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Home My WebLink About2010-00504 (plumbing-water heater) , � CITY OF ORONO PERMIT NO.: 2010-ooso4 2750 KELLEY PARKWAY ORONO, MN 55356- DATE�SSUED: 06/2U2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2440 CARMAN ST PIN : 20-117-23-12-0058 LEGAL DESC : LEHMAN LAGOON : LOT 003 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER NOTE: WATER HEATER VALUATION OF PLUMBING 1714 APPLICANT PLUMBING FIXTURE FEE 50.00 BONFE'S PLUMBING, HEATING&AIR STATE SURCHARGE PLBG(VALUATION) 0.86 505 RANDOLPH AVE ST PAUL, NIN 55109- TOTAL 50.86 (651)228-9071 Minnesota State License#: 058395 PM OWNER BURLMIGAME, PAUL&JENNY 2440 CARMAN ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with[he State Building Code.This permit may be revoked at any time Yor due ause. � �l 2/ l /v (� (o�02 l � /U App 'cant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , � RECEIVED J�� '� �(�� FO CI Y USE ONLY .;,¢��,�� City of Orono `'' �0�� p �`p� � f� Q� P.O.Box 66 Date Received: Permit# , �,,, 2750Kelle Parkwa '� y y �I�`�"1E'OE (7RON ti� ;l:�'� �;� Crystal Bay,MN 55323 Approved By: Amount$: �� \+ �,�� 6G��' (952)249-4600 �`°j�asxo�,% CITY OF ORONO—PLUMBING PERMIT (AII Commercial permits must be approved by the Building Official or Inspector) 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. �Vhen any oe;v construction or remodeling is involved,a separu'.P 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) r Residential ❑ Commercial(Approval Required) ❑New ❑ Additional ❑ Repairs Replace ❑ In Accessory Structure? *You will need prior apnroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: �l1�1,� l '��I�� Owner. �� , Mailing Address: ! I l,C � City: Zip: _ Home Phone: ^ "—�`�lternate Phone: Contractor Information: Contractor: � tact Person: Address: �State Bond #: City: � Zip: Expiration Date: Phone: � `"!V ` Alternate Phone: � Insurance—Current: l '3�� '�� PLUMBING FIXTURES BEING INSTALLED �K. FIXTURE BSMT 1 2` OTHER FIXTURE BSMT 1'T 2"� OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower W asher Kitchen Sink Water Heater ' Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) � � BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a 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;excludin�the cost of the fixture or appliance: and 3. Is improved,installed or replaced l;y the homeo�:v�:er or licensed contractor. Skip next section,if this applies; Cost of Pennit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 PERMIT FEE CALCULATION S ='.70B�C?VER$SUO.QQ 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 x.0125 $ (,� J (contract price) (minimu 0 0) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) r��"I X.000s $ i V1 � (contract price) (minimum 50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lir.es 1-3 Above) $ � �� ' ■ * CONTRACT PRICE or JOB COST means the actual or estimated dolfar 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. ■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. PLUMBING PERMIT APPLICATION AGREEI�IENT � �� The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinan s of the City and the regulations of the State of Minnesota, and certifies t t all state ents m e on this application are complete, true and correct. Applicant's Signature: Date: ��1�� Reset Form 3