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Home My WebLink About2010-00887 - plumbing � -� CITY OF ORONO PERMIT NO.: 2oiaooag� 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/23/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1330 SIXTH AVE N PIN : 26-118-23-31-0010 LEGAL DESC : LJNDERHILL FARMS : LOT 004 BLOCK 001 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER NOTE: WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 NORBLOM PLUMBING CO. STATE SURCHARGE PLBG(<$500) 5.00 2905 GARFIELD AVENUE S. MINNEAPOLIS,MN 5540& MAIL-IN FEE 2.00 (612)827-4033 TOTAL 22.00 OWNER BOHACH, WALLACE&SUSAN 1330 SIXTH AVE N LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 1 SO days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due c use. . / �/ /U �/ /Z� Applicant Permitee Sig ure Date Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . .� � �`,CEIV�� CI'P I1SE ONLY ./r 0,��0 City of Orono � / �('� P.O.Box 66 DateRecei� .�Ferrnit# �f�� 2750KelleyParkway ISEP 2 JzO�� .. Crystal Bay,MN 55323 ARgroved By , Amount„$ t �' � �,� (952)249-4600 " i, r�� a.. ,, ��' CI�YOF OR�ON� CITY OF ORONO—PLUMBING PERMIT (All Commercia]permits must be approved by the Building O�cial or Inspector) 'GENE�,tAL;`1NFORMA'�:IOI�T 1. Y . ou ma a 1 for lum ' bm ernu ts b mail o r in er son atthe Ci ffi o ces. A lications will be Y P P Y P g P Y P t Y p p 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 consiruction 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) r � T',�'PE OF�ERM�T : � ,; ' .�. '.�. Cliecic�A+11:'�h�a.t`A ly � �Residential ❑ Commercial(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need Arior anproval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) :�obxSite�l O�uner�arr,nat�an� ` ` � ,'„�_,,��,, ' 7. 'y,: _�� - �_,�_ ��, r �n,�., �s, Site Address: Wallace Bohach 1330 6th Avenue North Owner: Orono, MN 55356 dress: 9524762746 City: Home Phone: Alternate Phone: '�Contractor;Iiiformation:�, ' ' Contractor: I��CIO�Om P�bU'1.9 Contact Person: u Address: 2�� u � sti, State Bond#: O�.Y �5� � City: � �s Zip�b$ Expiration Date: ( I v�I v� Phone: f��2`��?� �fa33 Alternate Phone: � � Insurance—Current: 1 ' �_ . � J FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater I Disposal �Nater Softener Dishwasher Wet Bar Sillcocks Miscellaneous ❑ Yes,this section applies The replacement of a Residential fixture or an lp iance 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 Pemut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $-,�o (Permit Fees Continued On Next Page) 2 � J � '" If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ (contract price) (minimum$50.00) 2. STATE SURCIiARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contractprice) (minimum$ .50) � 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 � 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� O ■ * CONTRACT PRICE or JOB COST means the actual or estimated,dollar amount charged for the pernutted 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 installarions 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. ■ ** T'he 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 � � 3