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HomeMy WebLinkAbout2013-00199 (Plumbing) ' CITY OF ORONO * 2 pJ 1 3 - 0 � 1 9 9 * 2750 KELLEY PARKWAY DATE ISSUED: 03/26/2013 ORONO, MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2380 ABINGDON WAY PIN : 03-117-23-23-0016 LEGAL DESC : ABINGDON GLEN : LOT O10 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1 LAUNDRY TRAY 1 WASHER VALUATION OF PLUMBING 1650 APPLICANT pLUMBING FIXTURE FEE 50.00 ADVANTAGE PLUMBING AND HEATING STATE SURCHARGE PLBG(VALUATION) 0.83 175 OAK LN SE HLTTCHINSON,MN 55350- TOTAL 50.83 (320)583-9545 OWNER MONICO,SCOTT&ELIZABETH 2380 ABINGDON WAY LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT 7'he work for which this permit is issued shall be pecformed according to the approved plans and specifications,applicable City approvals,and the State Building Code. 1'his permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.T'his permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the S ' g Code.This permit may be revoked at y time e c e. � -a C°� ! � � Applic ermitee Signature Date Issued By Si ture D SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESCRIBED ABO Microsoft Word=Plumbing Permit-Updated.doc-Plumbing_Permit... hrip://www.ci.orono.mn.us/verticaUSites/{CBFC8 AF-C313-4854A2... ^ . �i��o�.Y � �'�� P.O Boxf O�rono l3ate Reeeived:_____�__'�ee�t# O�y;���„ � 2750 Kslle}�Perkuray �"�t�;*,' Crystel Bay.MN 55323 At��'��S"• _-r.—,.—�$: �� r� �°��`�,+a�� (952)249-4600–Maia 3�1� �` (952)249-4616 Fax CITY OF ORONO—PLUMBING PERMIT (All Commercial Permits Mnst be Approved by the St�te Prior to City Approval) 6tt ://��vw.dii.�n. vv/CCLD/PDF/ e lumb l�ni°e��� . di GENERAI.IlVFORI�►�ATIt�N 1. You may apply for plumbing permihs by mail ur in person at the City offices. Applications will� reviewed and a getmit will be issued wi�in two workin�days. 2, pennit cards will be sent by rehun mail aRer a review is completed. PERMIT3 ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII.THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing pe�mits may be issual OAiLY to lice.nsed plumbin�contractors aad to property ovvn�s residiag in the dwelliag, 4. Whe.n any aew+construction or remodeling is involval,a sepaiate building permit must be obtaine3. 5. All work must l�done in accordance with State Code requiremeats. 6. All work must be inspected aad air tested before it is covered. Call(952)249-4600. (2448 hoee notice reqnire� TY�E OF�'�RMIT Check AlI'�hat A 1 �.R��d� ❑Commercial(Apgroval Requirai) �New �}Additional ❑Repairs ❑Replace ❑ In Accessory St�ucture? '� 'You wW negd u�'�ior aaDroval and may need CUP.(Per Orono City Code.Chapter 78.Article I� �Ol?S1t8/OWit�111ft11'm:�411: Site Address: � 3�O /4'b��-9�o n V`'C�5/, Q�a ll O 4wner:/ ���I� o r'l `�-O 1VIailing Addresa: City: Zip: Homa Phone: Alteruate Phone: Ca�actor I�formation: Con�actor: ,� � �'�y�'�`�•Contact Parson: ��Sd� �c i1 aJa��Z ���G�—�--� J Address: 17S 0 q K �,U,Sl � tate Bond#: City: w�e�i���� Zig:SS 3� Eacpiration Date: Phone: ���S�B"3�cl5'/� Alternate Phone: ❑ Insurance—Cuirent: 1 1 of 3 3/2112013 9_33 AM Microsoft Word�Plwmbing Permit-Updated.doc-Plumbing Permit... http:llwww.ci.orono.mn.us/verticaUSites/{CBFC8FAF-C313-4854-A2... , ) ;.��I�+�'�;'.. �'�3�+�TI�ISTALL�D� <, �,�,;;;,a�,:':��„,��,rr .�,;.;;. ,,',; ���,,' ,:,,,,",.�,.„�,:�,�.'