HomeMy WebLinkAbout2013-01233 - plumbing CITY OF ORONO * 2 0 1 3 - 0 1 2 3 3 *
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2750 KELLEY PARKWAY DATE ISSUED: l U20/2013
ORONO,MN 55356-
; (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2435 NORTH SHORE DR
PIN : 09-117-23-44-0010
LEGAL DESC : SCOTCH PINE ADDN
: LOT 003 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (4)WATER CLOSETS,(5)LAVATORIES,(1)SHOWER,(2)KITCHEN SINKS,(1)DISPOSAL,(1)DISHWASHER
(2)WATER HEATER AND(1)WET BAR
VALUATION OF PLUMBING 20000
APPLICANT PLUMBING FIXTURE FEE 250.00
B&D PLUMBING&HEATING INC. STATE SURCHARGE PLBG(VALUATION) 10.00
4145 MACKENZIE CT NE
ST MICHAEL,MN 55376- MAIL-IN FEE 2.00
(763)497-2290 TOTAL 262.00
PAID WITH CC# 8094
OWNER
HUNTLEY,MICHEAL&BONNIE
2435 NORTH SHORE DR
WAYZATA,MN 55391-
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
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 consuuction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
From:6&D PLUMBING 7634974263 11/19/2013 16:57 #076 P.005/007
OR ITY USE OnLY ' '
' City of Orono �I -�-) �
�ON P.O.9o:c 66 Dete Rece � � Permit# �a��' ��� j
� 2750 Kelley Parka�ay
Gystat Bay.MN 55323 A�nxo�•e�i By. Amount S: � •�%
(952)30.9-4600-Mnin
� �- (952)249-4616 Fax
yF �` CITY OF ORONO-PLUMBING PERMIT
��k�sHn�`� (All Comiuercial Perniits Must be Appib��ed by the State Prior to City Approval) �
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1. You may apply for plumbing pennits by mail or in person at the City offices. AppGcations will be
reviewed and a pennit urill be issued�*ithin two v�=orking days,
2. Pernut cards Wrill be setrt by retuni inail e8er a re��iew is completed. PERMITS ARE NOT
VALID UNTII.,YOU RECEIVE A P�RMIT. WORK ML;ST 1��OT BEGIN Ul�'TII,THE
PERMIT CARD I5 POSTED ON THE JOB SITE.
3. Pluu�biug pertnits m�y be issued ONLY to licensed plwnUing contractors and to propetty owners
residiug in the dwrelling.
4. When any new constniction or remodeling is involt-ed,a separate build'u�g pennit must be �
obtained.
S_ All work mtut be done in accocdance witl�State Code requirements. j
6. All work�nust be inspected and au tested before it i�covered. Call(952)249-4600.
(24-48 hour notice required)
� TY!'E OF PERMIT ��
��..._. N (Check A11 T'�at App1Y)
�Resideutial ❑Convnercial(Approval Required) ;
/ �
❑Nev✓ []Additiorial ❑Repaus Replace i
��1'�mG C�
❑ In Accessoiy Structure? '
*You n•ill need a�ior auarovAt and may need CtJP.(Per Orono City Caie,Chapter 78,Axticle N) �
Job Site/Uwner Infonnation: � �
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site aadress: 2-`1,�� I�it7w 51 IUI� M,�'t�1 v-Q�
Owuer: l� ����� � Mailing Adci�.�ess: " ••
�?�v� ��
City_ �1''�(�Y,C� Zip:
Honze Phone: �c� (ra -��t)C� -��C��j Alternate Plione: �
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Conh-actor infoimation:'
Conhactor: B&D Plumbing,Heating&A/C rsou:
4145 MacKenzie Coiut NE
Address: ��Mu�el,MN 55376 #: '
Phone:763-497-229p '
City: �_r. , Date:
Phone: Alteruate Pl�one:
❑ Insurauce-Current: '
1
From:B&D PLUMBING 7634974263 11l19l2013 16:58 #076 P.006/007
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FIXTCJRE BSMT 1 2 OT�iER FIXT[JRE BSMT 1 2 OTHER �
TYPE FL FL TYPE FL FL
Water Closet ,� ^ Floor Drains 1
0� ;
Lavatory ^ 7j Sewer Ejector i
d '
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Bathtub Laandry Tray '
Shower ' Washa
Kifchen Smk � Water Heata �
n,��t � w��so�«,�r
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Dishwesher i Wct Bar �
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Silloocks Miscellaneous
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❑ Yes,this secti�applies
The replecement of only one Rasidontial fixhne or qpniiaace that meds all three of the following
requiretnents:
1. s n t require modification to electrica2 or gsa s�vice.
2. Has a total coat of$500.00 or less;�ccludina the cost of the fixhue or appliance:and
3. Is improvod,installed or r�laced by the homeowner or licensed plumbing contractor.
Skip next section,if this applies; Coat of Permit $ 15.00
s�n s�c $ s.00
Mail-In Fee(If Applicable) � 2.00
Totni Permlt Fee S
I
(Permit Fees Continued On Nert Page)
2
From:B&D PLUMBING 7634974263 11/19/2013 16:58 #076 P.007/007
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If above does not apply;fnllow gicideliaes balow: '
1. CONTRACT PItICE �`is 1.25%of contract price with a(Minimnm Fee olS50.00) �
� �.����1 x.0125$ ���.� ':
(��P�) (�i�am SS0.00) i
2. STATE SURCHARGE ������ ` �.
x.0005 � t� �.,�
(came�act rnce)
3. POSTAGIE&HANDLING(Only on Mail-In Applications) $. 2.00
4. TOTAI.PERMiT FEE(Add Litt�I-3 Above) � t Q,� M l.)� �
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■ * CONTRACT PRICE or JOB COST nteana the actuai or eatimated dolLir amolmd charged for the
petmittad work ip+chiding u►aterials,labor,profit,and other fixed costs_ It is the amowtt to be cherged
to the custom�for tb,e w9ork done. If auy mataial,ecluipment,labor or installations are fucnishod by
the ovv►ur,tenant or any other pacty,the reasoaeble merket value of such items uwst be addod to the ;
�timated cost or contract price for permit fce purposaa. In the evart ti�at there ia a diepute on the
amount of the job cost,the Ciiy may reqt�est the submiaeion of a siRned copy of the�ctusl contcact,
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The undenigned hereby applies to the City for issuancc of a Plumbing Peimit, agrces to do all '
work in sttict accordanc:e with the ord�auccs of the Ciry a�i the regulations nf thc Statc of ;
Minnesota, and certifies that all statements made on this applicaiian are complete, tYue and �
correct.
ApplicanYs Signahue: D�;11�!/ ,.(�:�.`--�—
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