HomeMy WebLinkAbout2013-01245 - plumbing CITY OF ORONO
'' � � 2750 KELLEY PARKWAY * Z 0 1 3 0 1 2 4 5 *
DATE ISSU D: 12/03/2013
� ORONO, MN 55356-
� ' (952) 249-4600 FAX: (952) 249-4616 i
ADDRESS � : 2670 KELLEY PKWY �ZD2�.
PIN : 33-118-23-12-0050
LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM
; : LOT 000 BLOCK 000
PERMIT TYPE ' : PLUMBING (>$500) j
PROPERTY TYPE I : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: 2ND
VALUATION OF PLUMBING 4000 i
I
;APPLICANT PLUMBING FIXTURE FEE I 50.00
AMERICAN MECHA ICAL Cq INC. STATE SURCHARGE PLBG(VALUATIOl�) 2.00
7120 71ST AVE.N. !
PO BOX 205 MAIL-IN FEE j 2.00
LORETTO, MN 5535"➢- TOTAL 54.00
(612)750-0278 PAID WITH CC# 6915
� OWNER
Citizens Independent Bank
5000 36TH ST W
ST LOUIS PARK,M1N 55416- I
AGREEMEN I AND SWORN STATEMENT �
The work for which this p�rmit is issued shall be performed according to
the approved plans and sppcifications,applicable City approvals,and the I
State Building Code. This pertnit is for onty the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions o�'laws and ordinances goveming this type of work j
shall be compied with wh�ther or not specified herein.This permit will I
expire and become null arld void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of'180 days at any time after work has commenced. j
The applicant is responsi�le for assuring aU required inspections aze I
requested in conformanc�with the State Building Code.This permit may be i
revoked at any time for d�ae cause. I
`�'K�""`'"` � � �� / /
Applicant Permitee Si�nature Date Issued By S' ature Date
� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO E.
11/26/2013 22:04' FAX 7634775629 I �001/003
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Q 2750 Kelley�55323 �!�'a"'8��Y
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C[TY OF OItONO—P�UM��Nst�►�e�+��C,�' a
��t� '�s Ho��'�+ (All Gammerc�ia���"�Mnet be ApP�'�� 1 m lanr v . df
b . � . li m . ov CC �1�
GENER.AI-TNFOR�IfAT�f��. A ]l�zior.q will
' �its by mail or in pe�son at the City o��. PP
3 i You may aPA�Y f0�Plumb►u$P working days.
reviewed e►nd a permtit vrdl be is�v�nthm twa lcted. 1'ER1vIIT5 ARL NOT
�. Pea�nit cards w's11 bc sent by r�rn mail a�a review is comp
I'f. W K N �
V ALTD UN'CII-YOU RECPJ OA f'ERM �
� � T � lumbing contractors aed�PfaP�Y°ti'"�° �
3. �lumbi+y;P�ts may be issued ONLY t�o licensed p I
residing in the dwellinE;. ia involved,a sepa�a�e building pemtit must be
,4_ Whem any new coasssuctiou or re�nodeling
� obtained. �y�,��S�Code requirem�s-
i 5. All work must be done i�s����before it is cm�ed. CaU(952)244-4b0U• I
'6. All work.must be�P�ired)
! ��}„48 b�nr notice req
� T�PE�F i"ERMCI';,
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G'�xe�k
A�1 Th
-� �]Gam�n�rcial(Appraval Requixe�
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�] ln AccessorY Struc�e� 78,Articl 1�
*ym,���ewior�4Y���Y need CU .(per drono City Cate,Chalxe�
Jbb Site/Owner�n�o�natton:
7� ��G � -��
�ite Ad�ess:
fJwner: Mailing Address:
!City: Z�p' I
�I�ome Phone: Altexnate Plione: �, - �--r---
. ;Contra�ctor Informadion: �
' / � .
n.
' ontractor:
� f�i���bntact Perso
� ?J�! _�
i Address: � State Bond#:
C��,. ��' U 7��� Expiration Date: � � �" �
� �o��. ` �S"� l� 7 Alternate Phone:
❑ Inse�rance�G�,urent: �S
I 1 I
11/26/2013 22:04' FAX 7634775629 f�002/003
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�p�T�RE BSMT 1 2 OTHER FD�I'CTRE BSMT 1 O
T'YPE FL FL TYP'E FL FL
Waoer Closet Flarr Drains
Lava ry Sawer�jecior
Bathuib I.aundry Tray
(
Shovt+�r Washer !
I
Kitchpn Sink Watar��ter
I
Dispa�al � Water Soft�en�
Dishwasher Wet Bar
�
Sillcacks M���
a�..
❑ I YeB,tk�is sedion applios
The reptacx�nent of ar�y ane R�sidential fixture or..���s��t meets all thrce af the following
requ�rements:
� 1. �require mudifiCatiot�to electrical or gas serviCe.
2, Has a tota4 co of SSOO.OU or less;e in the cost of the faxture or apptisnce:an�d
i 3. is imprwed,installed or replaced by the homeowner or licensed pi�bin�cantractor.
Skip na�ct sect�on.if this applics; Cost af Prrmit � 15.
i Stata S urcharge � S.
M�il-In Fee(if Applicable) $ 2 0
I �'otal Permit T+'ee �
(Pei�mit Fees Coutinued On Nest Y�ge)
� �
11/26/2013 22:04 FAX 7634775629 1�003/003
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.
ff above does not apPly;foilow gr,iidelines belaw:
� 1. COl�,ACT PRiCE '�is 1.25°�of contract price with a(Mivaimam Fee of S50.OD) i
� �~ x.0]25� �� I
� (corttract Pricc) (mlolmam S:SD-U
Z, a'1'AT[C S[TRCF[ARGE G��� — oC I
x.0005 $
i (camiraatpYyoe}
� 3. POSTAC�&HANDLWG(Only on Maik-In Applicatirn�s) � 2-� ..._
i 4, TOTAL PERMIT F'��(A,dd Lines 1-3 Abave) S
■ i ' CON'TRACT PRLC� or JOB COST means the actual or esamat�d dollar amount charg for the
i permiited work inciuding mat�iais,labo�.Pro�rt,and vther�xed cosu. It is the amount t�be c[�arged
to the customer for rhe work done. If any maberial,eqwpmen� labor ar iastallations are hed 1sy
' the owner,ter�ant or a�ry a�kher party,the roa.�anable market value of such ite�ns must be ad to the
I estimat,ecf cast os con�ad pnce for permit fee purposes. in the event thst t�uere is a dis on the
j amoum of the job cost,t�e City msy raqae�st the subnaissian of a sip�ed copy af tbe actual tract�
'I�he �mdersigned hereby applies to the City for issuance of a Plumbing Permit, agrces c1.o all
vvork in strict accordance with the ordinances of the City and t2� regul.ations of tl�e tato of
lWinnesota, and certifies that all statements made on tt►is applica:tian are complete, e aad
CkriTBCt.
.4pplicant's Si�ah�e: Date: ' ,
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