The URL can be used to link to this page

Home My WebLink About2013-01177 - plumbing ', CITY OF ORONO * z 0 1 3 - 0 1 1 7 7 * 2750 KELLEY PARKWAY DATE I SUED: 1U04/2013 ` ORONO,MN 55356- � (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2670 KELLEY PKWY �� PIN : 33-118-23-12-0065 LEGAL DESC : STONEBAY OF ORONO CONDOMINNM : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 2 WC,3 LAV, 1 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER VALUATION OF PLUMBING 4000 APPLICANT PLUMBING FIXTURE FEE 50.00 AMERICAN MECHANICAL CO,INC. STATE SURCHARGE PLBG(VALUATIO ) 2.00 7120 71ST AVE.N. PO BOX 205 MAIL-IN FEE 2.00 LORETTO,MN 55357- TOTAL 54.00 (612)750-0278 ' OWNER Citizens Independent$ank 5000 36TH ST W ST LOUIS PARK,MN 55416- AGREEMENT AND SWORN STATEMENT The work for which this peamit is issued shall be performed according to the approved plans and spqcifications,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�aws and ordinances goveming 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 180 days at any time after work has commenced. The applicant is responsib(e 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. �� L� / / / / Applicant Permitee Signature Date Issued y ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED V . �� FOR CiTY USE ONLY ;-�OA t�, City of Orono �y � P.O.Box 66 Date Keceived: Permit# Q �`, 2750 Kelley Parkway � Crystal Bay,MN 55323 Approved By: Amount$: � (9�2)249-4600—Main a. � (952)249-4616—Fa� � �� ^ �.`if CITY OF ORONO—PLUMBING PERMIT � `�.��"E�s f�o�`t� (All Commercial Permits Must be Approved by the State Prior to City Approval) �_-_ -�" htt�://»�w�w.dli.rn►�.��/C�(�'I,D/['O1�'1�e �lumb�lant-e��a � �. �tl�' GENERAL INFORMATION 1. You may apply for plumbing permits by maii or in person at the City offices. Applicatioms will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERNfITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN iJNTIL THE PERMIT CARD IS POSTED ON THE JOB STTE. 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 involved,a separate building permit must h�e obta ined. 5. All work must be done in accordance with 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 I Check All That A 1 � �esidential ❑Commercial(Approval Required) ❑New ❑ Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior apnroval and may need CUP. (Per Orono City Code,Chapter 78,Art#cle IV) Job Site/Oumer Information: �I Site Address: Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: Contact Person: ( _—_ � _-- . l'hc c�?�"'�a� c�� T ��7 Address: �,�,�3a X s�o S State Bond#: City: Zip:S��Expiration Date: ��—,� / Phone: (�,,�� 7� Alternate Phone: � `� Insurance—Current: �s �� 1 I PLUMBING FIXTURES BE1NG INSTALLED FIX'I`URE BSM'T ls 2�'r' OTHER FIXTURE BSMT 1 I 2`" OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory � Sewer Ejector Bathtub � Laundry Tray Shower / Washer Kitchen Sink Water Heater � Disposal / Water Softener Dishwasher � Wet Bar ii Sillcocks Miscellaneous PERMTT FEE CALCULATION(S) �� BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: a�d 3. Is improved, installed or replaced by the homeowner or licensed plumbing contractbr. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) I I 2 . PERMIT FEE CALCULATI4N S —JOBS OVER$500.00 ! If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 125°/ of contract price with a(Minimum Fee of$50.00) W x.0125$ � (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ p� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �I ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including 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 fwrnished by the owner, tenant or any other party,the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual convact. PLLIMBING PERNIlT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all wark in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certi�es that all statements made on this application are complete, true and correct. Applicant's Signature Date:�G^��-3 � I I I 3