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Home My WebLink About2014-00521 - plumbing � CITY OF ORONO * Z 0 1 4 - 0 0 5 2 1 * � � 2750 KELLEY PARKWAY DATE ISSUED: OS/28/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1700 FOX ST PIN : 03-117-23-41-0007 LEGAL DESC : UNPLATTED 03 117 23 : LOT MB BLOCK MB PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: IRON FIL'TER VALUATION OF PLUMBING 2100 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) ].OS CLEARWATER SYSTEMS, INC. TOTAL 51.05 1519 148TH AVE NW Payment(s) ANDOVER, MN 55304 CHECK 34121 51.05 (763)434-0445 Minnesota State License#: plb�61240 OWNER Craigbank Associates 15407 MCGINTY RD W WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMEIYT The work for which this permit is issucd shall be performed according to the approved plans and specif cations,applicable City approvals.and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in con ance wi e tate Buiiding Code.This permit may be revoked t a time for cau ,i� %' %�� / / ic t Perm tee ' 'ature ate Issued By i nature Date � r FOR CITY USE ONLY City of Orono f �-��O P.O.Box 66 Date Received: Permit# 2750 Kelley Pazkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main y � (952)249-4616—Fax �' �` CITY OF ORONO-PLUMBING PERMIT ��k�sHo��' (All Commercial Permits Must be Approved by the State Prior to Ciry Approval) htt :1/N��H�.dli.m��. ov/CCLD/PDF/�e .lumb�lanreva� . dl' 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 Apply) �Residential ❑ Commercial (Approval Required) �New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site/ Owner Information: Site Address: � �� Owner: Mailing Address: City:�C�-t� �� Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: o�w��/L-- � S`�Contact Person: �� +�'� � Address: 1�� f� �� , N c� State Bond#: City: P��clr�z Zip: S��Expiration Date: Phone: 7�03 �'t�7'-D��S^ Alternate Phone: ❑ Insurance - Current: 1 � � , + PLUMBING FIXTURES BEING 1NSTALLED 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 r � � � - , 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 foliowing 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, 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 j 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) �� x .0125 $ (contract price) (minimum$50.00) 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 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 cerCifies that all statements made on this application are complete, true and correct. .�� Applicant's Signature� '� / �� Date:�4� � `, 3 / DATE TIME % CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED �— PERMIT NO. �G%�i- C�%�l COMPLETED �"�/'/�5 ADDRESS �� ' OWNER TELEPHONE NO. CONTRACTOR ��r ✓c�/�� r�" J c,%s�E'�y./_5�L.r2": �; DESCRIPTION � � ❑ FOOTING ��LUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z Q ❑ RADON SLAB � WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL Z OWNERfCONTFiACTOR TO MEET YOU:_YES_NO � COMMENTS: ar%-��rr✓l,i /%��Pr ��,/��f% 7�- �'� �� 1'��✓ rC j r a ��1!l f�a��'C�.r�. �. o� , ., ° VVa��r �urc ��io,,., 5ys�c� - c��.s�.�fQ�qe. W � G�au��4l1 t � Q � � �o�� - j l�� t W � ✓�n/L G !✓l�lG� � � ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ IS CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractoron site: ��rl - ��'��J Inspector. ��- W ite Copyllnspector's File Canary CopylSite Notice