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: