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Home My WebLink About2012-00573 - plumbing� CITY OF ORONO * 2 0 1 2 - 0 0 5 7 3 * 2750 KELLEY PARKWAY DATE ISS ED: 06/20/2012 ORONO,MN 55356- (952 249-4600 FAX: 952) 249-4616 A�DRESS : 2670 KELLEY PKWY � /D?J PIN ' : 33-118-23-12-0033 LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM i : LOT 000 BLOCK 000 ' PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL � CONSTRUCTION TY E : FIXTURES-MULTIPLE NOTE: 2 WC,3 LAV, 1 B, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER VALUATION OF PLU BING 4000 PLICANT PLUMBING FIXTURE FEE 50.00 AMERICAN MECHAN CAL CO,INC. STATE SURCHARGE PLBG(VALUATION) , 2.00 7120 71ST AVE.N. PO BOX 205 TOTAL ' S2.00 LORETTO,MN 55357- PAID WITH CC# 9327 (612)750-0278 OWNER Citizens Independent B ' 5000 36TH STREET W ST LOUIS PARK,MN 5 416- AGREEMENT A D SWORN STATEMENT The work for which this permi is issued shall be performed according to the approved plans and specifi ations,applicable City approvals,and the State Building Code. This pe it is for only the work described and does not grant permission for additi nal or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether r not specified herein.This permit will expire and become null and vo' if construction authorized is not commenced within 180 days o,the date of issuance,or if construction is suspended for a period of 180 ays at any time after work has commenced. The applicant is responsible fo asswing all required inspections aze requested in conformance with he State Building Code.This permit may be revoked at any time for due ca se. / / ��.�( � � Applicant Permitee Signatu e Date Issued By ature ate S ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. osr�s�2o72 2a:o� �ax �saa��szs � r�oo��ooa r - . ; . � r �p� City of Orono ' ` : '��:e�'Y[t&�•O � � P.o.sox66 .�'Q,��l,`.�,�3ired: Ymm' �f� ��,� ,.,,.. „ ';' 2750 Kclicyr Parkway • .t � Crysiol 13►�y,MN 553a3 •.;X�;Ay; Amo S: ,� ,� • � �,J (952)249�600—Maip � � �� (95Z)249-4616—Fa�c •� CITY OF ORONO—PLUMBING PERM � (All Commcrcial Permits Must be Approved by t6e State Prior to City Ap val) � htt ://wwrw. li.m ov/CCLDlPD / e lum anr�v . c T �C EI�ERAL INF�O� '��°� ��7�.'�`��. .. . �V, � . .. ; x`. 4 } 1. You may apply for plumbing permits by mail or in person at thc City offices. Appli tions will be � revicwed and a permit will be issued wichin cwo working deys. � 2. Permit cards wil!be sent by return mail ei�er a review is completed. PERMITS A NOT ;C V AI,tD UNTIL YOU RECEIVE A PERM[T. O E N PERMIT CARD�S POSTED Ol�'�&JQB�1T� � 3. Plumbing permits may be issued ONLY to liccnscd plumbing eontraet,ors and to p rry owncrs •� ' residing in the dwclling. � 4. When any new construction or remodeling is involved,a separate building permit t bc ! obtained. E � " " ' S. All work must be done in accordance with State Code requirements. " � 6. All wc�rk must be inspccted and air tested befoce it is covered. Call(952)249-46Q0 (24-48 hour notice requircd) f . .� � � �� . . . ��`1'k'P�:'�P:.�'ERAtIIT'�..�; , . . . �� . :'�he�c1�-A��`1'''kt��.�. . �� : �� f �Residential ❑Commcrclal(Approval Required) F i ❑Ncw ❑Additional ❑Repairs ❑Repl e '� 1 ❑ In Accessory StructurcT �j *You wi11 need nrior aanroval and may nccd�.(Per Orono Ciry Code,Chaptcr 7 Article I V) � :i a Job Siic�/Own�er.