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Home My WebLink About2017-01537 - plumbing _ � � CITY OF ORONO * 2 0 1 7 - 0 1 5 3 4 * 2750 KELLEY PARKWAY DATE ISSUED: i]/2]/2017 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1760 SHORELINE DR PIN : 10-117-23-14-0017 LEGAL DESC : N/A : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: (5)WATER CLOSETS,(7)LAVATORIES,(3)BATHTUBS,(2)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2) FLOOR DRAIN,(2)WASHER,(1)WET BAR,(1)MISCELLANEOUS VALUATION OF PLUMBING 22795 APPLICANT PLUMBING FIXTURE FEE 284.94 STATE SURCHARGE PLBG(VALUATION) 11.40 SPRING PLUMBING LLC MAIL-IN FEE 0.00 11473 KENYON COURT BLAINE,MN 55449- TOTAL 296.34 (763)614-7963 Payment(s) Minnesota State License#:plbg-PC643871 CHECK 3612 296.34 OWNER Woodhouse Shoreline LLC 600 HIGHWAY 169 S#701 MINNEAPOLIS,MN 55426- 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 dces 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 180 days of the date of issuance,or if construction is suspended for a period of I80 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. � �� f /o�/ / /� Ap ' Pe ' ignature Date Issu By Signature Date � ' +, . �p� City of Orono FOR CITY USE ONLY O P.O. Box 66 Date Received: - 2750 Kelley Parkway � ',�,�, _ � Crystal Bay, MN 55323 Permit# �� "�l5 ,-,\ t.� � ' (952)249-4600—Main A 1'Ov2d B P� '�,,�,,,"t� (952}249-4616—Fax pp Y� - Amount$: � � CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dii.mn.qovlCCLD/PDF/pe plumbpianrevapp.pdf GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the Ciry o�ces. 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 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 Apply) �Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] �w ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? "`You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job �ite / 4wner Information: Site Address: � � � � � � �' Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Cantractor Information: ' Contractor: l✓1 Contact Person: � S�` d� `'""` �/1�� Address I � 1 3 J�p .��State Bond #: r C- � � 3U � ( City:�� G�_,l.,f/� Zip: �� "I Expiration Date: ��—] Phone: �� '� �� -�� Alternate Phone: ❑ Insurance — Current: Page 1 1 - *. FIXTURE BSMT 1sr 2ND OTHER FIXTURE BSMT 1sr 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Cioset � � Fioor Drains � Lavatory � Sewer Ejector Bathtub 3 Laundry Tray Shower � Washer � � Kitchen Sink Water Heater Disposal 1 Water Softener Dishwasher 1 Wet Bar I Sillcocks Miscellaneous � 1. CONTRACT PRICE "`is 1.25% of contract price with a (Minimum Fee of$50.00) �� . � �1 �, C� 17 x .0125 $ ��y. "I � (contract price) (minimum $50.00) 2. STATE SURCHARGE 7� � � � �� .L�� x .0005 $ � ' • � � (contract price) 3. POSTAGE 8 HANDLING (Only on Mail-In Applications) $ �t.Q�" 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ _ � I � �� ` 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 fumished 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 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 atl statements made on this application are complete, true and correct. A licant's Si nature: 4"�C"�� Date: � � �� ' l � PP 9 Building Official/Inspector: Date: Page 2