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Home My WebLink About2013-00820 - plumbing , , ,� CITY OF ORONO * 2 0 1 3 - 0 a e z 0 * 2750 KELLEY PARKWAY llATE ISSUED: 08/27/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2670 KELLEY PKWY PIN : 33-118-23-12-0086 LEGAL DESC : STONEBAY OF ORONO CONDOMIMUM : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: UNIT#318 (2)WATER CLOSETS,(3)LAVA"I'ORtES, (1)BA"IH"I'UB,(])SHOWGR,(1)KITCHEN S[NK,(1)DISPOSAL, AND(1)DISHWASHER VALUATION OF PLUMBING 4000 APPLICANT PLUMBING FIXTURE FEE 50.00 AMERICAN MECHANICAL CO, INC. STATE SURCHARGE PLBG (VALUATION) 2.00 7120 71ST AVE. N. PO BOX 205 MAIL-IN FEE 2.00 LORETTO, MN 553�7- TOTAL 54.00 (612)750-0278 PAID WITH CC# 6915 OWNER Citizens Independent Bank 5000 36TH ST W ST LOUIS PARK, MN 55416- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of�laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if�construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. Thc applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked a ny time for due causg. -c�-�j U /DZ !i L� O /oZ Z i �� Applicant Permitee Signature Date Issued y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . � � � ,-—.r... FO$CITY USE ONLY ' O � City of Orono ;f J'� �/��\ P.O.Box 66 Date Received�/�� Pecmit# �13-�b S ' V � 2750 Kelley Paricway 't � Crystal Bay,M1V 55323 Approved By: Amount$: t � (952)249-4600—Maui i �;y ` `�j (952)249-4616—Fax ' �f ;` ' CITY OF ORONO—PLUMBING PERMIT �R�£s Ho�� (All Commercial Permits Must be Approved by the State Prior to City Approval) _�_ ��a��al','�:�,��v��at��o��y��:��,C��'l,��/�'��°%s� ��z��€�x��<¢��e��-�t��.o��f GENERAL INFORMATION i. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two warking days. 2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTII,YOU RECEIVE A PERNIIT. WORK MUST NOT BEGIN UNTIL THE PERMTI'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 be obtained. 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 Check All That A 1 �Residential ❑Commercial(Approval Required) ❑New ❑ Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior annroval and may need CL'P.(Per Orono City Code, Chapter 78,Article N) Job Site/Owner Information: Site Address: ' ,.��'��' '` �'1' �G�� C :` Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Informarion: ..' � � � � �� Contractor: �� e� ' � ��"' � d�� t� ' ontact Person: �� /� �� T�� Address: i� .�`'� ,� ;-�"i.� ��: ,,., ��''a��. � . State Bond#: �, .s� dit� � City: �' �.;rf :t� � t'l��_ Zip�� Expiration Date: �,� .��. � ,� Phone: Alternate Phone: �a�.�`"�� °� �] Insurance—Current: 1 I • � � � � PL�JMBIN.�'".�-FIXTC:TR.�'.S BEIN+G Il'��T,�T,L�I� FIXT`URE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OTF�R TYPE FL FL ��-J TYPE FL FL Water Closet ,^ Floor Drains �1 Lavatory � Sewer Ejector Bathtub i Laundry Tray Shower Washer ( Kitchen Sink � Water Heater Disposal Water Softener Dishwasher � Wet Bar S illcocks Miscellaneous PE��`F�� C�1I:.C�TLA'i'TC1N(5) BA�ED OFF -2D02 STATE STATIJ� ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Does n require mod�cation to elecizical or gas service. 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip next secrion,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2A0 Total Permit Fee S (Permit Fees Continued On Neat Page) 2 � . • ' � a . -. If above does not apply;follow guidelines below: 1. CON'I'RACT PRICE * is 1. %of contract price with a{Minimum Fee of$50.00) '� x.0125$ � T (contract price) (minimam 550.0� 2. ST.�I,TE SURCHARGE � /j-- rr� X.000s s (contract price) 3. POS'TAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ �l � • * CONTR;ACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work inctuding materials,labor,profit,and o�er fixed costs. It is the amount to be chargel to the customer for the work done. If any material, equipmerit, labor or installations are furnished by the ownet,tenant or any other party,the reasonable market value of such items must be added to th estima�cost or contract price for permit fee purposes. In the event that there is a dispute on th amoum af the job cost, the City may request the submission of a signed copy of the actual con � ��'k� �k n � `�� ,„� � �,: ��.- �� The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do 1 work in strict accordance with the ordinances of the City and the regulations of the State of Minnesot�, and certifies that a11 statements made on this application are complete, true d correct. ', �� `..3 Applicant s Signature: Date: 3