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
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CITY OF ORONO—PLUMBING PERMIT
(All Commercial Permits Mnst be Approved by the St�te Prior to City Approval)
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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:
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TYPE FL FL TYPE FL FL
Water Closet Flaor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray �/
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Shower Washer
Kitch�Sink Wat�Heater
Dis�wsal Water Softener
Dishwrasher Wet Har
Sillcocks Miscella�seot�.a
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❑ 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)
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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 /?
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� 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:
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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:
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WhRe CopyMspector's Flle Canary CopylSite Notice