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Home My WebLink About2011-01578 - plumbing CITY OF ORONO PERMIT NO.: 2011-01578 �, 2750 KELLEY PARKWAY ' ORONO, MN 55356- DATE ISSUED: 12/2U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3300 FOX ST PIN : OS-117-23-44-0003 LEGAL DESC : REG. LAND SURVEY NO. 1358 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTNER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 WATER DOCTORS STATE SURCHARGE PLBG(<$500) 5.00 8201 CENTRAL AVENUE SPRING LAKE PARK, MN 55432- TOTAL 20.00 (763)286-6243 Minnesota State License#: 082337 OWNER TRUBECK, WILLIAM &JUDITH 3300 FOX ST LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State E3uilding Code. This permit is for only the work described and does no[grant pernussion for additional or related work which rcquires separa[e perm�ts. All provisions of laws and ordinances governing this type of work shall be compied with�vhether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced wi[hin I80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time atter work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �� i i i i Applicant Permitee Signature Date Issued By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AB E. . � , FOR CITY USE ONLY . ,,¢p� City of Orono ' ,:Q � P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway � n�'x� ;'' Crystal Bay,MN 55323 Approved By: Amount$: � �•o �� (952)249-4600—Main �� (952)249-4616—Fax CITY OF ORONO— PLUMBING PERMIT R�CF�� (All Commercial Permits Must be Approved by the State Prior to City Approval) ��, �Q htt �:�;�ti��..�iii.n�n.��'C�(:�i.Oil'I)F�! �c iiusnb�lanrc�� >>. �d1' � GENERAL INFORMATION C/�,OF ��OJ� 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be �RONp 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 ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior aauroval and may need(�l�°.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: 33�� FOX StC'@@t Owner: BIII TrUI�@CIC Mailing Address: 3300 FOX Stl"22t c;ty: Orono zip: 55356 Home Phone: �952� 237-7361 Alternate Phone: Contractor Information: contra�tor: Waterdrs Contact Person: St@Ve CUC�C�III�/ Address: 8201 Old Central Ave State Bond#: Spring Lake Park City: Zip: Expiration Date: Phone: (763� 535-1800 Alternate Phone: ❑ Insurance—Current: � -27-�2 x 1 ' r PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT l 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 X Dishwasher Wet Bar Sillcocks Miscellaneous PERM[T 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;excludine the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed piumbing 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 $ 20.00 (Permit Fees Continued On Next Page) 2 , , � � PERMIT FEE CALCULATION S)-JOBS OVER$500.00 If above does not apply;follow guidelines below: l. CONTRACT PRICE * is 1.25%of contract price with a(Minimam 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 certifies that all statements made on this application are complete, true and correct. Applicant's Signatur . Date: /�� Reset Form 3 � , - Of�cial Calendar 1. Prepare draft calendar for staff ineeting review; need to deternune floating holiday 2. Prepare Council Action item a. Copy color calendars for all people in packets 3. After Council meeting, distribute official calendar and Council Action memo a. Email to all staff, city engineer, city attorney, recorder,assessors, golf course along with CA memo b. Make hard copy as well (calendar only)_ ✓ i. Admin - 15 (includes golf course) ✓ii. PW- 8 :�iii. PD -20 ,/iv. Council -5 ✓ v. City Atty, City Engineer, Assessor Recorder- �/c. PC—Chris will distribute; Chris also update e calendar by adding legal deadlines and distributes to Melanie and Monica d. Post calendars at post offices � i. Long Lake �/ ii. Navarre � iii. Crystal Bay � e.�ost on front bulletin board and Council Chambers £ ✓Copy for Recorder at her seat 4. 2 large calendars should be updated with holidays—Admin Conference Room and Council Chambers (BPZ likes to use the large one)—transfer info on meetings and holidays 5. Distribute PC Liaison schedule to Council, Monica, Rachel, Barb, Chris, Melanie by email;hard copies to Council& Lin