HomeMy WebLinkAbout2014-01364 - plumbing .. , CITY OF ORONO * 2 0 1 4 - 0 1 3 6 4 *
2750 KELLEY PARKWAY DATE ISSUED: 1 U24/2014
ORONO, MN 55356-
(952 249-4600 FAX: (952) 249-4616
ADDRESS : 507 PARK LA
PIN : 06-117-23-41-0093
LEGAL DESC : MINNETONKA SUMMIT PARK
: LOT 000 BLOCK 006
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: WATER HEATER AND WATER SOFTENER
VALUATION OF PLUMBING 1900
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 0.95
EASCO PLUMBING&HEATING INC. MAIL-IN FEE 2.00
7965 PIONEER TR
LORETTO, MN 55357 TOTAL 52.95
(612)369-5486 Payment(s)
CREDIT CARD 0151 52.95
OWNER
SMITH,MR.&MRS.
507 PARK LA
LONG LAKE,MN 55356-
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 separate
pertnits. 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 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.
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Applicant Permitee Signature Dat Issued Signature Date
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City of Orono "
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c� CYTY'OF ORON'O—PI,UMBYNG�PERMYT
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(All Commercial permits Muist be Appmved by the State Priar to City Approval)
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RMATIO�T'`: ; : .: . '
1. Yqu rnay apply for plumbing permits by mail or in person at the City offices. Applicstions wilt be
reviewed and a permit will be Sssued within two worlcing days.
2. Permit cards will be sent by return mail after a review is completed. pE12MTTS A�N'OT
VA,LID UNT'TY,YOU REC�T'V�A PERMXT. WO12Y�MUST NOT B�GrN i7NTIL TY�
PERMTT CARD IS POST�b ON TH�JO�SYTE "�
3. plumbing permits may be issued ONL'Y'to licensed plumbing contractors and to property ownets
residing in the dwelling.
4, When any new construcCion or remodeling is involved,a separate building permiC must be
obtained_
5. All vvork must be done in accordance with State Code requ�rements.
6_ All work must be inspected and air tesFed before it is covered. Calt(952)249-4b00.
(24-48 hour notice required)
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�ltesidential ❑Commercial(Appro�+al ltequired)
❑Nevv �Additional ❑Repairs ❑�teplace
❑ In Accessory StruCture?
'You wiil need nrior apnroval aad may need CUP.(Per Orono Citp Code,Chapter 78,Article I�
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Site Address: �Q� �a,r��-- ���
Owner�r��I� ���('�1��`t"Y�,railing Address:
City: ���(� Zip: ����0
Home Phone:"!� �'t��' ( �cl� Alternate Phone:
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Address: 1 ��.1� State Bond#: �Q��"�� aJ�P
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[] Ynsurance—Cucrent: �
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FIXTU� BSMT 1 2 O'TH�R FIXT�It$ BSMT 1 2 p'�g
TYP� ��, FL TYPB FL FL
Water Closet F1oor p[aSns
z.avatory Sewer Ljector
$sthtub Y,sundry hay
5hower Washer
Kitchen Sink 'Water Heater �
�15�� Watcr Softener �
Dishwasher Wet Bar
Sillcocks riliscellaneous
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❑ Yss,this secdon applies
The replacement of only one Residential re or a liarsce that meets all thr�e of the foYlov�r�g
requirements:
1. T)oes not require mod'�'ication to electrical or gas servrce.
2. �Tas a toCal cost of$50(?.00 0�iess;excludine the cost of the fi�rture or appliance:and
3. Ts unproved,installed or replaced by the homepWner or licensed plumbing Contractor.
Slrip next section,if this applies; Cost of I'ermit $ 15_00
State Surcharge $ 5.00
Mail-Tn�'ee(If Applicable) $ 2.00
Tota)permit Fee $
(Permit Fees Continued On Ne�Page)
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Tf above does not apply;follow guidelines below;
1. C R�,CT P�tTCE •is 1.259'0 of contracC pdce vvith a(Minimum Fee of$50.00)
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� �� / �� `� x,0125$
` f��� (Contract price) (mib�mum 550.00)
v��
�� Z. STATE SURCHAR�E
x.0005 $
(COntract price�
3_ POSTACrE�HANDLING(QnIy on Msil-In ApplicationS) $ 2.0p
4. TOTAY,PERMTY'FEE(A�d T,ines 1-3 Above) �
� ' COIVTRACT pRICE or 70� COST means the actual or estimated dollar amount charged for the
permitted work including materials,labor,pro#it,and other�ed costs. Tt is the amount to be charged
to the customer for the work done. Ii'any material,eqvipment,labor or installations are furnished by �
the owner,tenant or any other parry,the reasonable market�vaiue of such items must be added to the
estimated cost or contract pric.e for perm"rt fee purposes. In the event that Ehere is a dispute on the
amount of the job cost, the City may request the submission of a sigued copy of the actual eontract.
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The undersigned hereby appIies to the City for issuance of a Plumbing Permit, agrees to do all
wo�k in strict accordance with the ordinances of the City and the reguIations of the State of
Minnesota, and certifies [hat all stateznents rnade an this application are complete, true and
correct.
Applicant's Signature. Date: f r���' � �