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HomeMy WebLinkAbout2010-00643 - plumbing CITY OF ORONO PERMIT NO.: Zoiaoo6a3 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEu: 07/30/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1435 CHERRY PL PIN : 08-117-23-33-0023 LEGAL DESC : CRYSTAL BAY VIEW : LOT 004 BLOCK 005 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: (2)SILLCOOCKS,(1)WASHER,(1)WATER HEATER,(l)WATER SOFTENER,(l)MISCELLANEOUS FIXTURE APPLICANT PLUMB[NG FIXTURE FEE(<$500) 15.00 REIGEL, DAVID STATE SURCHARGE PLBG(<$500) 5.00 1435 CHERRY PL MOUND, MN 55364- TOTAL 20.00 PAID WITH CC# 9063 OWNER REIGEL,DAVID 1435 CHERRY PL MOIJND,MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant perniission for additional or related work which requires separate permits. All provisions oY laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the S[ate Building Code.This permit may be revoked at any time for due cause. '7 � 3D� aota ' ��—�- .��-- �� /c� Applicant Perinitee Signature Date Iss y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CI7'Y USE ONLY %- �` Cit of Orono /'/ �, -7 O ti y ,7 /�� `��l P.O.Box 66 Date Received/����Perniit# d�� v(� I��,� 2750 Kelley Park��a}� �'� i,`'�'�� +�� Crystal Bay,MN 553?; Approved I3y: Amount$: ��i �\�\ ���'�,�°•_;�c�s� (952)249-4600 � \�iiH�b CITY OF ORONO— PLUMBING PERMIT (nll Commcrcial permits must bc appro��ed by the Building Ofticial or Inspector) 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 UNT1L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD 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 pern�it 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 A I ❑■ Residential ❑Commercial (Approval Required) ❑ New ❑Additional ■❑ Repairs �■ Replace � ❑ In Accessory Structure? *You will need prior apnroval and may need CIJP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner In ation: s�t� Aaar�Ss: �1 45 Cherry Piace, Orono MN David Rei el 1345 Cherry Place Owner: g Mailing Address: c,ty: Orono Z;p: 55364 Home Phone: Alternate Pllone: Contractor Information: Contractor: Contact Person: Address: State Bond#: City: Zip: Expiration Datc: Phone: Alternate Phone: ❑ Insurance—Current: 1 (-___ . _ � f�^�'. .. `--� � ,�I � \ � � � � � � �� �i - � � � � � , �� � ��� ; __ - � ; ���� Y � �� , � ���� �� �, � , � � � ; � ; .. �. � . ; :�'� � h�' ��� ��� ,� � -� �, , � � . ,, � � , , , PLUMBING FIXTURES BE1NG INSTALLED FIXTURE BSMT 1��� �'`D OTHEIZ FIXI'UIZE BSMT 1�� 2�" OT1�ER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer ,� 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 a Residential fixture ar appliance that meets all three of the following requirements: 1. � Does not require modification to electrical ar gas service. 2. �Has a total cost of$500.00 or less;excludin�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(]f Applicable) $ 2.00 Total Permit Fee $ �o.00 (Permit Fees Continued On Next Page) 2 PERMIT FEE CALCULATION „�0 lf above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of'$50.00) x .0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�5.00) x.0005 $ (contract pricc) (mininmm� 5.00) 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 for the permitted work including materials, labor, profit, and other tixed costs. It is the amount to be charged to the customer for the work done. If any material, equipnlent, labor or installatious 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 fiee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submissiou of a signed copy of the actual contract. ■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$5.00—whichever is �realer. For��aluations o��er$1,000,000 call the Building Deparmient at(952)249-4600 for the price. PLUMBING PERMIT APPLICATION AGRE NT The undersigned hereby applies to the City for issuance of a Plumbing Pennit, agrees to do all wark in strict accardancc 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: �� �- —Y---- Date: �" ��' ���� -�Z� Reset Form 3 � �