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Home My WebLink About2014-00164 - mechanical � � CITY OF ORONO * 2 PJ 1 4 — 0 0 1 6 4 * 2750 KELLEY PARKWAY DATE ISSUED: 02/2U2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3884 CHERRY AVE PIN : 08-117-23-33-0084 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 003 PERMIT TYPE : MECHANICAL(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATER SOFTGNER APPLICANT MECHANICAL(<$500) 15.00 STATE SURCHARGE MECH(<$500) 5.00 CHAMPION PLUMBING LLC MAIL-IN FEE 2.00 3670 DODD ROAD- SUITE ]00 EAGAN, MN 55123- TOTAL 22.00 �� Payment(s) CHECK 28537 22.00 OWNER ENGLUND, DOUGLAS 3884 CHERRY AVE P.O. BOX 285 MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT Tiie work for which[his permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires scparate permits. nll provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any[ime after work has commenced. The applicant is responsible tbr assuring all required inspections are requested in conformance with the State Building Code.This permit may bc revoked at any time for due cause. .�i . � � '� Z � � � / Ap licant Permitee Sigrraluce.- Date `�'fssue y Signature Date . � � •� FOR CITY USE ONLY � � City of Orono P.O.Box 66 Date Received: Permit# Q �,� 2750 Kelley Parkway l Crystal Bay,MN 55323 Approved By: Amount$: ' � (9>2)249-4600—Main � ' � (952)249-4616—Fax �F �� CITY OF ORONO—PLUMBING PERMIT ��kFs H°�� (All Commercial Permits Must be Approved by the State Prior to City Approval) httt�://s��w.dli.mn.Qov/CCLD/PDF/�e �lumh�lanrcvao�.ndf 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 rivo workinQ days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UI�'TIL YOU RECENE 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 remodelin�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 �------- — iCheck Ali That APPIY) _--- ----_.----- --� �]Residential ❑ Commerciai(Approval Required) ❑New ❑ Additional ❑Repairs �Replace ❑ In Accessory Structure? *You will need arior anaroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: ��k�� vV �1��U �' 1v� Owner: � ^1�� r Mailing Address: i��,� U -' C . City: �.�(,U'��,, Zip: � --�� , �(�� Home Phone: ��/� ��1 Il� Alternate Phone: , Contractor Information: Contractor: �� "�1�:�,�1!^�C��+f�� {^;�,��ip� Contact Person: 71�� , — J Address: ��:% �� zi�'C�; � State Bond#: City: ��«-i��-� Zip:��-'lZ�'Expiration Date: , Phone: �!�-��I�� % Alternate Phone: ❑ Insurance—Current: . 1 �7T 1-�' . � � • PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT ZND 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 only one Residential fixture or a�pliance 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;excludinQ 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 $ 2Z- l� (Permit Fees Contioued On Next Page) 2 ` PERMIT FEE CALCULATION(S -JOBS OVER$500.00 If above does not apply;follow guidelines below: l. CONTRACT PWCE * is 1.25%of contract price with a(Minimum Fee of��0.00) xA125 $ (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-�Above) $ ■ * CONTRACT PRICE ar 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 APPLICATION AGREEMENT 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. � � Date: �� J� Applicant's Si;nature: � � �6 � J