HomeMy WebLinkAbout2013-00265 - plumbing . � , i
CITY OF ORONO * Z 0 1 - 0 0 2 6 5 *
2750 KELLEY PARKWAY DATE IS UED: 04/19/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2670 KELLEY PKWY — l� I I �
PIN : 33-118-23-12-0048
LEGAL DESC I : STONEBAY OF ORONO CONDOMINIUM '
' : LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE � : RESIDENTIAL ,
CONSTRUCTION T1�PE : FIXTURES-MULTIPLE
NOTE: (2)WATER CLO�SETS,(3)LAVATORIES,(1)BATHTUB,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,
(1)DISHWASHER,(1)W�SHER �
VALUATION OF PLU BING 4000 '
APPLICANT PLUMBING FIXTURE FEE 50.00
AMERICAN MECHANTCAL CO, INC. STATE SURCHARGE PLBG(VALUATION) 2.00
7120 71ST AVE.N. I
PO BOX 205 MAIL-IN FEE 2.00
LORETTO,MN 5535'7- MISC FEE 0.00
(612)750-0278 , TOTAL 54.00
PAID WITH CC# 6915
OWNER
Citizens Independent Bank
5000 36TH ST W I
ST LOUIS PARK,MN 55416-
AGREEMENT AfND SWORN STATEMENT
The work for which this perm�t 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 addit�onal or related work which requires sepazate
permits. All provisions of law�s and ordinances goveming this type of work
shall be compied with whethe�or not specified herein.This permit will
expire and become null and v0id 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 fqr assuring all required inspections are
requested in conformance witl�the State Building Code.This permit may be
revoked at any time for due caus �
ll `�'l / i /9' l/.3
App icant Permitee S' Date Issue y Signature ate
S PARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
04/18/2013 18:44 FAX 7634775629 II 1�005/008
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c,c��or�o , d 2.1�
P.o.�� n��«i-����r��
� 2750 Ke,irey Parkway
- Amount�:
C7'y�ta113aY�iu�i 55323 �°^�d�'� . � �
(9S2)2.49-460U-�Mein
� � >, (752)249�616-Fax
�1 ��� CiTX CyF ORUNO--PLIJMBIN�PERNII'�' �i
'� sNo� (Al1 Commercial Permits Mrut be Approved by the Stxte Pr;ar to CitY APPI�val)
;/�,�, }�,�o, Q CCLD/ UFJ e i mb lan . df
G L INFORMA'£IpN
1,' Yw may apply for plu�mbing permits by mail or in�erson at the City offices. Applications wili be
reviewed and a peln�it r�vili be issued wi#hin two working days. j
2.' Permit cards will 66 sent bY reu►rn mail after a review is crnmpleted, P'�RMI'TS A.RB IVOT I
�, VAI,ID UNTII,XOU RLCEIVE A PERIVQT- WURK MU3T 1�L '�Bl�(;IN UN'�II�7' I
CARb PEDSTED 4�.'�JQ�gTTE•
3. Plumbing permit�may be issued ONLY to licensed plumbi�g contra,ccors and to property°wn�s
residi�g in the dwellu�g. I
4,', yV1,en any new construction o�remodeling is involved,a separste building permat must be �I
obtained.
5.'� All work must be da►e in accc�rrdanoe witlt State Code xequiremnen�.
c
6. All work must be inspect�d amd air teyted b�ffore it is cave�ed. Call(952)249-4600. �I
' (2448 h�r uotice reqnired)
''TYFE�O�P�ERMIT. . . p
� C�eck A�I'�7iat A ' 1
�idential ❑Commercis!(Approvsl Require�
� I ��ifS ���ce II
�N�,,, [�Addat qnal �
� l�i Aocessory 5tructure?
'��1Cou�II need orior anor�and may need�i.P_.(Ptr Orono City Code,Cls�pter 78,Article 1�
� I
Job 5i�te!Owner Xnformatiori:. . .: ` ' :. . � �i
/� �(
Site Aiddress: V �
Owne�`: N[ailing Ad.�r�ess:
City: ' — Zip:
Home',Phvne: _, Alte.rr�ate Phone:
Cdntra�ctor�f �iticm: ,
� f '.-I
t Person_
Contractor: •� �
`�ont�c
R���. � State BOnd#:
L"�ity_
�p,�j����Expiration Date: – �
Fhone:' �j �` 7 Alternate Phone: _
� ❑ Insurance–C�ux'ent: �S :!�
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04/18/2013 18:4� FAX 7634775629 f�006/008
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�' BSMT 1 QTHER FIXTURE BSMT 1 � 2 O
'�YP'E FL FL TYPE �'L Fi,
Waterc,Closet � Floor Drains I
�y�, +7 Sevver LjecLor
J
�ath�b taunaty Tray
Show�r r Washe� /
Kitchen Sink � Water Hoster I
Disposal Watar Softene�
Dishwasher � Wet Bar
SiIlcoaks M'��0� I
, I
, II
,�3:��.� � `
;[] - Yos,this section applies
'x1,e replacemeat of on�one Residential f�re�r���t meets a11 three of the fottowing II
reqa�:
' 1. �not r�quire modificatiou to electrical or gas service�
� 2_ Has a���SOU.�at less;exclL�the cost of the fixtute or appliance;and
' 3. ls+mproved,i�tulled or replsced by the homeowner or licensed phut�bing contrac�o�r-
� Skip next section,if this applies; Cost of Percnit S_ r s•OQ
� State Surcharge �—5-�
' Mail-In Fee([f Applicable) $ 2.� I
�� 'Total Permit Fee s� II
�
(Permit I�ees Cootinued On Neat Page)
2
04/18/2013 18:45 FAX 7634775629 f�007/OOS
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If aboue does not spply;follow�uidGlines belo�r. I
' 1. sO�CT P,$L 'is 1.25%of aontxa�ct prica with a(Min�mum Fae ot'550.00)
�, x.fl125$,,,�u
���� (miul�rum S.So.90)
' Z. STATE 51�IRCHARGE � I
���x.0045 $ �
� <conlrflCt Pl�Ce)
3. POSTACrE l�HAN1�L�[NG(Only on Mail-ln Applications) $ � 0
4. TOTAL PERMIT FEE(AddLine�1-3 Above) s r
■ *�CONTTtACT P'RLC� or JOB COST means the actual or e�hmated dallar amottnt ahar'Sed f the
p�smitt,ed work including mate�ials.labor,profi�and ottter Fixed cosTs. It is tlte anwunt bo be �ed
fi,the custamar for ti�e worlc don� If any mateQial,equipunemt,labor aa installa6ans are � bY
th,e owner,tenant or ar�y other party,the rEasonable market valuc of such items must be added the
e�timated oost or contrac�t price for �t fee purposes. jn tne e�'�rt t�at tha'e is a dispute the
a�ount of the job cost, the City may requast tfie submission of a signed copy of the actual ca� �
The undersigned h0reby applies to the City for issuance oF a Plurnbing Pennit, agress to do all
work �in strict a�ccordance With d�e of'dinances of the City and the a'egulatians of t�e Sta of
Mirm�,sota, and certafies that all staxtments made on this application �re complete, �ue�nd
c�.
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Appli¢ant's Si D�'
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