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HomeMy WebLinkAbout2008-00437 - plumbing �, CITY OF ORONO PERMIT NO.: 2008-0043� 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 12/05/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 1376 PARK DR PIN : 07-117-23-41-0096 LEGAL DESC : SAGA HILL REVISED,HENNEPIN CO : LOT 000 BLOCK 013 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATER SOFTNER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 ST.CROIX VALLEY ECOWATER STATE SURCHARGE PLBG(<$500) 0.50 573 COUNTY ROAD A SUITE 104 MAIL-IN FEE 1.50 HUDSON,WI 54016 MISC FEE 0.00 (71�386-8667 TOTAL 17.00 Minnesota State License#: 064997-WC OWNER LARSON&TERESA,DAYTON 1376 PARK DR MOLJND,MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is iss�ed 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 dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit wi(( expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if consVuction 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 caus�. �ii/iL`c^.'� C"1� l l l l Applicant Permitee Signature Date Issued By gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRI ABOVE. Jan�-2005�10:4Bam From-CITY OF ORONO +852Z484616 T-466 P �02/003 F-033 � r-. ,, CITY OF ORONO APPLICATION FOR PLYJ�L'�1G pERMIT gox 66 (2750 KeUey Parkway) Crystal Bay, MN 55323 GE��L 0���� rson at the Ci offues. 1. You may appty for plumbiug permiu by mail or in pe LY , . Z. Pe�it cards wiltp sega�c II'Y're WORK MUST NO BE iN UNTI THE PERMIT�RD IS PO TS ED ON YOU REC�� THE JOB SITE. owners residing 3. Plumbing p����y be issued ONLY co liceas�d plumbing coatrac[ors and io propercY in che dwelliag• �b�din rmit musc be obiained. 4 �en�y new conscruciion or remodeling is in�olved, a SeP ements. g� 5, All work must be done in accordance with che S�ace Code requir 6, pil work must be iaspected aad air cesud before it is covered. C�ll (952) 2a9�600. 24-houz aocice required. I���i� Complete all items on this a�TiO�t$W�L NOT E P OCESSED n Iaf youthave cercification. INCOMPLE'r'E APPLIC questions, call (952) 249-4600. New Addition Repair �Reptace Please check one: Commercial ��Residential . � � �n Zip: � � LQ JOs srt�: �.�J-1.� ` `�"'`-' Telephone Number: u � �� Ownet''s Name: City: � Zip: ^ -� Mailing Address:� �-� �ephone Num'ber:-1�5 � �� Contractor's Name City: Zip: D Nlailing Addr U� ING FIX'I'�3RE SC SSM7 IST 2ND 07HER FIX7URE BSMT 1ST 2ND OTHER FIXTURE FL FL TYpE FL FL TYPE �Ioor Draias Wacer Closet Sewer E'ector Lavato Tta Barhtub washer Showcr Waur Hea�er Kitctun Sisik Waur Softtac►er Dis sal vVet Sar Dishwasher Misc pist) Sillcocics ' � Jan�;�i-2005 �10:48am Prom-CITY OP ORONO +95Z2494616 T-d66 P D03/003 F-033 , r .. s p y� � UI,ATIO 0�0 S St tu ❑ Yes, This Section Applies The replaceinent of a Resident'a fixture or ap��e tha� meets all three of the fQllowing requirements: 1� D s n t require modification to electrical or gas service. � � 2) Has a��of�5�.�or less; excludin the cost of Lhe fixmre or appliance: and 3� Is unptoved. i�stalled or replaced by the homeowner or lice�ced contractor. Cost of Pernuc $ _ 15 00 — Skip n,exc section; g��e Surcharge $ � Mail In Fee � 1 50 If above does aot apgly, follow guidelines below: 1, Cont ct ice* is .0125 % of job with a Minim�FP" of"�-�� x .0125 S (convact price) (miairaum 535.0�) Z, State -S�u rhate�_""� Add che Stace Building Code Division a (Minimwn Fee ot$ 's�� x .0005 � (conuacs price) (minimum i .50) 3. Pos a e a d a 'n (O�Iy mail-in applications) $ 1.50 4, T��y PEg�T�E (Add lincs 1-3 above} $ _ * CON'�CT P�C£or JOB COST means�he accual or estimaud dettar unount eharged tor che permitted work including��a1s.�bOr�profit.snd oches fixed cosu. It is the amount co be charged�o�he c�stomer for the work do�. If any material,e9uipmenc,iabor,or iascailation are futnished by che owner.tes�aac or �y��r�y cbe nasonsbk markec value of such iiems u�on the am t�of the job ost Stl�e C ry maY price for permit fee P u�p O u s• N��ven<<ha.t�ere is a disp d co of rhe ac�nal conaact. request the submission of a sigae PY +• The STATE SURCHARGE is.0t�}5 of the conuxnpna�l�•s��l� for th pri�e.�ver is greater. For valuations over 51,000.00�call ihe DeP� l�es to Lhe City for issuance of a Plumbing Pernni�� a�rees to do all 'fhe undersigned lxreby app ' work iu strict aceordance wi[h the ordi'°anees °� on this ppCication aretic mPl u � �d Minnesoca, aztd Certifies that all statements ma correct. J �,������� Date: / qpplicant's SignatuTe: