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Home My WebLink About2008-00187 - plumbing - � CITY OF ORONO PERMIT NO.: 2oos-oo�g� 2750 KELLEY PARKWAY � 1 ORONO,MN 55356- DATE ISSUED: 09/02/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 1525 SIXTH AVE N PIN : 26-118-23-33-0033 LEGAL DESC : ALBEES LONG LAKE ADDN : LOT 002 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: 2ND FLOOR: MOVE TOILET,SHOWER AND VENT&WASTE PIPE APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 MORRISON, SCOTT&SHERYL STATE SURCHARGE PLBG(<$500) 0.50 1525 SIXTH AVE N TOTAL 15.50 LONG LAKE,MN 55356- OWNER MORRISON, SCOTT&SHERYL 1525 SIXTH AVE N LONG LAKE,MN 55356- 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 dces not grant permission 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 petmit 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' co forman�e-with the State Building Code.This permit may be revoked y e'fe use. �y �' /t��,� � l l ��5 �� Applicant Permitee Signature Date � Issued B gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. "• ._ � � � �� ,�,p�4 City of Orono �� ;�� ' � � ' ,� �� ' � P.O.Box 66 �` � '�" �a x �.��, w�� 3, �� Y Y �i�'� � � ,��*��'�.��a�� .�,� s ��..c 2750 Kelle Parkwa �� , �� n ��, �� k j R�� '�� Crystal Bay,MN 55323 �� :- ;��,",�`;��'��9t " �s" (952)249-4600 ..��.�,<a.��tw g�� s�`'�s�; _n � ;; �"�.,.,.;��,� �� CITY OF ORONO—PLUMBING PERMIT (All Commercial petmits must be approved by the Building Official or Inspector) . ,: � a ='�;� � ��3 � � ��`� "�� 'E ,:� _ �, ��,. , • . .'., w. _ ... . _, . ,�.� �:, � ,��,� . .. ,.. . . .� �i.. �."�ti..�r.F��.... �.� i� ,.� �r -�.�.�,,, a. .�.�� . F.. 1. You may apply for piumbing 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 compieted. PERMITS ARE NOT VALID UNTII,YOU RECENE A PERNIIT. WORK MUST NOT BEGIN UNTIL THE PERMTT 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. Ca(1(952)249-4600. (24-48 hour notice required) � � � � � _ �� " �, 'a �� `� ��' i �.� �s � ,; �.�.s� '�"'+t ��T ��kv 5�� "��s' ��'��^$�3y��tr,Aq`:. � � � �� . . � ��, _ i „� k��i'� p��g". -�A, nd h�,n,.a W'?m. �Jf M1 �'�'av �-. �Residential ❑Commercial(Approval Required) �/ � ❑New �Additional ❑Repairs �Replace ❑ In Accessory Structure? *You will need orior anaroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) �,�, .�. hai.i� L.'s�;sAID..?,��i�. .§5':2.°; �UM ..?nn:.Ca4°flvc 4#Y..':� _r4�.� . . - Site Address: ��Z� v �� / " �^�� ,.,c_ �jJ � Owner: s� �l "'`'B�/�5�� Mailing Address: �� City: � � �' ��-- Zip: �5 �� Home Phone: ��Z��d� Alternate Phone: �° �� G�' ;�} s .', d £ ::�' ,�.."�,, E ��i4j.€�u��•'�9��`�i,�,��".' � , � .:r+r.�u�m�e.v�.��es, a. .:vme,�..�-�„�wn`,'€=f'r.. ..._z".�?,. ....'1i�.,af"�''�i l.,i�r.�-= Contractor: �� /� Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 � " �. 1 ' FIXTURE BSMT 1 2 OTf-IER FIXTURE BSMT 1 2 OTF�R TYPE FL FL TYPE FL FL _ Water Closet Floor Drains Lavatory pJ Sewer Ejector X� ,�r�� Bathroom Laundry Tray Shower J �J� Washer Y� � Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Baz Sillcocks Miscellaneous �( X m 0� v��,Y! i � � Wa S-�- �'�P� ❑ Yes,this section applies The replacement of a Residential fiacture or anuliance 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;excludine the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (� ,� (Permit Fees Continued On Next Page) 2 . ' � � . • � ° If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) xA125$ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines�l-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged 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 aze furnished by the owner,tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract 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. ■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is greater. For valuations over$1,000,000 cali the Building Department at(952)249-4600 for the price. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do ali work in strict accordance with the ordinances of the City and the.regulations of the State of Minnesota, and certifies that all t ents made on this application are complete, true and correct. � ` � �� Applicant's Signature: Date: � , � 3