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Home My WebLink About2012-00867 - plumbing ` CITY OF ORONO * 2 0 1 2 - 0 0 B 6 7 * ` 2750 KELLEY PARKWAY DATE ISSUED: 09/04/2012 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 1461 NORTH ARM DR PIN : 07-117-23-44-0070 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 CHAMPION PLUMBING LLC STATE SURCHARGE PLBG(<$500) 5.00 3670 DODD ROAD-SUITE 100 EAGAN,MN 55123- MAIL-IN FEE 2.00 () TOTAL 22.00 OWNER KOCH,DONALD&JUDITH 1461 NORTH ARM DR MOUND,MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �-'►� �'�'L- � � V�_ l l Applicant Permitee Signature Date Issued By nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. ,.�,'` � -' FOR CTTY USE ONLY Q;�, City of Orono „(�; �. P.O.Bos 66 Date Received: Pennit# ' 2750 Kelley Parkway � �y' �: Cn'stal BaY.MN 55323 �,.:: Approved By_ Amount$: �ti�,:' (952)249-q600—Main ��'`�yOp' (952)249-4616—Fax , CIT�' O�' ORO1�T0—P�IT1��1G P�kZ1VdIT' (All Commercial Permits 10'��st be Approved by the Stste Prior to City Approval) }_:�:':I/��{�x�.:�ii.s�r�.ffov/�'�L�/P�?�'/ e Eun�bs�tant•ev�tn .�tff GENERAL INFORMATION 1• You may apply for plumbing permits by mail or in person at the City o�ces. Applications will be revie�ved and a permit will be issued within two working days. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK 1o�IUST NOT BEGIN UNTIL T�E PERMIT CARD IS POSTED ON THE JOB SiTL. 3. Plumbing�emiits may be issued ONLY to licensed plumbing contractors and to property owners residin�in the dwelling. 4• When any new construction or remodeling is involved,a sepazate building permit must be obtained. S. 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 ly �Zesidential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace ❑ In Accessory Structure? *You will need�rior aonroval and may need CL-P.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: ��_��`-�_�� ' Owner:��/ �' Mailing Address: �� > C�tY: lil (��l� Zip: � ��3(� Home Phone: ��- Lf 7�7� Alternate Phone: f Contractor Information: Contractor: (',�,m �y��h�ontact Person: �� / J Address: ��U ��C�� (d � State Bond#: City: �- C(,�1 Zip:��2�xpiration Date: Phone: �pS��°C7' �3�-(,' Alternate Phone: ❑ Insurance—Current: ] . � '� , �. � . � PERMIT;FEE CALCL)I::A'�ION S .=30BS�OVEg:$�OQ 0� =. ; ' ` If above does not apply;follow guidelines below: , 1. CONTRA,CT PYLYC� *is l.25%of contract price with a(NEinimum�'ee of$SO.OQ) x.0125$ (conVact price) (minimum 550.00) 2. STATE SURCRARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of�5.00) x.0005 $ (contract price) (minimum S 5.00) 3. POSTAGE&HANDLING(Onty 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 aze 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 si�ned copy of the actual contract • **The STA'TE SURCHARGE is.0005 of the contract price under$],000,000 or$5.00—whichever is �eater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. � ;, ; ; , PLUIVIB33�1.G P..�RMI3'APPI<��,TI01�T.A�IZ�EIVT��t..;:=. ._.. The undersigned hereby applies to the City for issuance of a Plumbing Pernvt, 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. . � �C�� '�` Applicant's SiQnature: Date: O I Z �eset �orm . 3 �/' C.� � � DAT TIME f ,,, �� V CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED ` PERMIT N�fa �� COMPLETED ADDRESS OWNER ��f'� TELEPHONE NO. �;��7Z 537� CONTRACTOR � DESCRIPTION �, G� -Q'l � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL . � MECHANICALRI O LAKESHORENVEfLANDS y ❑ FRAMING � MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PFOGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v BING RI ❑ S TI FINA ❑ FOUNOATION/REMOVAL Q OWNE ONTRACT Fi TO MEET YOU: YES_ O v�, ENTS: � W a � J O a � O � W � Q � 2 W � W k � � d � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. � White Copyllnspecto�'s File Canary CopylSite Notice