HomeMy WebLinkAbout2015 - 00685 - plumbing CITY OF ORONO 111111111-1111. 11111111
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2750 KELLEY PARKWAY DATE ISSUED: 06/01/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 993 WILDHURST TR
PIN : 07-117-23-12-0003
LEGAL DESC : UNPLATTED 07 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES: (1)WATER CLOSET,(1)LAVATORY,(1)BATHTUB,(1)KITCHEN SINK,(1)DISPOSAL,(1)
DISHWASHER,(1)MISCELLANEOUS
VALUATION OF PLUMBING 5850
APPLICANT PLUMBING FIXTURE FEE 73.13
STATE SURCHARGE PLBG(VALUATION) 2.93
STEWART PLUMBING, INC. MAIL-IN FEE 2.00
13025 GEORGE WEBER DR
SUITE#1 TOTAL 78.06
ROGERS, MN 55374 Payment(s)
(763)428-1833 CREDIT CARD 3122 78.06
Minnesota State License#:plbg-PC000474,mech-MB003262
OWNER
PFAFF,BRAD
993 WILDHURST TR
MOUND,MN 55364-
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 due cause. 61—S6
Applicant Permitee Signatur Date Is 40 By Signature Date
Mt/29 15 12:21p Stewart Plumbing Inc. 763-428-1733 p.1
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F9R Cyl Y liSE ONLY ��
r City of Orono / 00&
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teReiPermitit 2750KelleyParkway
Cryal Bay,MN 55323 Approved By: Amount S:(952)249-4600—Main
t• J (952)249-4616—Fax
� CITY OF ORONO—PLUMBING PERMIT
E.sHD (All Commercial Permits Musf be Approved by the State Prior to City Approval)
http://www_dli.mn.gov/COLD/PDF/pc plumhula nrevapp.pdf
GENERAL INFORMATION
I. 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 CART)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 Apply)
/ Residential ❑Commercial(Approval Required)
El New ❑Additional El Repairs fX7Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site /Owner Information:
Site Address: X45 LiJi to kkl .r5ty
( rel
Owner: 4OLt F-ctX Mailing Address: q6 1 V Itk(*1 .
City: A0l,lAr. Zip: Ofi
Home Phone: Alternate Phone:
Contractor Information: L 1� ,V
Contractor: St ,�a-e-" (-)6.,06‘,.(15 Contact Person: C�t,C 1(r✓' 1r) 1�I�i E�i�
Address: (3OR (77e-1)1rCSC ijj e ' Dr.State Bond#: Ra I?4q
City: k 0C 1S Zip:1/237L Expiration Date: 14311)6
Phone: —7Ie -Lt $'JI 573 Alternate Phone:
Insurance—Current: -- ,\.1`W 0 Pt
l. ,A.1
Mat 29 1512:21 p Stewart Plumbing Inc. 763-428-1733 p.2
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet l Floor Drains
Lavatory ' Sewer Ejector
Bathtub ' Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher } Wet Bar
Sil lcocks Miscellaneous
� 1
PERMIT FEE CALCULATION(S)
BASED OFF- 2002 STATE STATUE
p Yes,this section applies
The replacement of only one Residential fixture or avpliance 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 fixture 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 $
(Permit Fees Continued On Next Page)
2
May 29 1512:22p Stewart Plumbing Inc. 763-428-1733 p.3
PERMIT FEE CALCULATION(S)—JOBS OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of 550.00)
5, 50. 00 x.0125$ -73• I�
contract price) (minimum 550.00)
2. STATE SURCHARGE
S) Sb. 4 C7x.0005 $ ,2 , )
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ __. 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S - Q.D(0
■ * 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.
PLUMBING PERMIT APPLICATION 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.
7, Uv� '7 /} /I ` /
Applicant's Signature ,�i u, �(� Date: —'� 9`15
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