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Home My WebLink About2015-00723 - plumbing CITY OF ORONO * Z 0 1 5 - 0 0 7 2 3 * 2750 KELLEY PARKWAY DATE ISSUED: 06/08/2015 " ORONO, MN 55356- ' 952 249-4600 FAX: 952 249-4616 ADDRESS : 2350 LONGVIEW C[R PIN : 03-117-23-23-0005 LEGAL DESC : LONGVIEW : LOT 006 BLOCK 001 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: 1 WATER HEATER, 1 WATER SOFTNER VALUATION OF PLUMBING 2900 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.45 LEGACY MECHANICAL SERVICES MAIL-IN FEE 2.00 114 THOMAS CIRCLE#106 MONTICELLO,MN 55362- TOTAL 53.45 (763)314-0877 Payment(s) CHECK 8028 53.45 OWNER RYAN,MR.&MRS.THOMAS 2350 LONGVIEW CIR LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified h�rein.This permit will expire and become nu11 and void if wnstruction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Bui(ding Code.This permit may be revoked at any time for due cause. � . 1V � '� � � IC-C�. �' � d�' � /S Applicant Permitee Signature ��Date Issued By Signat Date FOR CITY US�ONLY • �O A T City of Orono ��/ �t'`(.'J � �1 / 1 VO p.p.gox 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: � (952)249-4600—Main ` � � � � (952)249-4616—Fax YF c` CITY OF ORONO—PLUMBING PERMIT �R��SH�'�`� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt �://��.dli.run.�=u��/('(.�LI)/PUI;i��c �lumb �I:�nrc��a > >. �df GENERAL INFORMATION 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. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VAL[D 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 �place i v ❑ In Accessory Structure? *You will need prior approval and may need CC'P.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: � � Owner: � ailing Address: City: (�i�'�� Zip: Home Phone:�✓� �7✓ `�� Alternate Phone: Contractor Information: i . Contractor: I'�I�i j(,�i�,�ontact Person: ��'�'YI�' . n �C I �, �Gf,� Address: ��`t I State Bond #: t' -7 � City: �{�p:��j,�p ?�c iration Date: � Phone: �(p,�3/�� 1� Alternate Phone: , ❑ Insurance—Current: 1 PLUMBING FIXTURES BE1NG INSTALLED FIXTURE BSMT 1'T 2ND OTHER FIX['URE BSMT Is'� �"u 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 PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of only one Residential fixture or anpliance 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 plumbing 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 $ (Permit Fees Continued On Next Page) 2 ' 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$50.00)� — ` Uv x .0125 $ �' (contract price) (mi�mum$50.00) 2. STATE SURCHARGE ` � ��j i�� x.0005 $ ' � ' ✓ (contract price) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ✓ � ■ * CONTRACT PR10E 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. (f 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: � 3