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HomeMy WebLinkAbout2010-00826 - plumbing CITY OF ORONO PERMIT NO.: 2010-00826 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/13/2010 952 249-4600 FAX: 952 249-4616 ADDRESS 975 TONKAWA RD PIN 08-117-23-21-0015 LEGAL DESC PARWOOD LOT 001 BLOCK 001 PERMIT TYPE PLUMBING(<$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WATER HEATER NOTE: WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 906 IST STREET S INC STATE SURCHARGE PLBG(<$500) 5.00 906 ST WAITE PARK,MN 56387- MAIL-IN FEE 2.00 (320)251-2505 TOTAL 22.00 Minnesota State License#:65257 PAID WITH CC# 7541 OWNER LUNDQUIST,DAVID&MERILEE 180 YACHT CLUB#104 HYPOLYXO,FL 33462 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for du cause. Applicant Permitee Signature Date jIssutB�ySignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. x : 2 cel City of Orono . ' P.O.Box 66 f 2750 Kelley Parkway ;: :,' k :,• > Crystal Bay MN 55323 ! (952)249-b00 •.4.' .:3t,'.V•:Y:•+t "v'Y.f>cl:i'l';4\'%•.r..:'�• CITY OF ORONO—PLUMBING PERMIT (Alt C zav rcisl peaWm aaun be approved by ft Building Official or Inspector) 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. PERMTI'S ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON TAE JOB SOX, 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. Whert any rlew oonstructiou or remodeling is involved,a separate building permit must be obtained 5. All work must be done in accordance with State Code requirements. G. All work roust be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) •Y•�r%.. �itif:. R:. ..`,�A .•r v :YY:��..' .;y�T•:•:i:,•.:.i}:,.i..i.`f '.k.:in,�i Zn,,•` ...:,k .' ..� .. ` t(f,i'�'i; .9Ay�'r' �' i;l'"!X+` '.i' k`A.:•..l..Y:.A�'• � %'Nrr iY',, :k.�!`,+. M;. .. ,:: moi:<'ry ;<4;:;�;� '.rt;;: !^,•:':�� '�'x, ! k.%�'•,::;;NPf.h'^: `�:(,:>•}';�••: .# !�'i •n..�t '! .. .rti.. A Sv A:J .Ry}}: i:S'i•• IR,n k �}.�A�. ®Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs ©Replace ❑ In Accessory Structure? 'You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Site Address: 975 Ton kawa Road Owner: Mailing Address: Merrilee Lindquist 975 Tonkawa Road Cit,: Long Lake Zip' 55356 Home Phone: (952) 471-7879 Alternate Phone: Contractor: Benin Inc/Adam Kaltaff Contact Person: Chad Bertin Address: 9061 st Street South State gond#: City, Waite Park Zip:56387 Expiration Date: Phone: (320) 251-2505 Alternate Phone: ❑ Insurance—Current: 1 EST, T, x:: .J. ••Y/N' FIXTURE BSMT 1 2 OTHER FDMJRE BSMT 1w, 2 OTI-MR TYPE FL FL TYPE FL FL Watcr Closet Floor Drains Lavatory Sewer Ejector Bariftb Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Sof ter Dishwasher Wet Bar 770cks Miscellaneous .. .. ..,«,'; ...'hi •].W.:.•;.;. .._;. ,f . .;',.•�;;,�•. ,:,. tw..... x;11„;,,,w,• 3:.•s w:t:.,`.'.s fir. ..' s.i�'.N'.N',.i ,Ya>..i•b^' � , ki y`<�• J. x, 'f ❑ Yes,this section applies The replacement of a Residential future or appliance that moats all three of the following requirements: 1. Does require modification to electrical or gas service. 2. Has a MW co of$500.00 or less;milding 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ 22-00 (Permit Fan Continued On Neat page) 2 P ,fi � •,..roe.,'..'y- T�pt1 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25"x6 of contract price with a(Minimum Fee of S50.00) x.0125 S (0001 rad price) (Waimum 550.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Yee of$3.00) X.0005 S (comrea price) (minimum$ 3100) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S • ' CONTRACT PRICE or JOB COST mesas 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 dope. 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 xequest the submission of a signed copy of the actual contract ■ s'The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$5.00--whichever is greater. For valuadons over$1,000,000 call the Building Deparanent at(952)24.9-4600 for the price. . � .,.,, 1111 .. ..:, •,.. _ 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: Date: C rel,r Com-•/ � ��II��. �5�f � . oG / r3 P � ry 320 - 25 f - 3