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(<$500) 5.00
1435 CHERRY PL
MOUND, MN 55364- TOTAL 20.00
PAID WITH CC# 9063
OWNER
REIGEL,DAVID
1435 CHERRY PL
MOIJND,MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant perniission for additional or related work which requires separate
permits. All provisions oY laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within l80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the S[ate Building Code.This permit may be
revoked at any time for due cause.
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Applicant Perinitee Signature Date Iss y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
FOR CI7'Y USE ONLY
%- �` Cit of Orono /'/
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/�� `��l P.O.Box 66 Date Received/����Perniit# d�� v(�
I��,� 2750 Kelley Park��a}�
�'� i,`'�'�� +�� Crystal Bay,MN 553?; Approved I3y: Amount$: ��i
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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:
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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: �" ��' ����
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