HomeMy WebLinkAbout2011-00525 - plumbing CITY OF ORONO PERMIT NO.: 2011-00525
• 2750 KELLEY PARKWAY
' ORONO, MN 55356- �ATE IssuEn: 06/27/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1725 BOHNS POINT RD
PIN : 16-117-23-22-0006
LEGAL DESC : AUDITOR'S SUBD.NO. 349
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTG: 1 ST FLOOR:
2 KITCHEN SINKS
1 DISPOSAL
1 DISfIWASHER
VALUATION OF PLUMBING 3153
APPLICANT PLUMBING FIXTURE FEE 50.00
NOWTHEN PLUMBING STATE SURCHARGE PLBG(VALUATION) 1.58
19960 FERRET ST.
ELK RIVER, MN 55330 MAIL-IN FEE 2.00
(763)753-5216 MISC FEE 0.00
TOTAL 53.58
PAID WITH CC# 5814
OWNER
HONOUR,MR. & MRS.
1725 BOHNS PT RD
WAYZATA, MN 55391-
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 permission for additional 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 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 inspec[ions are
requested in conformance with the State Building Code.This permit may be
revoked at an time for due causc.
!/r�� l l ��}i���� l l
Applica t Per itee Signature Date Issued By S' ature ate
SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED AB .
06/26f2611 22:62 7637535125 NOWTHEN PLUMBING PAGE 02104
FdR CiTV USE pIVLY
,¢'d� City of Orono
/O{ Q P-0,f3ox 6[ D¢tc Receivcd: Permit�
�, 2750 Kcllcy Parkwey
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CiTY OF ORONO —PLUMBING PERMIT
{A.11 Commercial Permits Must be Ap,proved by the State Prior to City Ap�►roval)
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GENERAL rNFORMATtON
1_ You may apply fnr plumbing permits by mail or in person at the City officcs, /app(ications will be
reviewed and a pernt'IE will be issued within�vo worktng days.
2, Permit cards will be scnt by retum m�il after a rcview i9 complctcd_ PERMTTS ARE NOT
VnL;I.D UNTIL YOU.RECEiVE A PERMIT. WORK MUST NOT SEC[N UNT1L TiTF
PERMIT CA�RD lS POST�D ON THE,IQB�ITE
3. Plumbing permits may be i9sued 4NLY to licensed plumbing contractors and to property owners
�esiding in the dwelling.
4. Whcn any new construction or remodeling is involved,a sepacate building permit must be
obcained_
5, qll rvork must be done in accordance with State Code reqi�irements,
G. All work must be inspccted and air tested before it is covcred. CaU(952)249�4600.
(24-48 hour notice required)
TY.PE OF PERMIT
Check All That A 1
�.Residential Q Commercial(Approval Requircd)
❑ New ❑lldditional ❑Repairs �Rc lace
P
❑ l.n Accessory StrueCure?
'"You wil eed prior anoroval and may need Ci P.(Per Omno City Code,Chapter 78,�lrcicic IV)
,Iob Site/Owner Information:
s�t� aad��Ss: � �25 Bohns Point Road
4wner: ��n�ur Mailing�ddress: �725 Bohns Point Road
c;ty: Orono ?�p. 55391
}-lome Phone: Alternate Ph�ne:
Co�itractor:f.nPormation:
C�ntr3ctor,: Nowthen Plumbing, �n�. Tammy
Contact Person:
Address: 19960 Ferret Street NW W 150043989
Si�ate Bond#:
C;�,: Elk River Zi 55330 12/31/11
p: Expiration.Date:
Phone: (�63) �53-5216
Altei�atc Phonc:
❑ Insurance—Current:
Owners InSurance Co
1
66/26/2011 22: 02 7637535125 NOWTHEN PLUMBING PAGE e3/04
PL�[JIVIBII�GFIX'TURE�'BE1N.G�T,�'�JS'7'AL'L�D ..'': .
FIXTURE I�S.MT 1'� 2 OTl•fER F.fXTURE 135MT I' 2 OTHER
TYPE FL FL
TYPT; F.L FL
Water Closet Floor DrainS
Lavatory Sewer Ejector
i3a.tlitub 1„aundiy Tray
Shower Washer
Kitchen Sink 2 Water 1-tcater
Disposal ,� Water Soffener
Uishw�shcr ,) Wct Ba�
Sillcoeks Miscellaneous
P��IT F£E
CA��T;��JL�A�'IO';�;('�)�: `
' ,BA�. .. ,: , ,
E� OF�' -2d�02 STt�T.E�:�T�Ti�: ' '`` `:
❑ Ycs,this section anplies
Tlie replacement oFonly one eside Cial fi tUre a 1' nce thaC meeis all threc ofChe following
requ i rements;
1. oes ot require modificAtion to clect�ical or gas service.
Z. 1-fas a t al c t of 5500,00 or less;excl din tho cost of the�xture or appliance; and
3. Is improved,instal►ed or rcplaecd by the homeowner ar liecnsed plumbing contract:or,
Skip nex1:section, if I:his arplics; Cost of Pennit $— ��
StAtc Surcharge � 5�
Mail-ln Fec(1f Applicable) $ Z.�
Total Pcrmit Fee g
(Permit Fcca Continued Qn I�fe:t PAge)
2
66/26/2611 22:02 7637535125 NOWTHEN PLUMBING PAGE 04/04
.
PE�i'I'F�E:�;ei.LCtJLATTO.N.'S �=Jd.B�,:O��''$501J.O.Q .•
!£abvve does not a.pply;fqllow guidelines below:
�- ' NT. T P .1 '�is 125%pf contrac!'pricc wil;h a(Minirttorn Fce of$5p,00)
3,152.77 39.41
X.o�25 $
(eontr�et priee) (mioimuen$SO.OQ)^
2- �TC SURC�IARGE
3,152.77 � 58
x .Q005 $
(contruct pr;cc)
3. POSTAGE&HA.NDI,ING(Only on Mail-In Applications) �_
z o0
4. TOTAL PERMIT FEE(hdd Lines ]-3 Abo�e} �Je3.58
' '� CONTRACT PR.fCF or JOB CQST metins Che actual or estimated dp�lar pmount char�ed f�r the
permittcd work including materials, IAbor,profit, and other fixed costs. il is the a��tount to be charged
to che customer for thc work done, if any material, cqutpment, labor or installations are furnished by
the pwner, tena.nt or any othcr party,the rcasonable markel valuc of such items must be addcd to thc
estimared cost or conYract price for permiC fee purpose9. In the �vent that thcre is a dispute on thc
amount: of the job cost, the City may request the submissipn of A signed eopy of Zhe aeYual contract,
PLUN(BX]�T�PERI�ITT'APP.L<TCA7'T�ItI';:;q,�''i1����MEN?'�
The undersigned hereby applies to the City for issuat�cc of a Plumbing .Permit, a,grces to dc,� a1►
work in strict accordance with the ordinances of the City and the regulations oF the State of
Minnesota, and certifes that alf statements made on this application are complete, true and
c��•rect.
Applicant's Signature: d /
� Datc: {O' 7i� ,
....... . ..�.......
Rp�s�et Ft�rm
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