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Home My WebLink About2014-00845 - plumbing CITY OF ORONO III I III 111 H JPJ III2750 KELLEY PARKWAY 14P 4 DATT E ISSUED:: 08/06/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3759 CASCO AVE PIN : 20-117-23-31-0010 LEGAL DESC : CASCO HEIGHTS : LOT 000 BLOCK 004 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: PLUMBING FIXTURES: (3)WATER CLOSETS,(4)LAVATORIES,(1)BATHTUB,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2) SILLCOCKS, (1)FLOOR,(1)LAUNDRY TRAY,(1)WASHER AND(1)WATER HEATER VALUATION OF PLUMBING 12000 APPLICANT PLUMBING FIXTURE FEE 150.00 BLUE WATER PLUMBING STATE SURCHARGE PLBG(VALUATION) 6.00 5026 ALPHA ROAD TOTAL 156.00 PRINCETON,MN 55371 Payment(s) (763)238-1002 CHECK 3903 1.56.00 Minnesota State License#: plbg-PC001640 OWNER TONKA DEVELOPMENT 216 WATER STREET EXCELSIOR, MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible f. assuring all required inspections are requested conformances -,ith e State Building Code.This permit may be revoked any time fe due ca.se. Ap icant Pe itee ignat ure Date ss J� By Signature Date . FOR CITY USE ONLY � City of Orono • 9.. VT O P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main (952)249-4616—Fax ti� c` CITY OF ORONO—PLUMBING PERMIT `�K@SHOg� (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.gov/CCLD/PDF/pe plmnbplanrevapp.pdf 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 property 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 Apply) Residential ❑ Commercial(Approval Required) yl New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) • Job Site/Owner Information: Site Address: Ldls. .. t—,rstdw.. i-to rn � Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: 46 1 Ut rr1e./ P1 t,w. antact Person: 13 L 0€L, Address: -SU,Q, .4lptqu Jam` State Bond#: City: r.;,Acc-Ln Zip:s 53 7( Expiration Date: Phone: 7�) ',-.35 — LQU - Alternate Phone: Insurance—Current: 1 PLUMBING FIXTUR t STALL: k , ,'".' r *, h FIXTURE BSMT is! 2ND OTHER FIXTURE BSMT lsr 2ND OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray l Shower Washer 1 Kitchen Sink / Water Heater / Disposal I( Water Softener Dishwasher / Wet Bar Sillcocks Miscellaneous ;Or H g' s {'( r -t '%�L't'��y` d`` W �'7h; s? t, ❑ Yes,this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excluding 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) 2 PERMIT FEE CALCULATION($)L JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) I pup x .0125 $ (contract price) (minimum$50.00) 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. PLUMBING PERMIT APPLICA IONAOREEMENTV ° .t iP. 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 on this application are complete, true and correct. Applicant's Signature: 'hi / Date: a-- cP l y 3