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HomeMy WebLinkAbout2012-01238 - plumbing Y � I ; CITY OF ORONO * 2 0 1 z - i z 3 8 * , � �I 2750 KELLEY PARKWAY DATE ISSUE : 12/13/2012 ', ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2670 KELLEY PKWY !+� z2Q PIN ' : 33-118-23-12-0068 LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM I : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: LJNIT 220 2 WC,3 LAV, 1 TUB, 1 SHOVI�ER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WASHER VALUATION OF PLUMBING 4000 APP ICANT PLUMBING FIXTURE FEE 50.00 AMERICAN MECHANIC L CO,INC. STATE SURCHARGE PLBG(VALUATION) 2.00 7120 71ST AVE.N. PO BOX 205 TOTAL 52.00 LORETTO,MN 55357- (612)750-0278 O NER MORTENSON,CORY 2670 KELLEY PKWY iJNIT 220 LONG LAKE,MN 55356- AGREEMENT AN SWORN STATEMENT The work for which this permit is ssued shall be performed according to the approved plans and specificati ns,applicable Ciry approvals,and the State Building Code. This permit s for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws anp ordinances governing this type of work shall be compied with whether or ot specified herein.This permit will expire and become null and void i construction authorized is not commenced within 180 days of th date of issuance,or if construction is suspended for a period of 180 day at any time after work has commenced. The applicant is responsible for as uring all required inspections aze requested in conformance with th State Building Code.This permit may be revoke a time for due cause. � i i y^ l l Applic t Permitee Signature Date Issued y ature Da SEP RATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. 72�72�2072 oa: iy Fax' �saa���s2s r�002�00� `""Y"'w Ci of Orono .. , •:'FQR`Cl�'Y CiSE ONLY ��,t'O��''� r enxos .. ..� . _ /� 3 $ :�o o�,.. :-:�p�:�;��a,. Pa�m��.a aa� �; ,4 .,� �, 27.50 Kelle Parkwa ..: ;',•',.•. ; . • . . , �.+�� _ Y y , . . :..,..•,.,.'• . ,... .'••� ' a 1����, '�� Crystal Day.MN 55323 ��(y�;g�;;., p� 5. D O (952)2491160U—Mom n!4'�lilt�'S: . ''���� (9�Z)2d9.d616—Fex ' CITY OF ORONO--PLUIVXBING PE�tMIT (Alll Cominercial Permits Must be Approved by the State Prio�to City Appraval) htc :!/ww�� ta.mn. ov/ ..D/.PDF/ e 1 mh anre+�M . rtf �. . .. ... .. , .,. . : . LGFNER L 1NFnRMA`I'Ifl1�t � . . . � .. . • I. Ybu mAy appiy for plumbing petmits by mail or in porson at the Ciry otTces. Applicaiions will bc r�vicwed and a permit will be issued within two working days. 2. Permit cards will be�cnt by return moil aftcr a review is c;omplc�tcd. PERM17'S ARE NOT V�AL1D UNTII,y0U REC'LrIVE A PBRMIT. WURK MUSI'NOT BH;G1N [1NTIL.THE 1''1tMIT ARp S P S'P D O JO S1T . 3. P umbing petmits may be issued�OM,Y to licensed plumbing eontractors and to proptrty ownc s � i�sidin�in lhe dwelling. 