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Home My WebLink About2015-0061 - plumbing CITY OF ORONO * Z 0 1 5 - 0 0 6 1 0 * . 2750 KELLEY PARKWAY DATE ISSUED: OS/15/2015 , ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 888 DAKOTA AVE PIN : 26-118-23-33-0021 LEGAL DESC : JOHNSTONS RGT ALBEES LONG LAKE : LOT 006 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CO1vSTRUCTTON TYPE : WATER SOFTNER VALUATION OF PLUMBING 2300 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.15 CITY VIEW PLUMBING&HEATING TOTAL 51.15 1880 WAYZATA BLVD W Payment(s) P.O. BOX 150 CHECK 35341 51.15 LONG LAKE, MN 55356 (952)473-8793 Minnesota State License#: plbg-MB005208 OWNER CALDERON,BAYRON 888 DAKOTA AVE LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according[o the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all requiced inspections are requested in conformance with the State Building Code.This permit may be rev t any time for due cause. , � �� 'J �..� � � � �l'Y`��C�1 � / � �J� �S Applicant Permitee Signature at Issued By Signatare Date FOR CI"I'Y USE ONLY � ��' City of Orono �• �� P.O.[�ox 6G Date Received: �� iSPermit# 2�U�S�� 2750 Kelley Parkway �� Crystal Bay,MN 55323 Approved Dy: _�_� Amount$: � � • (952)249-4600—Main � -� (952)249-4616—Fax ��' �` CITY OF ORONO-PLUMBING PERMIT ��K�st�� (All Commercial Permits Must be Approved by the State Prior to City Approval) I�tt ://ww��•.clli.ion.�ov/CCLD/PUF/�e �lun�ib�I.�ru•eva >>. �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 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 A 1 �Residential ❑Commercial(Approval Required) ❑ New ❑ Additional �epairs Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner [nformation: Site Address: �� -��/ Owner:�,l��°�� -I ��L�� Mai I ing Address: I�� U6�` F'�� i �'�� c�ty: �t,+��~�-�kiti. zip. ��,�3� � Home Phone: Alternate Phone: Contractor Information: Contractor:� ��f �l < <�ti� Contact Person: ��I � I' `� �� Address: ��/� � �`'S� �'`��State Bond #: � � ( � � � -, , � City: �U �,� �� Zip��J Expiration Date: �� Phone: - '�J�� Alternate Phone: ❑ Insurance-Current: � C�t� 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE f3SNiT 1ST 2ND OTHER FIXTURE BSMT 1ST 2VD 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 Sottener ��(� �/ ` 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. Is improved, installed or replaced by the homeowner or licensed plumbing contractor. Skip next section, ifi this applies; Cost of Permit $ I5.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 3 � X .o��s $ ( ntract price) (minimum$SOAO) 2. STATESURCHARGE x.0005 $ (contract price) 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 or contract price for pennit fee purposes. ln 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. Applicant's Signature: Date: �� DATE TIME � CITY OF ORONO ALLED IN � INSPECTION N�TICE SCHEDULED � ZU S �� Z�� PERMIT NO. =�`��S��C��C'�L� COMPLEfED ADDRESS�� Q /� �''7� ' ' "� // OWNER TELE ONE NO��7 73�� CONTRACTOR � `�� DESCRIPTION � ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FFAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ PTIC tNSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � a �vR�c� ��{rt e--- /K s�tA' _ � J O �" Lt�� t�f �/O o ce c � � � O � W � `,J��K C�..,c��`t Q z ` � ��.�,,r. .C <.�cl� W 2 j d W ❑WORK SATISFACTORY:PROCEED �PRGIECT COMPLEf E � ❑ CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORAFiY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR W{LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlConVactor on site: � Inspector. �-' White Copyllnspector's Flle Canary CopylSite Notice