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Home My WebLink About2015-00027 - plumbing ' CITYOFORO O * z015 - 00027 * � 2750 KELLEY PA WAY pATE [SSOE�: OU12/2015 ORONO, MN 553 6- 952 249-4600 FAX: 95 249-4616 ADDRESS : 75 BAYSIDE TR PIN : 06-117-23-22-0030 LEGAL DESC : BAYSIDE MEADOWS : LOT 5 BLOCK 1 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: 1 IRON FILTER VALUATION OF PLUMBING 1900 APPLICANT PLUMBIN FIXTURE FEE 50.00 STATE SU CHARGE PLBG(VALUATION) 130 BERGERSON-CASWELL INC. 5115 INDUSTRIAL ST. TOTAL 51.30 MAPLE PLAIN, MN 55359 Payment(s) (763)479-3121 CHECK 41301 51.30 OWNER Gonyea Homes 6102 GOLDEN VALLEY ROAD GOLDEN VALLEY, MN 55427- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due u . J(f) t .�'�, l�__ l�� L.L �`� �L �.��r \ � � � �� Applicant Permitee Signature Date [ssued By ignature Date � FOR CITY USE ONLY �"�ti City of Orono /�4 �� P.O.Box 66 Date Received: Permit# '` '�;,_. ��) 2750 Kelley Parkway � �� .��'�y " � Crystal Bay,MN 55323 Approved By: Amount$: \`�srso!,�/ (952)249-4606=Main �__ � CITY OF ORONO — LUMBING PERMIT (All Commercial Permits Must be Approved by he State Prior to City Approval) htt ://www.dli.mn. ov/CCLD/PDF/ e lumb lanre�a . df GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in pe son at the City offices. Applications will be reviewed and a permit will be issued within two work ng days. 2. Permit cards will be sent by return mail after a review is completed. PERM[TS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WOR MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE 3. Plumbing permits may be issued ONLY to licensed p mbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involve ,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 overed. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERM T Check All That A 1 �■ Residential ❑Commercial (Approval Required) ❑� New ❑Additional ❑ Rep irs ❑ Replace ❑ [n Accessory Structure? *You will need arior approval and may need CUP.(Pe Orono City Code,Chapter 78, Article[V) Job Site/Owner Information: site address: 75 Bayside Trail, Orono, MN Gonyea Homes 6102 Olson Memorial Hwy Owner: Mailin Address: Golden Valley 55422 City: Zip: Home Phone: �612� 741-9O6J Alterna e Phone: Contractor Information: Bergerson-Caswell, �nc. Mark Klein Contractor: Contac Person: Address: 5115 Industrial Street State B nd #: Maple Plain 55359 City: Zip: Expirat on Date: Phone: (763) 479-3121 qltern e Phone: (612) 685-2528 ❑ [nsuran e—Current: 1 � PLUMBING FIXTURES BEIN INSTALLED FIXTURE BSMT l� � 2�D OTHER FIXTU E BSMT l�� 2'�' OI�fIER TYPE FL FL TYPE FL FL Water Closet Floor D ains Lavatory Sewer 'ector Bathtub Laund Tray Shower Washer Kitchen Sink Water eater Disposal Water ftener Dishwasher Wet Ba _ Silicocks Miscell neous 1-Iron filter PERMIT FEE CALCUL TION(S) BASED OFF -2002 STA STATUE ❑ Yes,this section applies � The replacement of only one Residential fixture or appliance t at meets all three of the following requirements: 1. Does not require modification to electrical or gas ervice. 2. Has a total cost of$500.00 or less;excludin�the ost of the fixture or appliance:and 3. [s improved, installed or replaced by the homeow er or licensed plumbing contractor. Skip next section, if this applies; Cost of rmit $ 15.00 State Sur harge $ 5.00 Mail-In ee(If Applicable) $ 2.00 Total Pe mit Fee � (Permit Fees Continued On Next Page) 2 PERMIT FEE CALCULATION(S)— OBS OVER $500.00 lf above does not apply; follow guidelines below: 1. CONTRACT PRICE * is I.25%of contract pri e with a(Minimum Fee of$50.00) 1 ,900.00 X .o�2s $ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE .� ,900.00 .� .30 x.0005 $ (contract price 3. POSTAGE& HANDLING(Only on Mail-In Appl cations) $ 2.00 4. TOTAL PERMIT FEE(Add Lines I-3 Above) $51 .30 ■ * CONTRACT PRICE or JOB COST means the actual r estimated dollar amount charged for the permitted work including materials, labor, profit, and othe fixed costs. It is the amount to be charged to the customer for the work done. If any material, equi ent, labor or installations are furnished by the owner, tenant or any other party, the reasonable mark t 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 submis ion of a signed copy of the actual contract. PLUMBING PERMIT APPLI � AT ON AGREEMENT The undersigned hereby applies to the City for issuanc of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of the ity and the regulations of the State of Minnesota, and certifies that all statements made on his application are complete, true and correct. rt — Applicant's Signature: Date: O�/OJ/�5 Reset Form i 3 a► nMe v � CITY OF OROHO c�►u.En iN N�SPBCTIOH N� C� ecH�u�Eo � PER�T NO. ' ��' c:o��o � ! �ppp�gg ?.3 �c-,s;��e T rQ:G O�MNER TELEPHONE NO. COWTRAC'TOR � �4�•�-t Ca��K � � pEgCp�pTipp� f-ra.1 �l6os r «s�a K W O FOOTINt3 � DEMO-FINAL ❑SEPTIC FINAL e 0 POURED WALL O �-UMBIN(3 RI ❑ EXCAVKiRADIN(31FILLINti �Q O FOUNDATION WATERPROOF ❑PLUMBIN(i FINAL ❑TREE REMOVAL Z � RADON SLAB 0 MECHAN�AL RI ❑SITE INSPECTION � �FRAMIN(i ❑MECHANICAL FINAL O RATED WALLS � ❑ INSULATION ❑WOOD BURNERIFlREPLACE 0 COMPLAINT � O FINAL 0 WATER HOOK-UP �LLOW-UP W ❑AS BUILT-SURVEY �SEWER MOOK-UP O ��DATIONlREMOVAL _ v ❑DEMO-SITE �SEPTIC INSTALL � 7�0I�ET YOIk_Y6s_N� � COMMEN79� � j Permit has expired per MN Building Code Sec. 1300.120 subp. 11 � Expiration, no record of a Final inspection. � � � � W W � 3 W o wontc s�n�►cTORv:�oc�m o�wEcr cowi� � o oo�crwonca�oc�o o issuEc�rn�►�oFoax�w►rx.w 0 O CO�CT WOf�(.CALL FOR iiEINSPECTION � TQAPORARY V �� P�MIANBdT ❑OOf�ECTUNBAFEt�OND11710NWITHIN HOl1RS. ❑PMOTOTAKEN MISPECTOR VNLL RE�LIf W O STOP ONOEIi POSTm G1LL MISPECiOR ❑qTAT10N ISStlED O MiSP6CT10N REOtlIRED.CALL TO AFIRAN(3E ACCE88. c,M��n.�.oa ra�uo�u no�ti aa�. (gs2� 249-4600 on silx ��; � � w�- `6�F— -- Mn�n.00vr�v.ears�n. c�.n►cea�a�.Noaa