�1n�for+nati4�:��:�� '� • . ` : /,,_ /j � � Site Address: (Y �-F e ; �E Owner: Mailing Address: � :: City: Zip; �� 'r � � Home Phone: Alternate Phone: � , Contractor information: • � �� I � ` � j . ` '; � Contractor: '' � � ,�yi;C�pntact Person: �; � { Address: � State Bond#: � �� ! � � Cit l Zip:�� Expiration Date: l s�- y: :� i /► �1 � ��p�- � Phone: �D��`�S��o"7� AlternatePhon�: ��0.�� - �`�d' � lnsurar►cc--Current: '•� S � .� � � � 1 I . 06/19/2012 23:02 AX 7634775629 I f�002/003 � � �k . . � t . -,� � i •; .; , • .. , . . . . :� . .. ... .. . . ..... ., � . .. � . ..�f�H1.n)M�•. ��1.: '�Y'1:��:�i :��11� � 11L . .. ` •,•¢�� F XTURE BSMT I 2 OT�-1ER F[X1UR� B3MT t � �� PE FL F7, 1VpE FL � OTHER � , atcr Clo3et Floor Drains � L vatory Scnver Ejector � � B tl�tub � �t Laundry'Ray � , S ower , Wesher � ! Ki he�Sink ' �y�y�. �� Di posal Water Softenw �� _ .� Di hwashCr ' Wet Bar I � Sil cocks � Misccllaneous :� � f � ' e .i .1 � � k �. � ..I.�....n..�.i 4.n;1 i.i I �',� 1� � G 1MIhIM ' :�.•:,��.. .A':";�.:•:r(wl�y�.��„ 'u ''�IN e�r:.;,.,..�: ,t:,,: .. .• ..:;�:p .,�W.:.„ a ,,'�tr'.� • : . . .. • . �:��q;.4'.y � ,�,f=�r�.y;�. :::;.•: . � +•M`�vnYl ,Vtid��'�IV �0+� �';y�:��1 � .N.i 1 �':.'�I�•M:L��•wJ s*co;v�:H�. Rk I"r ❑ Yes,this sectian applies 'fh replRcement of only one$��gntial fixture or spplianee that mects all three of the foliow g � i�eq iremenu; I .� � 1. Does n require modification to oleecrieai or gas se�vica. ;� 2. Has a total cost of 5500.00 or Iess; �di tho cost of the fixture or appliance: i 3. Is improvsd,installed or replaced by the homeowner or licensod plumbing wn r. .� Skip next seclion,if this applics; Cost of Pennit $ � State Surchargo $ 00 .� Mail-In Fcc(if Applicablv) $ ,0 Total Permit Fcc $ ; � � :f f � ;e i (Pe�m1t N'ces Conttnucci On Next Pap,e) �� ,� � � , 2 � � t � R 06/19J2012 23:02 Ax 7634775629 f�003/003 ' • ` � , •# . t s .4 ., ,.:. ,. :�+,� . �f ; ',•• • . • • �.. •• � .i i above does not apply;fotlow guidelinas below: � � 1. �ONTRACT PRIC�: +is 1.25°r6 of co�act pdce wi�$(Minimurn Fee of S 0 0) � "—� � x.0125$ ('�On�pri�) (mioimu SO.W) .� 2. S�A7'E CU CHARCG � •� � X.000s $ v :� ccomracc priae, ��; � 3. pOSTAGE&HANDLING(Only on Mail-!n Applications) $ 0 ,� �'►" ..._ 'I , 4. TOTAL PERMIT FF�(Add Lines 1-3 Abovc) � s�1 � .� • * CONTRACT PRICE or )OB COST means [he actual or esTimated dollar amount c ed for th� �� . � '� ` ^ ' permittr�d vvotk including materials,lebo�,pro$t,and other fixed cosrs, lt is the emount o be char ged ' k�the customer for the work done. lf eny matorial,equipnton� labor or insmllations H rnished by �� the owner, tznant or any other party,the reasonable mark�t value of such it,ems must b a ded to the estimstod cost or convact priec for pern�it fee purposcs. ]n the event that there is a s uta vn chc �� amount of the job oos� Che City may request lhe submission of e signed copy of the a I eontract. :� �'� .E �ins!.�° ''�3�''�',i:�4�r1•.n• �.��• �r;�x',h.3•,�.:�,.,.,p•:..�4:, '� i •!+K [ Th undersigned hereby appiies to the City for issuance of a Plumbing Permit, ag e to de ail w rk in strict accordance with the ordinances of the City and the regulations of h State of M neSbtS. and certifies that all statements made on this application are cample e. true and co ect. ,� :� A licant's Signatu e: ►�4�- _ pate: u' L' �� P ._.,� '•� • :��•�„•••�:�:'.;��' ,�d� �;� i• o� �.. ,x0:�l�a :f:'� ��."'; , • .:i��. .;.at..�.:�wy.�� .. ..$kl. � yr � .� .� .Z ; :� '� �� .� { � �� :� �� 3 :� .x :� ' � I �I