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Home My WebLink About2010-01090 - plumbing CITY OF ORONO PERMIT IYO.: 2010-01090 , ` 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssUE�: 1U08/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3403 EASTLAKE ST PIN : OS-117-23-14-0060 LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK : LOT 001 BLOCK 008 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: REPLACG TOILE"C VENT S CACK APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 WHITMORE, KAYLEN STATE SURCHARGE PLBG (<$500) 5.00 3403 EASTLAKE ST LONG LAKE,MN 55356- TOTAL 20.00 OWNER WHITMORE, KAYLEN 3403 EASTLAKE ST LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT Thc�vork for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separatc permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State.Building Code.This permit may be revoked at any time for du c�a c. ;' � `�% � �r / �.- � ' `'�' �'��'-� �� ppl� ant Permitee Signature ate � � �� ssue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. .� FOR�USE ONLY � ��`�"�Ej� � City of Orono � / d 1' 4 � �, P.O.Box 66 Date Received: g��uPermit# �b�D�d b� �F� � �'" 2750 Kelley Parkway � � ��'�a � rj� Crystal Bay,MN 55323 Approved By: Amount$: a'�•� � ` �r� ;fi�o�/� (952)249-4600 •�t�bti0�,t•%;.� CITY OF ORONO—PLUMBING PERMIT (All Commercial permiu 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. 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) � ��/��'��L , �I�� New ❑ Additional ❑ Repairs �,Replace �� ❑ In Accessory Structure? *You will need arior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/ Owner Information: Site Address: J�` �� `' ��f `f T Owner: �/�� '�'� ' �� 7)�Tn�Mailing Address: � `�G �' ��. �� `S �" j- � �' � City: �% �U N�J Zip. ,� 5 .� � �- Home Phone: � � -�� y ��- U f 7 Alternate Phone: � � 1� Z � �" � 2 � � Contractor Information: Contractor: Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 � R • FOR C1TY USE ONLY .• O,�p�O City of Orono — P.O.Box 66 Date Received: Permit# �;, 2750 Kelley Parkway ''- � Crystal Bay,MN 55323 Approved By: Amount$: � � — � �� %� ti ��$�o (952)249-4600 � � 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 pernuts 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. PERI�2ITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing pernuts may be issued ONLY to licensed plumbing contractors a.nd to property owners residing in the dwelling. 4. When any new construction or remodeling is involved, a separate building pemut 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 ply) ❑ Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑Replace ❑ In Accessory Structure? *You will need prior anuroval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site/ Owner Information: Site Address: Owner: Mailing Address: _ City: Zip: _ Home Phone: Alternate Phone: Contractor Information: Contractor: Contact Person: Address: State Bond #: City: Zip: Expiration Date: _ Phone: Alternate Phone: ❑ Insurance—Current: 1 � , � . , . � w ..z . , � , , . .�,� �. , , � �, �� .� � �� w � �. , �� ..,.rt- � ��. . .�. � .�. ..,...,� . � ..,�=;��T x, �r �.A��r, �� 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 � � �\, T �-�%! ��C� � � �� , ,: PERMIT FEE CALCULATION(S) ° P �` t �� BASED OFF - 2002 STATE STATUE ' [� 1'es, this section applies l � The replacement of a Residential fixture or ap liance 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; 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 Percnit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $�� L'%� (Permit Fees Continued On Next Page) 2 . � � ��r: `PERIVIIT FEEY��,.�GULATION(S)—JOBS 'O� ER �500.00 °' R '` ,: 'I � .-„ r If above does not apply; foilow guidelines belo��: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) x.0005 $ (contract price) (minimum S 5.00) 3. POSTAGE R HANDLING(Only on Mail-In Applications) $_ �,gg—� 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ ' * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted 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 ov�mer, tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract pnce 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$5.00—whichever is greater. For valuations over$1,000,000 call the Building Deparnnent at(9�2)249-4600 for the price. � `� �"� ��U�ENIENT }��; , 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. .- �,G / (� �� Applicant's Signafure�� "��'�'� G/� G �'�i�% C� Date: ��,/�/�� 3