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HomeMy WebLinkAbout2012-01241 - plumbing " ' ! CITY OF ORO.NO * 2 0 1 z - 0 1 z 4 1 * ' 2750 KELLEY PARKWAY DATE ISSUE : 12/13/2012 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2670 KELLEY PKWY��O� PIN : 33-118-23-12-0072 LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: UNIT 304 2 WC,3 LAV, 1 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WASHER VALUATION OF PLUMBING 4000 APPLICANT PLUMBING FIXTURE FEE 50.00 AMERICAN MECHANICAL CO,INC. STATE SURCHARGE PLBG(VALUATION) 2.00 7120 71ST AVE.N. PO BOX 205 TOTAL 52.00 LORETTO,MN 55357- (612)750-0278 OWNER HAEGELE,RANULPH&5ANDRA 2670 KELLEY PKWY UNIT#304 LONG LAKE,MN 55356- AGREEMENT AND!SWORN STATEMENT The work for which this permit is i5sued shall be performed according to the approved plans and specificatidns,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws an�ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after worl�has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoke t any time for due cause. _.�.� �� \� / 1`1 / 1}� / / Applicant Permitee Signature Date Issued By gnature at SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. 12/12/2012 03: 18 FA� 7634775629 I�002/003 ' � � 3 . � I • • • ".:';R��';•I:PY'�CJSL ONLY ����-b City of Orono ..IA�y�',il�: '.: •. Permit.�' a0/a /3 �f ;�0�'����.� r.0.Da�e 66 � 1�` .---�-- ` , .. ,.. •' z�50KellcyParkway �i::,, •��••. �.�Yi.':. � .r4mount$:_Ja. ..., ,;� 1�. �i Cry'stal DSY;MN 55323 ��� '� k�"'� „��' (952)249-4K00-Main ' �, !!` ' �vGur'�;i�'',�, (9�2},�9-46�6-Fax h cr�; � . r CITY �F�ORONO—PLU�V1B�NG PERM�T (A�I Comi�tet�c'►s� Permits Mii�t be Approvcd by the State Prior to Ciry Approval) I�tt :l/xww.d(i.m .�01�/ CLD/P1)F/ �' lumb Ignre•v . clf �N h R l� 1NFOI�'M�TION� � � , , 1. Ypu may t�pply for p lum bia�p c rt n i t s b y m a i l o r i n p�s o n a t t h e C i ry affices. A p plications will e i re�icwed and a permit will be issued within two working days. i 3. pCnnit cards will be sent by��►�'n mail after a teviCw is completed. P�RMITS ACtE NOT i V LJD UNTfL YOU ttECEIVE A PERMtT. w'�R MU NI�T B ,G1N UNTIL T� 1iMIT CARD S POS"I"E ON TH �•JOH SIT p owne 3. P mbing permits may bc issucd�ONLY to licensed lumbing contractors and to property 4. �iding"in the�iwelling. ` "i ' hcn any new construction or remodeting Is involved,a separa�e bu�ld�nB p�rm�t musc bc I olbtaincd. 1`�': ,� ",^•'^ 0.?: 1�.�p, ll��'Q�iu�$��ne in accordance with State Code requirements. 6, �qll work must be inspected anc�air cested beforc it is eovered. Call(952)249-46Q0. ��,n,. �.:'��� ��4.48 hour nodce required) r , � � � �`C?SFPE��'.P£ � ��. — i � s r on� � � . . . . . . F ,r �, �,�r. , � , t_�tv r c C s rr, �,Cl'1��iGlr A�I Tli�`a1t�AQpI�'Y�� ��, l � . � . � • • - ' �� ' _ 'n'�,� , -�--- �, i' � R�.S� �r � L'� r_ . � ;y �i . � mti. ; �� r�nt�sl�.�,+�{ ,�]Commercirsl(Approval Requircd�)a ,. r, .,.___ '�o "'� 4 ��,:- „� r., �, _. . _.. _ .�_ --- -- -.. ..w , r � a� �a�� !C]Newl'' �r, s��• ��Additior�•E� �A ;;' !