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Home My WebLink About2012-00184 - plumbing CITY OF ORONO * z 0 1 z — 0 0 1 e 4 * , 2750 KELLEY PARKWAY DATE ISSUED: 03/12/2012 � ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2180 NORTH SHORE DR PIN : 10-117-23-31-0098 LEGAL DESC : MARKVILLE : LOT 000 BLOCK 003 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : FIXTURE NOTE: WATER HEATER VALUATION OF PLUMBING 6875 APPLICANT PLUMBING FIXTURE FEE 85.94 CITY VIEW PLUMBING&HEATING STATE SURCHARGE PLBG(VALUATION) 3.44 1880 WAYZATA BLVD W P.O.BOX 150 TOTAL 89.38 LONG LAKE,MN 55356 (952)473-8793 OWNER ORONO LLC,MSSP 855 VILLAGE CENTER DRIVE#382 ST PAUL,MN 55109- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at�y-lime for due c e. G-� � 3 � l��l � � A li �Permitee Sign ture Date Issued By Sig ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . ' �zss� � FOR CITY USE ONLY O,¢��O City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway a �`'�• � Crystal Bay,MN 55323 Approved By: Amount$: �r "� � � o�> (952)249-4600—Main ��K�'`' �9sz�za9-a6�6-FaX CITY OF ORONO—PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt�:/lH��.dli.mn.��»�iCCLD;NI)1�/ �c lumh�la�n��c��a ��. �df GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 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 requirements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT Check All That A 1 ❑Residential �f Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs �Replace '� � ❑ In Accessory Structure? *You will need arior approval and may need Cl'P.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: o�/�� or T� J�'t U�CL iJ r ;V �- Owner: R��+ V �q� � Mailing Address: ��J V,��'��ft'<��3�� City: .��'�R U � Zip: S 5/�7 Home Phone: �/� �3�7.�1-6� Alternate Phone: Contractor Information: ��J Contractor: ��, V`C',r� �� P � Contact Person: ��N Or �� I�'�'l'i'^J Address: /��/ $ �/es r�ayzq7'q .g�v� State Bond#: �� `�� 1 7 Y� City: �n� �ke. Zip:SS S Expiration Date: ��- 3� 2-0 � � Phone: �Sa y 73 ��.3 Alternate Phone: ��a �Ci�S,�(-,�� ❑ Insurance—Current: �� 1 FLC:i��'��3�IE�i��`��J► , . '` FIXT'URE BSMT 1 2 OTI�R FIXTIJRE BSMT 1 2 OTI�R TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater � Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous ��,� _. � ��-'�� ".: _ �� `=��1��;', < - ❑ Yes,this section applies The replacement of onty one Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding the cost of the fiacture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee S (Permit Fee.c Continued On Nezt Page) 2 � • . � FERA�II'T�E��#I:+�� -�I��`t� :� ., , .. , , If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimnm Fee of S50.00) C�7S� X.ot2s$ (contract price) (mieimum$50.00) 2. STATESURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAI.PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted 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 installations are fumished by the owner,tenant or any other party,the reasonable market value of such items must be added to the estimated cost or cont�act price for permit 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 actual contract. PI.�1�i�"i�"��E��+��"�U�1��'�,�:�1�"P`. The undersigned hereby applies to the City for issuance of a Plumbing Pemut, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: Date: .� �a' a�I� �� 3 d/ �G'^� � �� ATF, � TIME V CIn OF ORONO� t�� '/ LLED IN ��t� INSPECTION NOTICE ��"�HEDULED ' —� � PERMIT NO.oZ D/d GY.LZloO�CpMPLETED ADDRESS �� "t'�Y '�� OWNER - TELEPHONE NO. 9sL `�73 g�93 CONTRACTOR �� X � DESCRIPTION -"' � � ❑ FOOTING ❑ PLUMBING FI ❑ EXCAWGRADING/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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATIOWREMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � a o -S � � S� o� �LS �. � -�-G.l.e � � �„ � _ 5�. l�: W � Q � 2 W � W � � W ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE � ❑CORRECT V1�RK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTiON TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. � A -� � White Copyll�spector's File Canary CopylSite Notice