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Home My WebLink About2007-P11444 - plumbing PERMIT CITY OF ORONO 2750 Kelle�'Parkway- PO Box 66 Permit Number: p11444 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952)249-4600 Date Issued: 9/13/2007 SITE ADDRESS: 3630 Livingston Ave Unit# Wayzata,MN 55391 PID: 17-117-23-34-0027 DESCRIPTION: Proposed Use: Residential Permit Ciass: Plumbing Permit Type: Fixtures Permit Sub-type(s): Hearing Systems DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 0.00 State Surchazge Fee: $ 0.50 Misc.Fee: $ 1.50 TOTAL FEE: $ 17.00 APPLICANT: Champion Plumbing LLC OWNER: Jason Prock 3670 Dodd Road-Suite 100 3630 Livingston Ave Egan,MN 55123 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. r `1uGt.c.( LlC �9�'K.d�t APPLICANT PERMITEE SIGNAT[JRE SUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 . � •-, . r ' � � CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for plumbing permits by mail.or in person at the City offices. 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 JOE 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 sepazate building permit must be obtained. �. All work must be done in accordance with the State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice required. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: New Addition Repair `� Replace �Residential Commercial JOB SITE:� c�o�Jt"� (a�i S�-lj� Zip: Jr S3 Owner's Name: Sa v� (�r� Telephone Number: 9 s�_� r-a y� l�Iailing Address: �.5�� City: Zip: Contractor's Name: Champion Telephone Number: l�Iailing Address: � City: Zip: Ea�1,MN 55123-9338 PL[TMBING FIXTURE SCHEDULE FUITURE BSMT 1ST 2ND OTHER FIXTURE BSMT � 1ST 2ND OTHER TYPE FL FL TYPE FL FL Wa�er Closet Floor Drains Lavato Sewer E'ector Bathrub Laund Tra Shower Washer Kitchen Sink + Water Heater � � Dis osal Water Softener Dishwasher Wet Bar Sillcocks Misc (list) �� :sb �� t ro ,�„ a i �. . �' ,..u,- ,i-, x_�. �„ r - _� �,, FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER 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 Sil Icocks Miscellaneous � d �.�, � �a� �" �� .� , �� y� � % . � �� "�a .r� �� .� � t. � ��=��° a� � ,f,�.. � 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 Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $�� (Permit Fees Continued On Next Page) 2 s. � .�,�-�`:�'�y�,s�i�`��_, .� �:.� � 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 mazket 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. ' �� ,��. � �`�'�,'� � �` � < 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 Signature: Date: �� F �� w � �, �R�� @S'B� �DC '� : ��.?�� vk.��'� .__ y' 3 �.l��' �AiE TIME V CITY OF ORONO CALLED IN Qc INSPECTION NO CE SCHEDULED /D-3-D r7 �� PERMIT NO. � COMPLETED ADDRESS 3�� OWNER. IP� P�''�4�_ CONTR. TELEPHONE NO. Z 7UD l �D � DESCRIPTION �� -�' l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 P MBING FINAL 36 FOUNDATION/REMOVAL Z OWNER ONTRACTORTOMEETY U�YES NO � C MMENTS: � W C � J O � � O � W � Q � 2 W � W � � d W ❑WORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the n t inspection 24 hours in advance. 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