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Home My WebLink About2015-00890 - mechanical • CITY OF ORONO * Z 0 1 5 - 0 0 8 9 0 * ' 2750 KELLEY PARKWAY DATE ISSUED: 07/17/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1250 FRENCH CREEK DR PIN : 10-117-23-32-0013 LEGAL DESC : FRENCH CREEK : LOT 005 BLOCK 002 PERM[T TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 1,200.00 NOTE: 1 WATER CLOSET,2 LAVATORY, 1 SHOWER APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH (VALUATION) 0.60 RNERSIDE MECHANICAL TOTAL 50.60 12460 ZINRAN AVENUE SAVAGE,MN 55378- Payment(s) Minnesota State License#: plbg-PC644809,mech-MB650157 CHECK 4845 50.60 OWNER MORRISON,CHUCK 1250 FRENCH CREEK DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,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 goveming 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 l80 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 appl' is r ponsible for assuring all required inspections are reque ed in co ormance with the State Building Code.This permit may be rev ed at time for e ause. ' �� _ �` L�� '1 I �`C'{ S�� r� � i �7� � S � , �`'. Applicant ermitee Signature Date Issued By Signature Date � FOR CITY��SE ONLI' City of Orono ��-��"� P O_Bo�66 Date Received: �_�rmit# ��.'�j^ ��1�� 27�0 Kelley Parkway f� � � Crvstal Bay,MN>j323 Approved By � Amount$:_�(,; . _ ' � � �) (952)249-4600—Main � � �' (952)249-46I6—1'ax ��'��,�(� ��,/ CITY OF ORONO—PLUMBiNG PF,RMI'C `�. '�F��a«�=' (All Commercial Permits Must be Approved by the State Prior to City Approval) http:/hv�+�w.dli.mn.�ov/CCLD/PDF/pe plumbplanre��app.pdf �GENERAL INFORMATION � l. You may apply for plumbin�pennits 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 rcturn mail after a review is completed. PEI2MITS ARf_;NOT VALID UN"I�1L YOU RECEIVE n PERMI"T. WORK MUST NOT BF,GIN UN7'IL THE PERMIT CARD IS POSTED ON THE J013 SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owncrs 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 requircments. 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 Structurc? *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Arlicle IV) Job Site/Owner Information: Site Address: ��J� �1 �-1� ��-� � 1 Owner: Y1'10 Cf i J�✓� Mailing Address: City: ��Cyn.� Zip: Home Phone: Alternate Phone: Contractor Information: ZJe�S:(� (Y��• ��/�-l��S� Contractor: � Contact Person: nddress: j L'�-1�OU ��r�� State Bond #: �(�(.p��j l S� City: 5:.�,•3 c 7.ip: /'h� Expiration Date: / �c! ��f � Phone: ��$4`� '-�� Alternate Phone: ❑ lnsurance—Current: 1 � PLUMBING FIXTURES BEING INSTALLED FIXTURE BSM'f l�� 2�D OTIiER FIXT�IRE BSM"I' 1'T 2�D OTIII?2 TYPE FL FL TYPE FL �L Water Closet � Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washcr Kitchcn Sink Water Heater Disposal Water Softener Dishwasher Wet F3ar 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 following 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 appliancc: 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 $ 1.00 Mail-In Fee(If Applicable) $_ 2.00 Total Permit Fee $ (Permit Fces Continued On Next Pa�e) 2 PERMIT FEE CALCULATION S —JOBS OVER $500.00 If above does not apply;follow�uidelines below: 1. CONTRACT PRICE * is 1.25°/o of contract price with a(Minimum Fee of$50.00) � I�4� X .��25 $ (contr�ct price) (minimum$50.00) 2. STA'fE SURCHARGE ----- - x .0005 $-----______ (contract price) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PF,RMI'1' FEE(Add Lines 1-3 Above) � ■ * CONTRACT PRICG or JOB COS'I' 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 markeC value of such items must bc 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 certifics t all tatements made on this application are complete, true and correct. Applicant's Signature / t''�_ _ Date: 7 / �� --..1 3