HomeMy WebLinkAbout2013-00687 (Plumbing) � CITYOFORONO * 2013 - 00687 *
2750 KELLEY PARKWAY DATE ISSUED: 07/22/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2240 ABINGDON WAY �� gis�
PIN : 03-117-23-23-0009 „� /'� I �(p
LEGAL DESC ; AB[NGDON GLEN ���4��� �
. LOT 007 BLOCK 001 r
PERMIT TYPE : PLUMBING (> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURGS- MULTIPLE
NOTE: PLUMBING FIXTURES:
(1)KITCHEN SINK,(1)DISPOSAL,(t)DISHWASHER AND(1)ICE MAKER
VALUATION OF PLUMBING 3930
APPLICANT PLUMBING FIXTURE FEE 50.00
STEWART PLUMBING, INC. STATE SURCHARGE PLBG (VALUATION) 1.97
13025 GEORGE WEBER DR
SUITE#1 MAIL-IN FEE 2.00
ROGERS, MN 55374 TOTAL 53.97
(763)428-1833 PAID WITH CC# 3122
OWNF,R
MUELLER, JOHN & KIMBERLY
2240 ABINGDON WAY
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Codc. This perniit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions ot�laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
I'he applicant is responsible fbr assuring all required inspec[ions are
requested in confonnance with the State E3uilding Code.This permit may be
revoked at any time tbr duc cai�. ��
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Applicant Permitee Signature Datc Issue By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
.
. Jul 19 13 01:51 p Stewait Plumbing Inc. 763-428-1733 p.2
FOR CITY USE O;YLY
�O A TO City of Orono
�V \ P 0 Box b6 Date Received: Permii� � °
2750 Kcllcy F'arkway
1 Crystal Bay,MN 55323 Approved By Amo�mt$:
1 (952)249-460Q—Main
y ,� r (952)249-4616—Fax
'� �� CTTY OF ORONO—PLUMBING PERI�IIT
t�'�fS H��� (AI[Commcrcia(rcrmits Must be Approved by the State Prior to City.Approval)
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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 wilf be issued wiEhin two working days.
2. Permit cards will be sent by return►r►ail after a review is completed. AERI�9ITS ARE NOT
V.ALID UNTIL Y�U RECEI�'E A PERM[T. WORK MUST N10T BEG[N UNTIL THE
PERM[T CARD 7S POSTED ON THE JOB SITE
3. Ptumbin�permits may be issued dNLY to ticensed plumbing contractors aad to pro�erty owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate bui[ding permit must be
obiained.
5. All work must be done in accordance with State Code requirements.
6. A[]work must be inspected and air tested beforc it is covered. Call(952)244-4600.
(24-48 hour natice required)
TYPE OF PERMIT
Check Ail That A l
�Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑ Repairs �Replace
❑ In Accessory Structure?
*You will need orior annroval and rnay need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Informatian:
SiteAddress: ��`�C-� ���)�,1�����'rl �,,'�,�cr��
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Owner� CI1�� -# �,�r�t�����'!c'L�e ,' Mai]ingAddress: _�=�`l�� N����ic Cr'� L'� ��tij
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City: u��� � �l.t��, zip: ,5.5.�5��
Home Phone: Alternate Phone:
Contractor Information:
Contt2Ctor: :)�('Ci L,1 t (�(�il►�.�a,:lCl 1 y�Contact Person: '� �iCY t il �r
J
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Address: j 3��5 �� 1V�'c;.. �' ����'�' State Bond�: L �I j�-}� ���r�^
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City: �.c:� 'S Zip:�).`��7� Expiration Date: t�� .3j-?`-�
Phone: 7�:�3-��� —���.`�� Alternate Phone:
�Insurance—Cunent:
1
, Jul"19 13 01;51 p Stewart Plumbing Inc. 763-428-1733 p.3
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__ PLUMBING FIXTURES BEING 1NSTALLED
�'IXTURE BSMT ls 2ND OT1iER FiXTURE BSA1T IS1' ZN OTHER
TYPE FL PL TYPE EL FL
V�ater Closet Floor Drains
, Lavatory Se�s�er Ejector
Bathtub I,aundry Tray
Shower Washer
kitchen Sink I Water ETeateC
Disposal � R'ater Softener
Dishwasher � Wet Bar
I
' Sillcocks Miscellaneous �
iCe. itilCt �'
1'ERMIT FEE CALCULATION(S)
BASED OFF-2002 STATE STATUE
� Yes,this seetior�app(ies
The re�lacement of only one Residential fixture or aP�liance that meets a!I three ofthe following
requirements:
]. Does not require modificaiion to electrical or gas service.
2. Has a total cost of$500.00 or]ess;excludin�fhe cost ofthe fixture or appliance:and
3. ts improved,installed or replaced by the homeowner or licensed p�umbing contractor.
Sicip next section,if this applies; Cost of PcrmiE $ l 5.00
State Surcharge $ 5.00
Mail-In Fee(If Applicabte) $ 2.00
Total Permit Fee g
(Permit Fees Contioued On IYext Page)
2
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Ju1'19 13 01:52p Stewart Plumbing Inc. 763-428-1733 p.4
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PERMIT FEE CALCULATION S —JOBS OVER$540.00
If above does not apply;fol low�uidelines below:
1. CONTRACT PRICE *is].25%of contract price with a(Minimum Fee of�50A0)
�,�3��.C� X.a,zs$ S��C��,
(conlract price) (minimum 550.90)
2. STATE SURCHARGE -}
— �; �t.�i:-C�C�J x.0005 b J , �!
(contract price) �
3. POST.AGE&HANDL[NG(Only on Mail-[n Applications) $ 2.00
4. TOTAL PER�VIIT FEE(Add Lines 1-3 Above) $ -�.3, rl �l
• * CONTRACT' PR10E or JOB COST means the actua] or estimated dollar amouni charged for the
permitted work including materia[s,labor,proFt,and other fixcd costs. It is[he amou�tt to be charged
to thc customer for the work done_ �f any material, eqEeipment,labor or installations are fumist3ed by
the owner, tenant or atty other party, the reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purposes. Fn 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.
PLUIvIBING PERMI?'APPLICATION AGREEMENT
The �udersigned hereby applics to the Ciry for issuance of a P[umbing Permit, agrees to do a11
work in strict accorda�ce with the ordinances of the Cit}� and the regulations of the State of
Minnesota, and certifies that alE statements made or� [his application are coroplete, true and
correct. ���
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Applicant's Signature: ''�� � �.-..,-''+/' .?,r '/' �-<:' Date: /-� ��,�
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