HomeMy WebLinkAbout2000-P02566 - plumbing PERMIT
CITY OF ORONO
2750 l�elley Parkway- PO Box 66 Permit Number: Po2s66
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(612) 249-4600 Date Issued: 6iisi2oo
SITE ADDRESS: 2515 Kelly Ave
EXCELSIOR,MN 55331
PID: 20-117-23-12-0038
DESCRIPTION:
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PI'OpOSeCl USO: nwiucu�iai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s):.Single Family
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
DRINKING WATER SYSTEM
FEE SUMMARY: Permit Fee: $ 95.06 Valuation• $ 7,605.00
State Surcharge Fee: $ 3.80
TOTAL FEE: $ 98.86
APPLICANT: COMIVIERS CONDITIONED WATER OWNER: DAVID R HARDTEN
9150 W 35W SERVICE Dr 2515 KELLY AVE
BLAINE,MN 55449 EXCELSIOR MN 55331
TT�UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE TI-�REAL IMPROVIMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE W1TH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS.
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p I D BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
INSPECTION RECORD
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CITY OF ORONO
2750 Kelley Parkway- PO Box 66 permit Number: po2s66
Crystal Bay, Minnesota 55323
(612) 249-4600 Date Issued: 6�is�2000
SITE ADDRESS: 2515 Kelly Ave
EXCELSIOR,MN 55331
APPLICANT: COMNIERS CONDITIONED WATER
9150 W 35W SERVICE Dr
BLAINE,MN 55449
Proposed Use: Residential n,,�ll,;�;-�-yr����:Single Family
Permit Class: Ylumbuig
Permit Type: Fixtures
Separate inspections required:
Building: General:
Plumbing: Rough plumbing Fina1 plumbing
ALL INSPECTIONS MUST BE CALLED 24 HOURS IN ADVANCE. THIS CARD MUST BE POSTED IN A
CONSPICUOUS PLACE ON Tf�PREMISES ON WHICH THE WORK IS TO BE DONE.
� ' CITY OF ORONO � b12249461b 11/16/99 10:32 � :02/03 N0:828
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CITY OF ORONO . APPLICATION FUR P'LUMBING PERMIT
B�c 66 (2?SO I{�lley Parkway)
� Crystal Hap, MN SS323
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]. You u�apr a�ply foc plumbinY permits br mail or in peraon at che Ctry oPflcea.
2. Pcrmit cuds will be �ent by rcturn tnail after a review is completed. PERMTfS ARE NOT VALID
UN'I`1L YDU RECEIVE A PIItMIT. yV, Oj� MUST NOT BEC}IN UNTIL- THE PE��1T CA� i5
pOS?ED ON THE 108 SITE.
3. Plumbiag pe�a�ts may be issuad OM.Y to liceasad plumbing coneractocs aad to property owners residtag
in thc dwel�lag.
4. Wher► t�y new coa�truCtioa or romodelin� i� involved, a separate building pernut must be obtained.
S. All wotic mt�t be done in accord4nce wkcb the Statc Code requ;rament9.
5: Atl work muat be inspccud 3lld 71�f IE�1Cd�E(DfC Il li COYCtCd. Cdll Z49-4SOO. Z4-haur notice requfred,
jg���g Complete ail icems an this appIication. Compuce the permit fee. Sign atid date
the certirKation. IN�OyiPLE"I'E APPLICATIONS WII1. NOT BE PT{OCESSED. If you havc
questions. call 249-4b00.
Plaasc ch�ck on�: "� New Additian Repair Replace
�Rtsidtatial CcunmBrcial
J�OB SI'i'�: �'S � : ,, ,
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. O�vner'�Nsume: , •. v .�:� '� de�hone Numbcr:
M�flin�Address» Ci�y: �[p:
Coatr�t�tor'sNatne: Tekpbone Number: 612-780-0555
` ly�fldngAddr�:915 W 54J Service Dr City: Blaine �Ip: 55449
pLVMHIlVC�,��� SCHEDU[.E
�IXTUF� �SMT 1ST �ND 0'YH�R FIXTUR� B3MT 1ST 2N'D OTHL�t
'IYPB FL FL TYPE FL FL
Wu�r Ciosct F1aor Drnina
Lavatory Sawer Ejector
Bathcub Lauutdry Tray
Sbawar Waaher
Kltchen Sidc WetGr Heeter
biapoeal �iVater Softeaer X
Dlshwayher Wet SAt
� Siltcocka M;ac(liat? � � ° 2:���-,�. G��'�`'���
� CITY OF ORONO � b122494616 11/16/99 10:32 � :03/03 N0:828
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�E$,a�.IT FEE C�L�T1.�+ATI�
l. 1.259'0 of�ontiact Price* or M, �'��,�m Fee f �OQ)
�- � �". �s ct x .0125 S �'� ��v
(cootrm�x pria)
2. �tate 9urctusr�c. *'" Add thc State Build'utg Code�Dtvlsfon
Snrcharge to cach pcttn ii. �7�`; 5 :�ti x .QOOS S --��G'
(coAtrscx Artce)
or �.50, which�ever is grea�er
�• �4�a�� g��i��4 (4n1Y mail-in applicstions) $ �
4. T�TAL PF„RI4STT FEE (Add l�es 1-3 �bov�} $ �Jy�= .�:,�, ,
� C.ONTRAC?pRiCB or J08 COST maana the aana� or estSinatod dollar amount thargtd for t�e percaittcd
work inciudin� mscerials, labor. profit, arid otller tt�cad cos�s. It is tha amaunt to ba cb�rped to che
cuatoaiec for the work done. lf any maceci�l, equJpsaent,labor.or inscallacion are furnished by the owaer,
cenanc or any othet puty tha nasnnaWe maricct value of au� itean must be Addcd to thc estimatcd coat
or cuntcact price for ptrmlt fee purpoaes. Iu tht event tttot there ia a dispute aa the uaouat ot the job coac,
� the Ciry mtry rGqtseat thm avbtu�saiva af a si�ned cagy of tt�e actual conttaet.
•"' Thc 9'TATb SURCHARCE is .00OS of tba contract priCa vader SI,000,0�0 ar 5.30 - whlchever ie
areat�r. FOr v�u�tl4�u over Si,Q00.U00 r�11 tbe Deparcmenc oP Inspcaional 5crvitca Yor thc price.
The undersigncd heceby applies to thc City for isauance of a Ptumbing Permit, agrees to do all
worfc i�scrict accordancx with the ordinan�es. of the City and che regvlations of che State of
Minncsota, and certifiea that all statements made on th9s application are complete, tnie and
• cornxt,
A�pliCant�S ST�l1RtUFC; ,� �2��R� Date: c�—