2 W � W � � a � ❑�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