4. �I�zn any new construction or remodeling is involved,a separate building permit must be oblAincd. � 5, Aill work must be done in�tccordance with State Cpda raquiremer�ts. .f":'�^,"'^.,� ^^ ' G.r '�II w�ck fkiu5�bc'inspccted and air tested beforo it is covorod. Call(952)249-4600. `�`-����'�'r; (�4-48 hour notice required) � . . . . . . . . . • •`i"�F� '�;P• � - �._ -- 6� , . � r , , - � � C,��l��1�Tfi��t'�i� �1. _ . .��� . ` �_ � � ,t , ,, � _.__ ... .. ;., �x''y , �1, � �--- .. ;�" ',.,! -� ��'� � � `yr;7i �4. , 1 . I� __. .. . . . _... ._._. � ,., .._._. [�ResiQen,tial �; �C:ommercial(Approval Required) .:. , �� „ � � .. .. < <,. � ❑ Ntw� '`` ` (�'AddiuonAl ❑Repairs r] Replace _ � ����� p � ��: � 4.r �../,.�. ,. . ' , ,i r� ._: 3., . .. .^*.,� ,�,.l' .� . . . l :.Y Y ❑ ln f�ci,esso'ry 5trtictute? � �"�'<r x.��;� :,: ��; •,� , � , ,�,n:.,. , �, , *Yo�u.will neei�lbrioi�anoruval's��i,:�nsy necd; . '1'.'(P�f,Orono Ciry Code,Chap�et 78�Article 1 ) � ., ., __. t ,��_ , l al. .,ti�' -- — - , ___._ _ _ _ . . . _ _ .... Job Site;/Ownerin�or.rriat�ion;� . . � t �,; .. ;,. ��. , �� r,�.� �.: :�Z _ Site Ad�iress. �. �� i � � . ,; •. � ��,:��� � �� ��� � E Owncr:� �� ' ' •.' . Mailin�g Address: . - ~ F _ � �• , Y. . , � .;t. , , , . C:ily: " ,: , 4 ,,. , ,n , er� ;:, p , , . ,. Zi . , �.�� ,. . .. ,. .. � „ �, ,. ,, � �r. � Home E��o�e:4 A1ttt'hate Phone: . , _ � . , ,. . _� . ,_� , Contra�tor informa�iorr 1 _ � ,�� �, .. ,��_��� . . . ._ _._. ` __ -- . . ..__. . ... , � � ^ �'i . ; C.�ntr..actor. ^ � ,� Gont�t�,Person: � �°� n�d�'�is�.l'i � V� !�i, ��7�L�i'IJOn�Fh. � � • �� I City: ' '� f�� '�`'Zip:���pir"�tion Date: '���' �3 -�� �, I ,` . � _ Phane. �„ �1�,�,,.►�d L�a'�� , Alterr�.�te Phone: � � ' _L •� , ; �. .�� . _ . i ._ __ ._ ___.._.�I ,,,., - , Insurance�-Current: w,.5-� . , ��: '' � �� __ _. _ _ � � . ,' , � � ' , , r � . a ,� , ^�, ��� '1�.I. ,� '.... � Ia \.:�� ,' . 4 Y� l '-:-.:� . a:. �::_ i, �. . . � . ,�._.,.�.'. ..__ ... ._.........,. '' "' �%'" � 1,� . . ; d ,,. ., .... . � ..,,J . ., .� . �..� _.._ _ .._.. �. .... � . .. , . . .. ..� ,i. ,.. �.�� . � .�,. I .i��i_. 12l12/2012 03: 11 FAH 7634773629 1�0031004 . • ... . ,.. ,.;., .. . .. �;-�,.,. .. . I��� . . :. .�i.,ai.tw�, . ,��.r..�.;,.,.,.�...�� ; . ....... . .� " . ".IYi :'1.• •V� fIXTUR BSM1- � 2 071�R FIX"�1nE BSMT I 2 c�Ti r•.R TYPt ', FL FL TYP); FL FL IWatcrCl set � � floorDrains I.avacc�iy ' Sewc3r Ejector Bachcub r Laundry Tray Showr� ( Washcr I Kitchen$fnk � WeterHeater Disposal I Watcr Softener .�nE1`�' �•,n"7 .. �.y. .;:JS,,�r -r� nn •- - �f.�ft^, 'tC. '�� r, _ , ,� . . : , ._... . .. , : Y ` . Dishwasher Wel Bar - 1 Sil{cocks ' Misccllaneous �___._ _. �-- __ —,_..,,._ _... _ ,. .. , . _ ,.. _.----__----- -- - � _ _ .. .___ .... .. .._r,,.:.W :_ _ t_ __ . . _ __._ . __ . .,. .. _._. _. _ .. , , ,_ . +; , • ,. ' . . . . . .�. .. 1 '..',^'4�4`v •liil . n , ' . �,''.., ��'i�4t'������� 1 �iwifyr�rl'y`y�Y(���a�p.