��, F�rcJxE ss�vrr i a o�x r�-�crvxE Bs�vrt i 2 o�a.t TYPE FL FL TYPE FL FL Water Closet Flaor Drains Lavatory Sewer Ejector Bathtub Laundry Tray �/ /\ Shower Washer Kitch�Sink Wat�Heater Dis�wsal Water Softener Dishwrasher Wet Har Sillcocks Miscella�seot�.a `'' �'F �'��!� CU��TI�1'�`��� . , , ,,�:,,;;«�.�,��.:.........: .. �y �!�,/� (y�'�y+���r1 r �;�;?.;,..,;:,,, y�e�r:-'::,;,'�;°,;,,�, �,{.�s� �. �*�`��+�r „u;r,,c�P�j�,;�,d,'"���y;'i;:�,� ,1 .,.. 7,'F���;f""4.+�� ',�'k{Vfw'�'w�!M�'l.S�w,�1�l.�,fT ;.q,�„�`.i;��J�I „'i,l "�, ❑ Yes,this section applies The replacem�t of only otte 3esi�iential fi�cture or appliaoce�at meex.v all tbree of the followi� requa�ements: 1. I�es not reqnire modificatiau to elechical or gas service. 2. Has a t co t of$5�.00 or les.s;exclu ' the cost of the Sxture ar�pliance:and 3. Is improved.in,stalled or repl�ed 6y the homeowner or lice�ed plumbiag contractor. 3kip nead section,if this applies; Cost of Permit $ lS'Qa State Surshar�e $ 5.00 Mail-In Fee(If Applicable) $ z.00 Total Permlt Fee $ (Permlt Fees Coutlnae�l Oa N�zt Page) 2 2 of 3 3l21/2013 9:33 AM Microsoft Word—Plumbing Permit-Updated.doc-Plumbing_Permit... http://www.ci.orono.mn.us/verticaUSites/{CBFC8FAF-C313-4854A2... � e ' 1 ;.,`;,;`. 'P��'�T'T`�E���L.�t�LA`�fl�'� --�t�B�QVE1�;�. .. , �:.. ., �, �.�(3, If above doea not apply,follow guidelines below: 1. CON�'�tA.CT PRICE '�is 1.25%of contract price vrn�y.a-f Minimnm Fee of SSO.QO) / �r7 / ( �-� v x.0125$ (�P�) (miaimnm 550.�) 2. STATE SURCHARGE x.0005 $ (eoa►�act Price) 3. POSTAGE&HANDLIAIG(O�ly on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ * CONTRACT PRICE or JOB COST means the ach�al or �timated dollar amount char$ed for t�e peraritted work includin�materials,lal�r,lxofit,and other fix�costs. It is the amowit to be char@t� to�e customer for the work done. If any materiel,equipment,laUor or installations are fiunisherl by the owaer,tenant or any other party,the reas�nable mazlcet value of such items must be added to�e estimated cost or contract price for per�it f� purposes. In the event that there is a di�ute an the amount of t�e jab cost,the City may req�the submi�sion of a sigaed copy of the actual contract _::fi:;�;;;���;�, �"LtT14�3�NG PERNtIT�1P�'L��;�'����.� - The undersigned hereby applies to the City for issuance of a Plumbing Permit, ageees to do all work in shict accordance with the ordinances of th� City n�td the regulaticros nf tUe State of Minnesvta, and certifies that all statement made on ihis application are complete, irue and conect. ApplicanYs Signature: D�e� � ��� r /? 3 3 of 3 3/21/2013 9:33 AM � DATE TIME � ORONO � _ CAL�ED IN �� � �ION CHEDULED �h—�� " N p2O I � C MPLETED S T HONE O 3- 5 ACTOR PTION ry 3 ❑ PLU I FINAL CAV/GRADING/FIWNG )WALL ❑ ME ICAL RI � LAKESHORENVETLANDS G � MECHANICAL FINAL ❑ TREE REMOVAL 'ION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ SEWER HOOK-UP ❑ COMPLAINT SITE ❑ SEPTIC MAIfVT. ❑ FOLLOW-UP FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL VG RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL NTRACTOR TO MEET YOU:_YES_NO NTS: � �5� .�` _ �� � S �ds�,�� � ��' �I� �7� 4> A��� ATISFACTQRY:PRQCEED ❑PROJECT COMPLETE ;T WORK 8 PR�EED ❑ISSUE CERTIFICATE OF OCCUPAPICY :T WORK,CALL FOR REINSPECTIDN TEMPORARY :CWERING PERMANENT ;T UNSAFE COIdDITION WITNIN HOURS. p pHOTO TAKEN PECTOR WILL RETURPI 3DER POSTED.GALL INSPECTOR �CITATION ISSUED TION REQUIRED.CALLTO ARRANGE ACCESS. �all for the next inspection 24 hours in advance. (952) 249-4600 :ontractor on site: �r. WhRe CopyMspector's Flle Canary CopylSite Notice