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Home My WebLink About2012-01200 - water heater CITY OF ORONO * z 0 1 2 - 0 1 z 0 0 * 2750 KELLEY PARKWAY DATE ISSUED: 1U26/2012 ORONO, MN 55356— ' (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3339 CRYSTAL BAY RD PI l� : 17-1 17-23-41-0021 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 008 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER VALUATION OF PLUMBING 1500 APPLICANT PLUMBING FIXTURE FEE 50.00 LEGACY MECH SERVICES STATE SURCHARGE PLBG (VALUATION) 0.75 9714 WOODCREST CT MONTICELLO, MN 55362- MAIL-IN FEE 2.00 (763)219-8978 MISC FEE 0.00 TOTAL 52.75 OWNER HOFER,JOHNATHAN&THERESA 3339 CRYSTAL BAY RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and thc State Building Code. This permit is 1or only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenccd within 180 days of die da[e of issuance,or if construction is suspendcd for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspec[ions are requested in conformance with the State Building Code.This permit may be revoked at any time Yor due causC ��c..Q c�v�' l l l l Applicant Permitee Signature Date [ssued L3y Sign ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. FOR CITY USE ONLY ,�` City of Orono 4�`Y '• p,p.g�,;6� Date Received: Permit# ' '��, ��'ti 2750 Kcllcy Parkway ,� n�'�:• ��) Crystal f3ay,MN 55323 Approved By: Amount$: '�"��:,,}oo�i'' (952)249-4600—Main �� (952)249-4616—Fax CITY OF ORONO — PLUMBING PERMIT (All Commercial Pertnits Must be Approved by the State Prior to City Approval) hit ►://w��.�lli.mn.�ro��/CC`LUIPDF/�c �lumb �lanrc��a >>. �df 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 VAL[D UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BECIN 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 A 1 ■❑ Residential ❑Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs ❑� Replace ❑ In Accessory Structure? *You will need prior approval and may need(�l�'P.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: s�te aaaress: 3339 Crystal Bay Rd Orono oWner:Jonathan Hofer Mailing Address: Same Orono 55391 c�ty: z�p: Home Phone: �612� J91-1 1 19 Alternate Phone: Contractor Information: Legacy Mechanical Services J a i m e Contractor: Contact Person: Address: 9714 Woodcrest Ct state Bond #: PC644975 Monticello 55362 12/31/13 City: Zip: Expiration Date: Phone: (763) 314-0877 Alternate Phone: �763) 314-0876 ❑ Insurance—Current: Y�S 1 PLUMBING FIXTURES BEING INSTALLED FIX"1'URE BSM�I� I`� 2�'D O"��HER PIXTURE BSMT l�� 2�D 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 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. ls 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 � �v�� (Permit Fees Continued On Next Page) 2 � PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 If abovc does not apply; follow guidelines belo�v: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 1 ,500.00 x .O l 25 $ 50.00 (contracl price) (minimum$50.00) 2. STATE SURCHARGE � ,rjOO.00 O.7�J x .0005 $ (contract pricc) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $52.75 ■ * CONTRACT PR[CE 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 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 accorda �th the ordinances of City and the regulations of the State of Minnesota, and cert' �es�� statements m e this plication are complete, true and correct. � Applicant's Signature. D ` 1 �— Reset Form 3