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Home My WebLink About2010-00760 - plumbing • CITY OF ORONO PERMIT NO.: 2010-00760 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 08/24/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2400 FOX ST PIN : 04-117-23-41-0011 LEGAL DESC : MAJESTIC SPRUCE ADDITION : LOT 1 BLOCK 1 PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1 WATER SOF"tNF,R 5 II20N FIL"1'I;RS l REVERSE OSMOS[S VALUATION OF PLUMBING 21000 APPL[CANT PLUMBING FIXTURE FEE 262.50 CLEARWATER SYSTEMS, INC. STATE SURCHARGE PLBG (VALUATION) 10.50 1519 148TH AVE NW ANDOVER, MN 55304 TOTAL 273.00 (763)434-0445 Minnesota State License#: 61240 OWNER LINDBLOOM, JULIE 2690 RAINEY RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which[his permi[is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. '�his permit is for only the�vork described and docs not grant permission for additional or related work which requires separate permits. All provisions of la�tis and ordinances governing this type of work shall be compied with whether or not speciticd herein."I�his permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended tor a period of 180 days at any time atter work has commenced. The applicant is sponsible fqr assuring all required inspections are request i�nformance w h the State Building Code.This permit may be revo� 't y ti "for 't�cause. r , / L f� / (.�� i C5-iYK-�-,�� l l ican � ee Sig ure ate Issue y nature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER HAN DESCRIBED AB . � - . FOR CITY USE ONLY � O,¢p�O City of Orono P.O.Box 66 Date Received: Permit# "r� 2750 Kelley Parkway po a ? '`' Crystal Bay,MN 55323 A roved B Amount$:�73 y� � ; ,1" �' PP Y� � ��o` (952)249-4600 � �gseso$ CITY OF ORONO— PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORIVIATION 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 working days. 2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MLTST NOT BEGII�T 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 pernut 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 ly) �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: ;� ��'�� -G�x -� f / �f Owne : .//,l�.�-�S � ��, F ; Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractar Information: . j Contractor��/-�/'��= `;f:;��_ _,a �, ' ��`, �.��ontact Person: � ��'7 �1.�� ' �f ti Address:��J' � .� —��,�t/��.� State Bond#: �ri �C l'�'�{�� City: ��`�jt�/�"�;�.�r,� Zip'r'�3c�y Expiration Date: Phone: �%/7 -�1�— �%�; Alternate Phone: ❑ Insurance—Current: 1 . ^ .,.� . �,;" BTNG ., ��'�aRES BEING INSTALLED '' '�"�� F` �. . .� m <_ �, -�- FIXTURE BSMT 1 2 OTHER FI�TliRE 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 _1 f`y,• ' �z �_. O�—� L/ � � PERMIT FEE CALCULATIQN(S} ` , '�-" `.' BASED OFF — 2002 STATE STATUE �� ❑ Yes,this section applies The replacement of a 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; 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 Pernut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 w _ � ��•A=1e � G�LATION(S)—70BS 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$50.00) �j C��c-? �-� x A125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�5.00) x.0005 $ (contract pnce) (minimum� 5.00) 3. POSTAGE&HANDLING(Only on Maii-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 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, labar 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 pernut 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 Department at(952)249-4600 for the price. ut. . ,� . „. „.., ,�:: �� " � � � ' � �. � �, ��A�REE �.�, . .. ,. �� ,.��.� 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 s ents a on this application are complete, true and correct. r Applicant's Signature: Date��/�C� 3