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Home My WebLink About2008-00428 - plumbing l " CITY OF ORONO PERMIT NO.: 2008-00428 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 12/03/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 3240 GRAHAM H[LL RD PIN : OS-117-23-1]-0010 LEGAL DESC : GRAHAM HILL PRESERVE 2 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTG: (1)WATER S�'TE�R ANU(1)R.O. VALUATION OF PLUMBING 1400 APPLICANT PLUMBING FIXTURE FEE 35.00 CLEARWATER SYSTEMS, INC. STATE SURCHARGE PLBG (VALUATION) OJO 1519 148TH AVE NW TOTAL 35.70 ANDOVER, MN 55304 (763)434-0445 Minnesota State License#: 000373WC OWIYER BPS Properties, LLC LLC, BPS PROPERTIES, 201 LAKE ST E WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work tor which this permit is issued shall be performed according to thc approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate pennits. All provisions of laws and ordinances goveming this type of work shall be compicd with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in co ormanc�- ith the State Building Code.This permit may e revoke y time r d ause. i�-1,3 �-�'� 1 / � l�O ant � � ee Signature Date Is �ed By Signature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � , 1 ` FOR C 'USE ONLY / /�� City of Orono �I (�� - �� O P.O.Box 66 Date Received� U�Permit# l/(/ / + �;,., � 2750 I:elley Parkway 1.� y y�r`� Crystal Bay,MN 55323 Approved By: Amount$: �� (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or Inspector) GENERAL INFORMATION 1. I'ou 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 wark 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 oeed nrior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: �� (�i2�� '� Owner��/� �°'�'�� S Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: - , Contractor �� t��r��'� �'�6 ontact Person: �� "'—�� Address�,�`� � �--�� State Bond #: ��a �U � ` City: �� Zip:��'�� Expiration Date: / �/ �?f Phone: ��—G�y`Y'S Alternate Phone: ❑ Insurance—Current: 1 ,. � r ,� � g � �.,' PLUMBINCr'�'��TURES BE1NG INSTALLED ° '' FIXTURE BSMT 1 2 ° OTHER FIXTURE BSMT l T 2 OTFIER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathroom Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener / Dishwasher Wet Bar Sillcocks i�llaneous ` r / PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residentia] 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 Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ ].50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � v � , . 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$35.00) �� ~ x .0125 $ (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 1.50 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. ■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. �,,: PLUMBING FERMIT'A�?PL��`TI(JI,1 A�""rl�:��`.'(��I'' . ., ,..= 5 . ;..� �.�`; 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 stat ents made on this application are complete, true and correct. �"' � Applicant's Signature: Date:/ ` Reset Form �� 3