The URL can be used to link to this page

Home My WebLink About2011-00226 - plumbing CITY OF ORONO PERMIT NO.: 2011-00226 , 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUED: 04/19/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1695 FOX ST PIN : 03-117-23-44-0003 LECAL DESC : HANSER ADDN : LOT 001 BLOCI< 001 PERMIT TYPE : PLUMBING (<$500) PROPERTY TYPE : RESIDENTIAL � CONSTRUCTION TYPE : WATER HEATER � � f b k f � � APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CHAMPION PLUMBING LLC STATE SURCHARGE PLBG(<$500) 5.00 3670 DODD ROAD - SUITE 100 EAGAN, MN 55123- MAIL-IN FEE 2.00 O MISC FEE 0.00 Minnesota State License#: 61770PM TOTAL 22.00 � OWNER CATHCART, MR. & MRS. RICHARD 1695 FOX ST WAYZATA, MN �5391- � AGREEMENT AND SWORN STATEMENT �. � '1'hc work for which this permit is issucd shall bc performcd according to ' the approvcd plans and spccitications,applicablc City approvals,and lhc '[ Statc l3uilding Codc. I�his permit is for only dic work dcscribcd and docs f not grant permission for additional or rclatcd work which rcquires scparatc permits. All provisions of la�cs and ordinances governing this type of work shall be compied�vith��hether or not specitied herein.This permil will expire and become null and void if construction authorized is not commenced within l80 day�s of the date oC issuance,or if construction is suspended for a period of 180 days at any time after wark has commenced. The applicant is responsible for assuring all required inspections are requested in confonnance��ith the State Building Code.This permit may be revoked at any time for duetause. ��'L'I.�L� � l l l l � Applicant Permitee Signature Date Issued By Sign �re Date SEPARATE PERMITS REQUIRED FOR WORK OTHER TH N DESCRIBED A E. r � � FOR CITY USE ONLY � a��,O City of Orono P_O F3os 66 Date Received: Permit# 27�0 Kelley Parkwac -� :'' p� � Crvstal[3a��.MN 55323 Approved By: Amount$: 3� '_�';' ` � - �.�o (952)2d9-4600—Main �°x�a�" �� (9�'_)2-39--1616—I�a� CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) :Fa�=s� '�s�s��i�.clli.m►�.�ttrr,`C:C�L,1?/I'tiF�!'�s �I€��l��ta��°ca:t a �.�c�E` GENERAL INFORMATION l. 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 workinb 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 PER.�11T CARD IS POSTED ON THE JOB SITE. 3. Plwnbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the d�melling. 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 inust be inspected and air tested before it is covered. Call(952)249-4600. (2�1-48 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 Cl_�P.(Per Orono City Code,Chapter 78,Article IV) Job Site/O�vner Information: Site Address: � ' � Owner: ��,� �C�.�(`G,�(i' Mailing Address: City: �� Zip: � Home Phone: �J� l�JC�"�lJ Alternate Phone: Contractor Information: Contractor: Champion Plumbing Contact Person: S # - Address: 651-365-1340 State Bond#: Eagan, M N 55123 City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 1ba 3� � �� PLUMBING FIXTURES BETNG INSTALLED` " FIXTURE BSMT 1 2�D 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 Heaier Disposal Water Softener Dish�vasher Wet Bar Sillcocks Miscellaneous PE�RMIT FEE CALCULAT[ON(S) �� BASED OFF - 2002 STATE STA�`UE ❑ Yes.this section applies The replacement of only one Residential fixture or appliance that meets all three of the following requirements: L 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,if this applies; Cost of Permit $ 15.00 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 -JQBS OVER $500.00 If above does not apply;follow guidelines below: 1. COIVTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125 $ (contract price) (minimum 550.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of 55.00) x .0005 $ (contract price) (minimum$ �.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. "I'OT.AL PERMIT FEE(Add Lines 1-3 Above) � ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernlitted work including materials, labor, profit,and other fixed costs. It is the amount to be charged to the customer for the work done. [f 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. ■ *�` The ST.aTE S�RCHARGE 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 Department at(952)249-4600 for the price. PLUMBING PERMIT APPLICAT[ON AGREEM�NT 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, ancl certifies that all statements inade on this application are complete, true and correct. Applicant�s Sig��ature: Date: � � �� Reset Form 3