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Home My WebLink About2015-00431 (Plumbing) � { CITY OF ORONO * z0 15 - 0PJ431 * 2750 KELLEY PARKWAY DATE 1SSUED: 04/15/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1448 BALDUR PARK RD PIN : 08-117-23-43-0003 LEGAL DESC : BALDUR PARK : LOT 003 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATER CLOSI';I' APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG (<$500) 5.00 ECOWATER MAIL-IN FEE 2.00 3208 FIRST STREET S WAITE PARK, MN 56387- TOTAL 22.00 (320)251-2505 Payment(s) 22.00 OWNER LAWRENCE,JAY& MARLIS 1448 BALDUR PARK RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work tor 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 no[specified herein.This permit will expire and become null and void if construction authorized is not commenced N�ithin 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 are requested in conformance with the State Buildine Code.This permit may be revoked at any time for due cause. ��-- s 1/I'.�-�-- ,� ,�..s Appli nt Permi ee Signature Date Issue Signature Date , �J u� �-L�i cv {�-c v� e-f.. r=�:.y—�r/ 5-� -3 5 c.� c� r� C�►�l � G�'�� j —I � V �(`� �� - ,/-��1�` Cify of Orono 3� �LS/� FO CI USE ONLY �� ,�04 `�'O` P.GI.Qo�66 / Date Aeceiv� � � Pcrmit N�/J � ti:.,._.. �j 2750 I�cllcy Park��a� �'j U S 4� ,1�y'�,• �'' Crystal Bay,MI�SS23 Approved By: Amount S: ��. � �'�z��'��.i}�+e,� (952)249-4G(10—Main ``�a�� f952)249-a616—f3� CITY OF ORONO—PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htt �://�v��.dii.mn.�u�/CCI.I)/PUP/�e lumb �[anrc�a i�. df GENERAL INFORMATION I. You may appl}'for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within hvo working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL 1'OU RLCEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS PQSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed piumbing contractors and to property owners residing in the dwelling. 4. When any ne�v construction or remodeling is involved,a separate building pemiit must be obtained. 5. AU 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 A I �■ Residential ❑Commercial(Approval Required) ❑ Ne�v ❑Additional ❑ Repairs � Replace � ❑ In Accessory Structurc? •You will need prior ap�roval and may need CUP.(Per Orono City Code,Chapter 78,Article IV} Job Site/Owner Information: s;te Address: 1448 Baldur Park Road Jay Lawrence 1448 Baldur Pa�lc Road Owner: Mailing Address: �;n,: Orono Z;p: 55391 Home Phone: Alternate Phone: Contractor Information: Contractor: ECOWat@r Contact Person: TOdd 3208 First 5treet South PC643402 Address: State Bond #: City: Waite Park Z�p:56387 Expiration Date: 12I31/13 Phone: (320� 251-2505 Alternate Phone: � Insuran�e—Current: YeS l i � � PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT I' 2' (?THER FIXTURE BSMT l 2 OTHER TYPE FL FL TYPE FL FL VVater Cioset 1 Floar Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dish�vasher 1��et Bar S i I Icocks M iseel laneous i � PERMIT FEE CALCULATION(S) BASED OFF-2002 STATE STATUE �j Yes,this scction applies � , The replacement of only one Residential fixture or appliance that meets all three of the following requ i rements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of�500.00 or less;excludinQ ihe 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 Perrnit $ I5.00 State Surcharge $ 5.00 Mail-In Fee{If App�icable) $ 2.00 Total Permit Fee S 20 00 i (Permii Fees Continued On Next Page) 2 PERMIT FEE CALCULATION S =JOBS OVER$500.00 If abo�e does not apply;follow guidelines belo�v: 1. CONTRACT PRICE '� is I.25%of contract price with a(Minimum Fee of 550.04) x.0125� (�ronlract price) (minimum 560.00) 2. 3TATESURCHARGE x.0005 $ (contract pricc) .i. POSTAGE& HANDLING{Only on 1�9ai1-In Applications) 5 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � * CON7'RACT 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. lf any material, equipment, labor or installations are furnished by the owner,tenant or any other party,the reasonable marl:et 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 disputc on tlie amount of the job cos�the Ciry may request the submission of a si�ned copy of the actual contract. PLUMBING PERNllT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance af 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: ,.. ��i% 's Date: O4/15/15 Reset Form , � ' � 3