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Home My WebLink About2010-00530 - plumbing CITY OF ORONO PERMIT NO.: 2010-00530 2750 KELLEY PARKWAY '' + ORONO, MN 55356- DA'rE ISSUEn: 06/28/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3105 CASCO POINT RD PIN : 20-117-23-34-0006 LEGAL DESC : REG. LAND SURVEY NO. 1311 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATER SOFTNER VALUATION OF PLUMBING 0 APPLICANT PLUMBING FIXTURE FEE 50.00 CLEARWATER SYSTEMS, INC. STATE SURCHARGE PLBG(VALUATION) 0.50 1519 148TH AVE NW ANDOVER, MN 55304 MAIL-[N FEE 2.00 (763)434-0445 MISC FEE 0.00 Minnesota State License#: 61240 TOTAL 52.50 OWNER RICHEY, KENT& SUE 3105 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permi[will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construc[ion is suspended f r a period of 180 days a[any time after work has commenced. The appli nt is res sib for assuring all required inspections are req t in conf manc h the State Buiiding Code.This permit may be r e an ime fo u cause. / / ,�� / / c t Pet ' e Signature Date Issued By i nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. .r► , FOR CITY DSE ONLY ,�� City of Orono � � P.O.Box 66 Date Received: Permit# ��"; � 2750 Kelley Parkway �a� ��'�`� � C stal Ba MN 55323 A roved B Amount$: >f,� �, , �' Y, PP Y� �'�?�'' `'�.o� (952)249-4600 ��08�' CITY OF ORONO— PLUMBING PERMIT (All 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. Applicarions will be reviewed and a pernut 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) ❑ 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: c�_ o- Site Addre s: �/<' J ��r� ,o� Own r:� �- �% «�� Mailin Address: g City: Zip: Home Phone: Alternate Phone: Contractor Information: Contracto • �L /Ii�'K7'L�� , /� Contact Person: ��"— '� j/�'1 � Address:��%' �==�r./U!'�-� State Bond#: City: �9�nQ'�Gl f;�2- Zip�,�Expiration Date: �� Phone: ��2 —ZZ��/� Alternate Phone: ❑ Insurance—Current: 1 ?� �` a ' PLUMBING FIXTURES BE1NG 1NSTALLED FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer 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 modificarion to electncal or gas service. 2. Has a total cost of$500.00 or less; excludine the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � ' PERMIT FEE CALCULAT�O � '=70BS 0��`t��.��70 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) l�� f--_ x .0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x .0005 $ (contract price) (minimum$ .50) 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 ar contract price for permit fee pulposes. 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 �reater. For valuations over$1,000,000 call the Building Department at(952) 249-4600 for the price. PLUMBING PERMIT APPLICATION AGREEMENT � .�� The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accardance with the ordinances of the Ciry and the regulations of the State of Minnesota, and certifies that 1 tements made on this application are complete, true and '� correct. Applicant's Signature: Date:� % �� 3