HomeMy WebLinkAbout2013-00266 - plumbing . �
' CITY OF ORONO * z 0 1 - 0 0 z 6 6 *
2750 KELLEY PARKWAY DATE IS UED: 04/19/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2670 KELLEY PKWY — ��� ���
PIN : 33-118-23-12-0052
LEGAL DESC I : STONEBAY OF ORONO CONDOMINIUM
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TY�E : FIXTURES-MULTIPLE
NOTE: (2)WATER CLOSETS,(3)LAVATORIES,(1)BATHTUB,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,
(I)DISHWASHER,(1)W�SHER
VALUATION OF PLU BING 4000
APPLICANT PLUMBING FIXTURE FEE 50.00
AMERICAN MECHAN CAL CO, INC. STATE SURCHARGE PLBG(VALUATION) 2.00
7120 71ST AVE.N. I, MAIL-IN FEE 2.00
PO BOX 205
LORETTO, MN 55357- MISC FEE 0.00
(612)750-0278 , TOTAL 54.00
PAID WITH CC# 6915 •
OWNER
Citizens Independent Bank
5000 36TH ST W
ST LOUIS PARK,MN�5416-
AGREEMENT A�D SWORN STATEMENT
The work for which this permi�is issued shall be performed according to
the approved plans and specifipations,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additipnal or related work which requires sepazate
permits. All provisions of law and ordinances governing this type of work
shall be compied with whethe�or not specified herein.This permit will
expire and become null and v id 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 f assuring all required inspections aze
requested in conformance wit�the State Building Code.This permit may be
revo ed any time for due a se.
� /7 �/3 � � l5� /
A ' nt Permitee � re Date Issue By Signature ate
S PARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
04/18/2013 18:45 FAX 7634773629 f�008/008
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� 2790 Ke1l�y Pp�wmy
Cryatsl Hap�,MN SS323 Appt�rvadBp: Amo�mt S:
(952)249�4600—Medri
`S� 1� (952)249-4616�F�c
� CiTX QF QRQNQ—PLUMBING PERMTr
r�k s y oa�` (AIl Cdanme�cial Pe�mi�Mnst be ApprovM 6y t4��e Prior tio City Ap�o
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G�x�,n�ox��a�r
1, Xou maY aPPI�'for plum6in8 Pe�mits 67'mait or in parson a!the City offices_ Applicatio�will
revievired and a pezu�it witl be issued within tvro work'rng days.
2. Permit c8rds wil!b6 s�1t by�turn mail atbtx a r9view is�pletod. PB,RMI'1S ARE NQT
Vt1LID UNTB..YOU I�C�'VE A PERMIT. NO'I'
P��CASD Ifi POS'I"Eb ON'TH�dQ��i1T�.
3. Plumbing perntib�;ey be issued ONi:Y�n licensed plumbing co�hactors and to propertY ows�
residit�g in the dwelling_
4. Whea�atly new consbw�oa 4�rerstbd�li�g is imrolved,a�rate build"mg pe�uut must be
obmined-
5. All wcsrk must be doae ir�accordeucei with State Code req�-
G. All wrnrk must be itlispeG'�ed and au t�befo�re it is cav�ed. Call(952)249-4fi00.
{Z4-4a hom'not�ce requirod)
TY�`£s 0�PFRM[T
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'�ideatial ❑Coma�er�tisl(�►Pp�'avai Bequired)
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❑ Ia Accessory Struaure?
*�lau and maY need C[Jl',(Per Orono Cily Code,C�apter 78,Article I�
3ob Si�te/Owuea'Informatit�u: �TI
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City: �p�
Home Phone: Alterna�e Phwae:
Conlrsctor Inf a�tion:
� .,� � �'�O�oct Pca�on: �
Cont�rracta
Ad�sB: '� State Bond#:
City: ,_ Zip.�717��'Expiration Uate: — —
Phone: G��,.�..��"L:�D Alte�vate Phone:
❑ Insarance—Gurrent:
1
,04,/18/2013 18:46 FAX 7634775629 I�j001/001
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BSMT 1 OTf�R �7X1T1RE BSM'i' 1 2 O I
T"fCP�' F'�., FT. TYPE Fq. �„
WaLer Cloaet � Ftoor brains
Lavs�y ? Sew�r Fsjector
J
Bath I.aun�ty 1�sy
Show�r / Washar
�
xitclea�s;alc r wat�H�r
Dis Wat�Sat�n�
Dish � Wet Bar
Sillcodrs ���q�
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"4. ..,�r,,��in,Fti.�,�F,c{ ,µ,;. .S !'� Si
4 �� � \
� IYos,thi�sxtion applies
The rePtaceme�t of aoly ane ar tbat mee4s a11 three of the followiag
Tequuet�Ne�ts:
�. ��t requirc modi5c,�tio�t�a electricx�l or gas s�rv;ce. ,
Has a totat�of�500.00 or 1n�;�the vost of the�ixture ar appliance:aad
3. ls im�+avec�ir�slalled or re�placed by the homeownec ar Gc,�sed plumbiqg co�acxor.
Skip next aection,if Lhis appliee; Cart af Permit �__15.00
Stsbe S��ge �_. . 5.00
I�ail-Tn Fee{If Appliaablej �. a,�,00
' Toid Pennit�ee S
(Perffiit�'ees Co�tinued On Ne�rt Psg�)
2
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04/18/2013 18:44 FAX 7634775629 1�004/008
• � . .
.,
If above daps x�ot spply;follow guiddines below.
1. 'is 1.25'/0 of aontract Price with e(Miuimu�n Fce af 550.00)
~ x.0125$_ 7'- �
(Co[►�eclptioe) t�niml�t�6.OYI
2. s� E � .�
x.00US S�
, �cam�na�price)
3.�'� POSTA(��HANDLING(Unly a�Mail-�n.Applicat�ons) �„_�.?�, — �
J
4. 'tUTAI.P�IIT FEE(Add Lines 1-3 Abwe) S
■ * CO CT PRICE or JOB GOST nt�s the acxual or estirnated dollsr amowlt cf�8ed for
pRrmi�work inciuding materiats,labor,Pra�tt,ead arher�i�ced co�ts. 1t is t3�e amow�t�o bc
to tbe'�customer for the wo�r done. If xny msDeria�Bqwl�nent,taba�r or ip�eilatio�as are fwnis�
the awr�,tsmmnt ar sny other psrty,the reasonable market value of anch ibau�s nnust be adcied to
esti�oed ooat or oanfrao!P*ice far permit fee purpoaea. I�the event�at t�ue i�a dispute on
amauut of the job aoat,the C.ilY maY�'e9�st the subm�asion of a si��ed copY�ti�a��fivat voatr
�,�sp�'.«r�,�°�'''::�-�!r����;�.
'I'he und�signed hercbY appli�t;o tlu City far issuance of a Plwmbing Permi�, agrees to do 1
wark im. strict asxoxdaace with the ordin�c� of tbe City and the regu�etians of thc State
Mi�esoita. and c�rtif"ies that a11 sCatem�ntq made on th�s appl.ic�►tion are aomplebe, �ue
correct. �
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