HomeMy WebLinkAbout2010-00214 - plumbing ' CITY OF ORONO PERMIT NO.: 2oiaoo2ia
` 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUEn: 04/13/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2585 LYDIARD AVE
PIN : 20-117-23-11-0003
LEGAL DESC : APPLE HILL
: LOT 001 BLOCK 001
PERMIT TYPE : PLUMBING(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER HEATER
APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00
NORBLOM PLUMBING CO. STATE SURCHARGE PLBG(<$500) 0.50
2905 GARFIELD AVENUE S.
MINNEAPOLIS,MN 55408- MAIL-IN FEE 2.00
(612)827-4033 MISC FEE 0.00
TOTAL 17.50
OWNER
OLSON,GLENDON
2585 LYDIARD AVE
EXCELSIOR,MN 55331
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
[he approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permiu. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due.cause.
`�'I'�e.c,� (�I�- � l � l
Applicant Permitee Signature Date Issued By gnature
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO
� ' �� �Fox�crnat�u��oivr�� �
� �,����, City of Orono �� ' ' � ,
P.O.Box66 DateiReceived 4 Femart#'
� � 2750 Kelley Parkway ! y '
. �L_ y� Crystal Bay,MN 55323 ,Ap,proved B,�` � A�mount$
(952)249-4600 ��-� t � „; t: � ;��
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I CITY OF ORONO—PLUMBING PERMIT
�I (All Commercia]permits must be approved by the Building Official or Inspector)
';GEN.��AI�.�INFO :RNI�T:IOl*T . ! , , �, ,. ,. � ,�
1. 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 working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VA�,ID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing pernuts may be issued ONLY to licensed plumbing conh�actors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate building pernut 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)
� , � : 4`�YP� OF�'E$lUII'�'
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�� � ` ' � � ' , .��`,(Ch�c�A�ll�ll A,a1,'1i�.t.A 1 � . �.
�Residential ❑Commercial(Approval Required)
❑ New I ❑Addirional ❑Repairs ❑Replace
❑ In Accessory Structure?
*You will need arior aaproval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
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Site Address: Glendon Olson
'', 2585 Lydiard Avenue
Owner: Orono, MN 55331 �s:
' 9524717895
City: !
Home Phone: Alternate Phone:
�Contracto'r�nforma.hon:, .:
Contractor:l �lorbeorn Pl,ux�2b�� Contact Person:
aadress: , 2��� �al�i�.d � 5�, state Bona#: 4(P I�21 �
City: , �. �S Zip�d$ Expiration Date: ( I v�I�9
Phone: f���'�g��� �a3� Altemate Phone: �
, � Insurance—Current:
1
.
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
T'YPE FL FL TYPE FL FL
Water Closet Floor Drains I!
Lavatory Sewer Ejector
Bathtub Laundry Tray !
Shower Washer ' '
�
Kitchen Sink Water Heater ( I
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous ,
�
II
,
j
❑ Yes,this section applies
,I
The replacement of a Residenrial fixture or anpliance that meets all three of the following req�iirements:
i
1. Does not require modificarion to electrical or gas service. ,
2. Has a total cost of$500.00 or less; excludine the cost of the fixture or appliance�',and
3. Is improved,installed or replaced by the homeowner or licensed contractor. �
Skip next secrion,if this applies; Cost of Pernut $ � 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ I 2.00
Total Permit Fee $�t
Permit Fees Continued On Nezt Pa e I
� g ) �
2 '
. - � �
.
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, If above does�not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
x.0125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contractprice) (minimum$ .50)
� 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. T,OTAL PERMIT FEE(Add Lines 1-3 Above) $ I� ,��
■ * CONTRACT PRICE or JOB COST means the actual ar estimated dollar amount charged for the
pernritted 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 fizrnished 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 contract.
■ ** The STATE SURCHARGE is .0005 of the coniract price under$1,000,000 or$.50—whichever is
greater. For valuations over$1,000,000 call the Building Departxnent at(952)249-4600 for the price.
The undersigned hereby applies to the City fQr issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: Date: 1 � � � `"
3