�L;,,�,�. , : r� � ' � ..: � � . , , n . � x+�N+,� ' . .�iM��� ' � • '�• Y . N . i� � .:: .���.....,�.��L14 • . .�.. 1 �f�t'��'��Cq�uS"I' .fko W�• . ....... .. .... , . .:`: , -.i'•;.,nlYG.. •.. . . �. • • s. � � � � � , ..� � .i:1(�� � i �. ' ❑ Yes.this.sec[ioa applies,. ". � s � , :. �;� _ . � The repla¢emarrE of only one Residential fixture or�p1' eoe tl'►at meets all three of the.fol�owing.,._ _ .._. _. . � . _ . .y.,..,',:.., ., C i�quircmdnu_ j + ti _..._ . _ ., .. .,_. .._ ,.... _._„ .� ._... ` ^2: I��las a.tota cos of 5500.00 or.less;l�clex Iud�nQ hecast ofthe fixture or appliance:an q • d _ P � � p g _ . `'' 3. ls;improved,installed r laced thehomeowncror licensed lumbm contr�ctor. _,. . _ .... _ ._.._ ,"` Skip next section, if this appiies; Cost�of Pennit $ 15.00 _ _,__ ,_.. . . __ : • _.., State.�uroharge . _ _. ._��_ �., ,Mai1-Tn Fee(rf Applicable) , $� I � __ _ .._Total Permit Fee � (Peri»it�ees Continued On Next Page) .. ... ..,-. .. . ... ... ..... ... ,. . , � �.P. _... . ..., .. .... ... .. . .. .... '1'. . ..... r� �� t_ � � � .,..,.;i� il, . . � ..k . ._,.. ... � _... . � .. � � � � , � ,. .�� .:I �.�. . . `.�.::4... � i a ti"' . It`�. ;diC�� d S� . , . � 12n1212012 03: 12 FAx 76347756�9 I�004/004 , . ... � � . �I . � '�i�!;:; ;.,:.�•.,:, .. j� i lf above docs not apply;follow guidelines below: I �` + CONTRAGT PR10E '� is 1.25%of oonhact price with a(Mlnimum Fee oT SSO.OU) I� , � + x.0125$���, � (con�n�cc pricel (mlfiimum 550.00) 2. STATE SURCHACiGE �r .__x.0005 $ /+� � � � I (coMraa pricc) . ' �. tyOS7'AGF.&T[ANDLING(Only an Mail-Jn Applications) $ 2 0 4. TO'l'AL I'ERMlT FLE(Add Lines 1-3 Abov�) $ � / I ■ * CQNTRACT PRICE or 10H COST mesns thc actual or,estimated doilar amounl charged fo the per,;itted wprk incit�ding materiuls, labor,pcofi�and othe�fixed eosls. It is tha amount to be cha ged .�,,,,�� :,,„, ���� "-'���' ��' � to`th�cusmmcr t�or the work done. If any mAterial, �quipmcnt, labor or installations are furnish by _ . thc dwncr,tenant or any other party,the reasonable matkel value of sueh items must be addcd the tslimatcd cost or contract price for perrnit fee purposes. !n the ewent that there is a dispute o tha , amount of the job cost, �he City may rcqucst the submission of a signcd copy of the actual con ct. � ..,.-:.;; .., , :. :,�• . . �.�'A n 41�.. ./.��1. I�' I�� � � � . . . � �. ..... ... . .. . . . ' . . �i.�.. . . .,. . .1 .. �, _ i,i. The und�ersigned hereby applies to the-!City for issusnce of a Plumbing Permit,,.ag}�ees to d al1 wark in strict accordance with the ordinances of the City and the regulations�of'the.Stax . Qf. ' Minnesdta. and certifies that all statemen[s made on this application are comp'IeCe; 'truc and � correct. - •]:.;� ._; ,�- . - _ _ ._. Applicant's Sig�a�ure. 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