HomeMy WebLinkAbout2016-01426 - plumbing CITY OF ORONO * � a 1 6 - s 1 4 2 6 �
^ �' 2750 KELLEY PARKWAY DATE ISSUED: 1 U14/2016
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDTtESS : 2710 KELLY AVE
PIN : 21-117-23-23-0034
LEGAL DESC : VERN-MAR MANOR
: LOT 009 BLOCK 000
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NO"CE: PLUMBING FIXTURES:
(4)WATER CLOSETS,(5)LAVA"I'ORIES,(3)BATHTUBS,(1)SHOWER,(I)KITCHEN SINK,(l)SILLCOCK,(1)FLOOR DRAIN,(1)
LAUNDRY TRAY AND(1)WASHER
VALUAT[ON OF PLUMBING 7500
APPLICANT PLUMBING FIXTURE FE� 93J5
STATE SURCHARGE PLBG(VALUATION) 3.75
PRONTO HEATING&AC TOTAL 97.50
7415 CAHILL RD
EDINA,MN 55439- Payment(s)
(952)835-7777 CREDIT CARD 4177 97.50
Minnesota State License#:mech-MB004828
OWNER
RESTOE�ITION, ROB[N
2080 SHORELINE DR
WAYZATA. MN 55391-
AGRF,EMENT AND SWORN STATEMENT
The work for tihich this permit is issued shall be perfornied 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 la�vs 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 1 SO days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
i
C D � �� � i / l
Applicant Permitee Signature Date Issued B ignature Date
From:Pronto Heating and Air 952+767+9710 �1/70/2016 09:13 #472 P.002/003
. �
�pN City of Orono FOR CITY USE ONLY
O P,o. Box ss Date Received:__//- //- /�o
' 2750 Kelley Parkway ��1 f�
a .� � Crystal Bay, MN 55323 Permit# � �l�P �' f����� ��
'f c.` (952)249-4600—Main
l�KFSH�pt (952)249-4616—Fax ApprOved By:
Amount$: ,
CiTY OF OR�NO — PLUMBING PERMIT
{All Commercial Permits Must be Approved by the State Prior to City Approval)
htta://www.dli.mn.aovlCCLp/PDF/pe plumbpianrevapq pdf
GENERAL INFORMATION
i. You may apply for plumbing permits by mail or in person at the City o�ces. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards wili be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL 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 invofved, a separate building permit must be obtained.
5. Ali work must be done in accordance w'rth 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 Apply)
� Residential ❑ Commercial (Approval Required) [Bacicflow Device:Q AVB ❑PVB)
❑ New �J Additional ❑ Repairs ❑ Re lace
P
❑ In Accessory Structure?
"You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV)
Job Site/Owner Information:
5ite Address: I�i ' �'? I,; �; �{.�;�L (�f �; �?�� 4 '
,
� ,
Owner: ��,��i� ��C�vF���(,� Mailir�g Address � � � ��� �, l� �,�° :
� r I r� �r �'
City: t� Zip: ��`� �
Home Phone: U�� " ����i�`�2�
�. � a-- �_A)ternate Phone:
Contractor Information:
Contractor.��' �� ` � V'� ��� Contact Person: �G'���;
Address: ` �(11�� ' State Bond #: �����`�l��j
City: ��,���a� Zip: �c�y`��� Expiration Date: 2�2 .1
Phone: ���._- ��}����� � Alternate Phone:
❑ Insurance—Current:
Page 1
From:Pronto Heating and Air 952+7B7+9y�0 �1/�O/20�6 09:Y4 #412 P.003/003
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FIXTURE BSMT 1Sr 2ND OThIER FIXTURE BSMT 1sr 2"D OTNER
TYPE Floor Floor TYPE Floor Floor
Water Closet Z � Floor Drains i
Lavatory � � Sewer Ejector
Bathtub '� Laundry Tray �
Shower � Washer �
Kitchen Sink � Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Silicocks � Miscellaneous
� � s.x>,'�5.�� ...� � . ^:�x �i,��r� ... ..�� �'�w ' ��.:.:�� ����ry����e���� }f J,. > R ��' .fi'_
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1. C�NTRACT PRICE '" is 1.25% of contract price with a (Minimum Fee of$50.00)
�%���� x .0125 $ ��'1'� ��
(contract price} (minimum $50.00)
2. STA7E SURCHARGE
' $ n �
��� x .0005 -�
(contract price}
3. POSTAGE 8 HANDLING (Only on Mail-In Applications) � 2.oa
4. TQTAL PERMlT FEE (AdcS Lines 1-3 Above} $ ��1 ��.,;
'` CONTRACT PRlCE or JOB COST means the actual or estimated dollar amount charged for the
permi#ted work inctuding 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 cosf or contract price for permit fee purposes. ln the event that there is a dispute on the
amount of the job cost, the Cify may request the submission of a signed copy of the actuaf contract.
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` '.� ` : �'�..���3i1�.������1�'�4PPI.�l���'��3�1�1��.R��#�1� �' . _i ., : .,� . ::'f`
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 all stafements made on this application are complete, true and correct.
ApplicanYs Signature:_ ��;�t.G ' �f�'V1-�� Date: _���.`�lL�
Building Official/ Inspector: Date:
Paye 2