����a�rs a;� . , Y,,:iy +' � ; ' ,.., '1"lu��I�e . • r� ;,�'tr� y:� u �i r �'ti'��`x . �.; y c i i-ms'ix�� � a [] �n �cc.ess�ry"��ructure? � , , ' ' r Z8,Article 4 ) _.. *Xdu-�vil�i�d% �:or a ror��a�need C�J�-��Br Orono C1ty Cod'c,'C�►�+�te , � ,, ,. , , ,, ._ ._._.____ __ _._. -- - . , � ,., .:: .� _. ,r�. � ____�._ ___..- _:_ ..__..__.� _. _ . , ... , _Jbb Site/Uwner�Tnfor�ia�iori:.�: � .� . . , ... • .. ��,-s�. t'� �r� ,,Y. �, ,, '1 .,. . < . _ . , � .., .. . � n-Y �� tr:'�1� ���'.�511..IC3 .jr'� . II�Z zi4'k �� :�i. {.�..,. / n : Sitc A�d�res��t�d �,r��� � ' �,. ,c:� t ��.,� �;r .�: '- 1 ��', �:tVF, � . r.�F'.t���, '� � ,r; � Owne�;:� � � ���. s, �N M��'�ng Address: . , �, :�,--�T�:�r�,, .d . •�t�r � ,�- ;�.lic �k �,1 tS . .��v+�.�� �� , Gl�y 'J+��n'� y� e �wt�� -r„ nrrtu�_-t� ������P1�ll ,�i tt� , U'i'�'1� �G�� � ����ardan��. ' �"tAlt'�[ttate Phoi1e: Hame���hbii�:,�� �-•�- .. . ; � ';, , --r-;:,,;;; , y,>: ,a,.rK �7'��,,. .. ; •1tl a1C c° . ,, . ,.., .. . rContractor Lnformati�on: r� ' - -` ___.__,� c� � � •���� i.. '� I�,: _ . i � L �'�l,.,,,� �I C'ont►-a ' • ,Gantact Person: _ ` � ` ___Ctor. - _. . _ - -- :� __ .�_., , ._. ._ .' _ _ � _ _ _ .r � � �,��t�t� Dond#: � �:�nadrs��� .i: b�a ,�p ,, I r, r n �Z1p;���PaiioTl Date: ��.t c�l.,.��3 ��'�t�. ,��;� _ ;� ,�` : ;�,�-�� �F :�, �./��''b—� "� Alt��rnate Phone . . , . �,, . . '..('h��(�F[ a � r ' , � . . , . ril� Nr I-t 1 wt � _...., ... I� �' .._. .. �� . . . 1 .� _ " _ � ce—Currcnt: ___ - — Insuran i��� tt� ' �������;r � s����� ��''� .. .. � .__.�,,: . ... _ .,. . _. . ` '- ,_ .. _ „ , , �� ; �,�� sq '�p �r.t �� ' , .. , , i.�,, 0 ,. � / _ � _..�._,_ � . .___ _ Hr r - _ �. , G. '�:', ••• �� Jt�rt ti: ,�� , , .__. ..� ,._ . ... _ ..� � L.. ..�.!. . �,.._.. .. .':.. N �>._ / � II -1 �A�. .�f1a�.IIP�:i .� _ . __..._._... - - � 4,.,� V'I���C'+ �M���t ' � �nr.. � ,,. 12/12 2012 03: 181� FAx 7634773629 f�003100fi � ' . � I . . � .k;�.:,:� �����:�:',.. , . .....,., ,. � THER • �., • � ,� ,, ,,. :..:�... ....,�� -r I F: BSMT ! 2 OTHE�t FIXTUR� DSMT 1 2 FIX [UR FL � � -^ T�,� FL Fl. � TY PE i ��� W a��r�,Closet Floor Drains � L�rvatqry � Sewer Ejoctor t Laundry 71'sy fiatht�b ( Show�r I W�h� 1 Kitch n Sink I Watcr Hcitter Water 5oftencr .�;, ,-�oi�n-�2 n'� [�F? �{7; i�6 �4773F2 � . n.�„� ;pr,� pishvd��.shcr I Wcl t3ar Sil Ico�ks Miscellaneous I ^ ��T ..� .-_,r ... ,� �l_� � .. . ..— . ^_ _ '"'__—'I^...��.�--���.�,�_" `.f�Y ,..,, � }'•',Y�� . ;' tts:.� ' . '.� ..,. _ - ... . .._. �.�. .'. f 1 . . . .�:♦ „ _�u„ ..... � .. . �r .._ .. � I . .: _. ,y.. �. _ _.. � .,,.__: . . ..._. - . _ T — . � ,_. ��-�; '..r Y -, i�,t' _._ _ .�...._. � � f`� , I � , �r� ����, �� k. • _. v� . , :.� p r_n . . � T i t''. I i ; , I , . � .• 'rA +f�:(� r w w � , r :u R,�11 �• �� b4 � " y� �� J�1/Irl�� �\ . ^,'i`I}�j'L� S. q� �,�( f . �)� }j7.;h;,;�f�"'� '!". .w'.:`"•iR�a,�.R.,.,��;� �.. ..ti'*,�u .....�� i � �'�•""'�� w.0 i .. � 41Sr ; � � � , � � � ,� `' ,, + �. . _ _ . .... ._'. i Yas,�this scction applies _ ._ _ _ ._ . --[���.�..�_ . . .,, ��.�ro�r ��.,:,� ,��,�P nne Rp��de al �` i T!►e. IacCmenLmf.nnl ' xture or�n_pG�e that mc�ts all three of th��llawing _ _ , � - � �,,:�1e,. _ ; '`rc��ii�ments:l ' � ' � , . _ r. 0es o require modifi ation,to electn�allfii`Q,as service ' ---y� . . � �` ' ;`c 1 ,In.. .,�_.