HomeMy WebLinkAbout2010-00019 - plumbing CITY OF ORONO PERMIT NO.: 2010-00019
, ` 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE [SSUED: OU19/2010
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2103 SUGARWOOD DR
P[N : 34-118-23-21-0018
LEGAL DESC : SUGAR WOODS
: LOT 004 BLOCK 003
PERMIT TYPE : PLUMBING (> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES -MULT[PLE
NOTG: 6 WAT�R CLOSE7�S.8 LAVATORY. 1 BATH"I'Uf3,4 SHOWER, 1 KI�CI IEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 LAUNDRY
TRUB,2 WASHER, 1 MISCGLLANEOUS
VALUATION OF PLUMBING 39500
APPLICAIVT PLUMBING F[XTURE FEE 493.75
B& D PLUMBING& HEATING INC. STATE SURCHARGE PLBG(VALUATION) 19.75
4145 MACKENZIE CONST
MN 55376- TOTAL 513.50
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OW1vER
WINKEY,TRAVIS&L[SA
2103 SUGARWOOD DR
LONG LAKE, MN 55356
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performcd according to
the approved pians and specifications,applicable City approvals,and the
State Building Code. This permit is for oniy the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time atter work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conforniance with the State Building Code.This permit may be
revoked any tim for due cause.
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Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE.
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City of Orono '
o�°�Q P.O.Box 66 ���������: ��,{�
2750 Kelley Pazkway
� ' � Crystal Bay,MN 55323 �PP;oved�3y: Amount$:
(952)249-4600
CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
���'�Q��Q�'
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 cazds will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTII,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)
'I`Y�"�{�F '��,�' '
�l�sss�l��ll'��t A. l.
�Residential ❑Commercial(Approval Required)
❑New 0 Additional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need urior auaroval and may need CUP.(Per Orono City Code,Chapter 78,Article N)
��}!�'��/�}WCi���1�Cyt`iClid�i+fAk1:
Site Address: 2103 Sugarwood Dr.
Owner: Lisa Winkey Mailing Address:
City: Long Lake Zip:
Home Phone: Alternate Phone:
Ctan�;tc�r�`n�a�tn��ia�i.
B&D Plumbing, Heating&AC Lee Dalchow
Contractor: Contact Person:
Address: 4145 MacKenzie Ct. NE State Bond#: 059287-PM
City: St. Michael, MN Zip:55376 Expiration Date: 12/31/10
Phone: (763)497-2290 Alternate Phone:
❑ Insurance—Current:
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� PERMIT�FEE�CALCULATTON(S)-JOBS OVER $500 00 � � � �
1f above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
39,500.00 x.0125 $ 493.75
(contract price) (minimum$50.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
39,500.00 x.0005 $ 19.75
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 513.50
• * CONTRACT PRICE or JOB COST means the actual or estimated dollar 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 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 call the Building Department at(952)249-4600 for the price.
PLUMBING PERMIT APPL'ICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Plumbing Permit, 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: _��f�Gt �G�%t/�-- Date: / -�'�1�/C�
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Owner/ConVactor on site:
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�� � C� � DATE TIME ✓
CITY OF ORONO CALLED IN
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Cal1 for the next inspection 24 hours in advance. (J52� 249-4600
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L/ �� (r/� AT,E, � TIME �
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WlLL RETURN
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Calt for the next inspection 24 hours in advance. (J52� 249-4600
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