HomeMy WebLinkAbout2013-00634 - plumbing CITY OF ORONO * Z 0 1 3 - 0 0 6 3 �
. 2750 KELLEY PARKWAY DATE ISSUED: 07/10/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1121 NORTH ARM DR
PIN : 07-117-23-14-0063
LEGAL DESC : SKARP&LINDQUISTS FERNHILL LA
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES: (1)WATER CLOSET,(1)SHOWER AND(2)LAVATORIES
VALUATION OF PLUMBING 2000
APPLICANT PLUMBING FIXTURE FEE 50.00
MINNESOTA MASTER PLUMBING STATE SURCHARGE PLBG(VALUATION) 1.00
24128 E TYPO DR NE
STACY,MN 55079- TOTAL 51.00
(651)270-5782 PAID WITH CC# 5947
OWNER
SOLIE,GLENN
1121 NORTH ARM DR
MOLJND,MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of days at any time after work has commenced.
The applicant is res si for ring all required inspections are
requested in tate Building Code.This permit may be
revoke an m
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ermitee Signature Date Issu By ignature Date
SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE.
.
- R ITY USE ONLY
' City of Orono �n
��� P.O.Box 66 Date Recei Permit#C�1/�� �
� 2750 Kelley Pazkway
Crystal Bay,MN 55323 Approved By: ; Amount$:��r�
(952)249-4600—Main
(952)249-4616—Fax
y�'�q ��` CITY OF ORONO—PLUMBING PERMIT
k�sHo� (All Commercial Permits Must be Approved by the State Prior to City Approval)
htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df
GENERAL INFORMATION
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
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to properiy 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 ly)
�Residential ❑ Commercial(Approval Required)
� �
❑ New ❑Additional ❑ Repairs �Replace
❑ In Accessory Structure?
*You will need arior aaaroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: ��� ,N . `r. �4' �`� " �
Owner: Mailing Address:
City: ��'�n l7 Zip:
Home Phone: Alternate Phone:
Contractor Information.
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Contractor: ,�„ ,' � Contact Person: �„)c�S(n /���-�-0�
Address: a - i� ti �'./v� State Bond#: T(... C7 7����9 y
City: c Zip:��'0�4 Expiration Date: o� O/�
Phone: C� � � P � Alternate Phone:
� Insurance-Current:
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory r� Sewer Ejector
s-,
Bathtub Laundry Tray
Shower � Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
❑ Yes,this section applies
The replacement of only one Residential fixture or appliance that meets all three of the following
requirements:
l. Does not require modification 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 plumbing contractor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
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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 550.00)
2. STATE SURCHARGE
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
• * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted 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 furnished 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.
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The undersigned hereby applies to the City for 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 o this application are complete, true and
correct.
Applicant's Signatu e: Date: � 3
3
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CITY OF ORONO CALLED IN _7 ///3 �
INSPECTION NOTICE SCHEDULED
PERMIT NO.o�O - cOMPLETED
ADDRESS l al �
OWNER /n�E�� ONE NO. � -oZ �578�
CONTRACTOR 77
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❑iNSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site•
Inspector. � ��_� --
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OwnerlContractor on site:
Inspector: ���
White Copyllnapector's File Canary CopylS{te Notiee
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.�� ' ��y COMPLETED '
ADDRESS /�� / ,JV�r�F .�r�2 �� �
OWNER � TELEPHONE NO.
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Ca�l brthe next inspection 24 hours in advance. (952) 249-4600
OwnerfContractor on site:
Inspector: �`�-�
White Copyllnspector's File Cenary CopylSfte Notics
� �� DATE TIME
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INSPECTION N TICE SCHEDULED � �
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� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
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�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector.
White Copylinspector's File Canary CopylSite Notice
4 � � � �� DATE TIME
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Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION
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