___ 1 thC flxtul'C .. i . ^ . or.appliance:�nd. ____. . � : ..2.;.....Mas�- ta cost of$500 c-lcss;g ud�nB the cost of, , `' " � ;, �s improv�d.installed o!reple,ced by the fiaitleownar or licensed plpmbing;con[ractoi. i _.....—�------ �-� ..____;r---._. _...__. ,._ ,_ _ _ . _. --` , �.;;c� _ ��c�slSbf Pormit _ $ �' S 00 � �kip next section,�f this�$pplies; * S�c,Surcbarge - � - * $ � -5 00 � I .__ �_._ ._._, . .__.._.. _ . � . . .�„ � �;�,� � .� ; � �`11��`il=tn No�(If Applicabta) $ 00 � .. ..,_ __._. � � . _ ___ _ �__-- -_i..._--- .__ ..._ _:�.. :. 'I'#�1 Petmit f7ee I� . (per�ntt Fccs Continued On Next PAge) _ �._•--._.M__....._. _ _ __ __� _,...., t_.... .__._., ... ..,� � ., , , _. .._. ��. I _ '����r:� . � . . . _. .. _ _. . -- __: ' . i . .. ; .. '�_.__ ._.1._-_ __�._.._. _.. .,,,..tr,,s z; �rt- 2 _, t . ,, �,. ,� � , r t f � +71b :���?�°�._x. � �; ��� � � � ,�, ��, x .��, c . .n. .. ,, �,a�, • . , �.,.����a:�... „ . :;u i rel�,�..,t:' i ��c_._.:.. � ,�ni ��.�'t,: .�,�: 12112�2012 03: 18 FAM 7634775629 �0041005 x . � �� :..�, � ,� � II I ... I . • • . i�..:. . I i,.� 5,'�t 1 Jr: I I I'above docs not apply;follow guidelines bclow: 1. CONTRAC"f PR�CC W is I.25%of contract price with a(Minimum Fee of$50.00) � � � x_0125 S ,��-- tcoMrect�tti�x) �� (mi5lmum 550.(10 2. STATF:SURCHARG_F. �c � �� G�D x.00OS $ /�� 'I '(opntract prioe) - — � 3. POSTAC's��t HANDLING(Only on Mail-in Applicatioas) S 2.00 , I�, � 4. TOTAL'PERMIT r��(Add Lines �-3 abovc) S � • ° CON'1'RACT PR�C� or JoB C�5'f ineans Ute actual or estimeted dollar amount char�d or the � ��.,:,,� �•,�,7� � . ,rpep►�ittcd-,v�'��i���i�8 ma�erials,labor,profit,and ottter fixed costs. It is the amou�t�o be c arged to thc customer f��the work done. If any material,equipmcn� labor or installations are furnis ed by '•�i��%��:�n n r tha owner, tcnant or any othet party,the reasonable market value of such items musc be addcd W the cst�mated cost or contract price for permii fee purposes. In thc cvent that thtre IS a dispuce n thc amounl of ihe job eosc, the City may request the submission of n signcd eopy of thc aetual ntracl. - - �-� -- _ . ,,. ___.. _ -- - - - _ ,.._._ ,..___..._.� , ,... ,,, --� . -a- --- �s;rr� �r _ , T.�..,,��. .: ., 4 � -� .. .. . . Ir .. . r �~i.�, . �,� . .,< . � , � . � � . :._ . _..:._._. .._..---_. —_ _,...'. . _ �,�... . �!�., . . ..� . .�.� :�,� .,.�. __ ._... . ... _ _ _ v.�):11�!;,r'� ,�;., S��� ' i "•�'.:�:� ��.. , .,�: � � r..�� � _''"'y �5:��, " ., , � .. p. . � ' �. ���'., �'�u� The undersigned hereby applies to the'�City for issu�nce of a Plumbing Permit;�grees to do all work in s�rict accordance with the ordinance�:,o��he�City and th� regulati0r,�s�T'of;t�e .�, te-vf Minnesota, and certifies that al1 statcments made on ttiis application are e:oinplete, tr'e and correct,_� .�t , .�: a,,� .; 1�.G�.F. , .,: _ __.. . . �_... . .... �, . � , _.. e __ _ ._.,....._.. ' i1 'I:I:[:f� � � Applicanl',$,Si�r�¢ture, .., , Date _ __ ..--- . _.__— . - . . . . . .., .�„ .. . . .. � , , . , . ., .�..;,.� . .�, �•,��r� �u; . 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