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Home My WebLink About2011-00332 (plumbing) � . 1 CITY OF ORONO PEaM�T No.: 2oii-oo332 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 05/12/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3135 CASCO CIR PIN : 20-117-23-43-0029 LEGAL DESC : SPRING PARK : LOT 041 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: CONTRACTOR IS.IUST SETTING TI[E PLUMBING FIXTURES. "I'HE PLUMI3ING WAS ALREADY ROUGHED IN. (2)WATER CLOSETS,(I)LAVATORY,(1)SI-IOWGR,(1)KITCHEN SINK AND(1)WASHER VALUATION OF PLUMBING 2000 APPLICANT PLUMBING FIXTURE FEE 50.00 DUDA PLUMBING STATE SURCHARGE PLBG(VALUATION) 1.00 208 17TH AVE.N. TOTAL 51.00 HOPKINS, MN 55343- (612)695-0845 OWNER SHEEHAN, KEVIN 18479 SCHROERS FARM RD GDEN PRAIRIE, MN 55347- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plai�s and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant pennission Yor additiona]or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This pcnnit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has coinmenced. The applicant is responsible for assuring all required inspections are requested in conformance wi[h the S[ate Building Code.This pennit may be revoked at any time for due cause. �.��— � � �z � �( �l /�-t / � Applicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �� . � Foa ciTY us�on�LY 0A� Cit3�of Orono �O4 `rO P.O.Box 66 Date Received: Permit# �V� — �� ,, , 2750 Kelley Parkway � t�1�'`.�, �`. � Crystal Bay,MN 55323 Approved By: Amount$:�_� � ��,,��i��.�o` (952)249-4600—Main �$exo$ (952)249-4616—Fax CITY OF ORONO - PLUMBING PERMIT (All Coinmercial Permits Must be Approved by the State Prior to City Approval) htt�:I/��w�.dli.mn.<sov/CCI,D/PDF/ e liimh lanreva �. �df' GENERAL INFORMATION 1. You may apply for plumbing permits by mai] or in person at the City offices. Applications will be reviewed and a pernut 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing perniits 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 inust 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 ❑ Connnercial (Approval Required) ❑ New ❑ Additional ❑ Repairs �eplace ❑ 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: � 1 � � �- � S��% � ��`"'C ' Owner• �°- � � f " �n( ��r �"�� Mailing Address: ;'/�� .4 Sc�� i��c r� City: ��vt c Zip: Home Phone: �� Alternate Phone: Contractar Infonnation: Contractor: �`'`�''� ��`'`'�'I �r'�� j Contact Person: �`�� Address: a�r� l�r�.��r' " State Bond #: DC�� /� �j`�� City: �U�� Zip: � Expiration Date: � Phone: y�� '/�� Alternate Phone: ❑ Insurance- Current: 1 . � � � PLUMBII�G FIXTURES"BEIl�TG INSTALLED FIXTURE BSMT 1 2� ' OTHER FIXTURE BSMT 1� 2' OTHER TYPE FL FL 5�� TYPE FL FL Water Closet r� � Floor Drains � Lavatory � Sewer Ejector Bathtub Laundry Tray Shower J Washer l Kitchen Sink � Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) � BASED OFF - 2002 STATE STATUE '� ❑ Yes,this section applies The replacement of onl}�one Residential fixture or a�pliance 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;exciudin�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 .y. . . r �� -�� PERMTT FEE�CALGULATION(S)—JOBS�OVER��$500.00 If above does not apply; follow guidelines below: 1. COl�'TRACT PRICE *is 1.25 of contract price with a(Minimum Fee of$50.00) � � � x .0125 $ (c ntract pnce) (minimum$50.00) 2. STATESURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged far the perniitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer for the wotk 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 esrimated 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. �� ' � �� PLLJMBING��PE�RNIIT APPLIC�ATION AGREEMEI�T � �� " The undersigned hereby applies to the City far issuance of a Plumbing Permit, agrees to do all wark 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: 3