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HomeMy WebLinkAbout2012-00812 - plumbing CITY OF ORONO * 2 0 1 2 — 0 0 e 1 2 * ' � 2750 KELLEY PARKWAY DATE ISSUED: 08/20/2012 . ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1495 GREEN TREES RD PIN : 11-117-23-23-0012 LEGAL DESC : GREEN TREES ON TANAGER LAKE : LOT 002 BLOCK 001 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: I WC, 1 L.AV. 1 TUE3, 1 WET BAR VALUAT[ON OF PLUMB[NG 0 APPLICANT PLUMBING FIXTURE FEE 50.00 STEINKRAUS PLUMBING INC. STATE SURCHARGE PLBG (VALUATION) 0.90 112ESTHST SUITE 101 MAIL-IN FEE 2.00 CHASKA, MN 55318 TOTAL 52.90 (952)361-0128 OWNER BRASS,JAMES&JUDITH 1495 GREEN TREES RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMEIVT Thc�cork for which this permit is issued shail be performcd according to the approved plans and specifications,applicable City approvals,and the State Building Code. "Chis permit is for only the work described and does not grant permission for additional or related work which requires separate permi[s. All provisions of laws and ordinances governing this type of work shail be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the da[e of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance w�th the State Building Code.This permit may be revoked at any time for due cause. t �,�?� �'� / / ��7���� / / Applicant Permitee Signature Date Issued By S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRBED ABOVE. � • FOR CITY[)SE�ONLY f,,.¢(j�,� City of Orono �(Q ��� P.O.Box 66 Date Received� Perniit# � ��z 27�0 Kelley Park�cay �t �"�� �� Crystal Bay,MN 5�323 Approved By: Amount$: �� �'��t���/ (952)249-4600—Main `'���-i� (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htY>://�r���r.clli.mn.�ow�ICCLllII'DF/ � ��lumb �tanre��a >>. �clf GENERAL 1NFORMATION 1. 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 UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNT[L THE PERM[T 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 permit 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 1 �❑Residential ❑Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs 0 Replace ❑ In Accessory Structure? *You will need nrior aaproval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: s►te aaaress: 1495 Green Trees Road oWner: Brass Res. Mailing Address: �.;t,,: Orono z;p: Home Phone: Alternate Phone: Contractor Info�nation:� � � � � Steinkraus Plumbing Inc Dis McDevitt Contractor: Contact Person: 112 E 5th St suite 101 058655 Address: State Bond #: c�ty: Chaska Z�p.55318 Expiration Date: � ZI3���2 Phone: (952� 361-0128 Alternate Phone: 0 Insurance—Current: 1 ' PL . ` :`��:���+�+�;. �.LLED FIXTURE BSMT ls� 2ND OTHER FIXTURE BSMT 1sT ��D OTHER 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 1 Sillcocks Miscellaneous � PERMIT �EE C'AL�'ULAr('IC3N{S) BASED UFF - 200� S�FATE S�PATU� ❑ Yes,this section applies The replacement of only one Residential fixture or appliance 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;excludin�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 1 � � � _ .�; s.... � .._ ; � : �� � �_ ,, . y v ; � .. . �� � , ..� �„w„_ .:.r. . � .�..' - ' - .. . ` .�. "` .� If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 1 ,800.00 X.o12s $ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE � �800.00 0.90 x .0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $52.90 ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the work 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 estimated 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. < :.. �� ,< <"� ' , .����.�� .. . �. _w _ , ",,•'� � y�;� �� � �.���' ���. . �.,: � �,c ��, a. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that 1 stateme �a►ade on this application are complete, true and correct. i � ,, Applicant's Signature ' Date: OH/�5/�Z Rese� �FQr�t 3