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HomeMy WebLinkAbout2018-00461 - plumbing CITY OF ORONO III 1I 1 I I 1I I111I14II * 2750 KELLEY PARKWAY DATE ISSUED: 04/12/2018 ORONO, MN 55356- (952) 249-4600 FAX (952) 249-4616 ADDRESS : 265 ORONO ORCHARD RD S PIN : 02-117-23-22-0005 LEGAL DESC : UNPLATTED 02 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : OTHER VALUATION : $ 2,000.00 NOTE: DRAIN TILE(ONLY) APPLICANT STATE SURCHARGE(VALUATION) 1.00 BRS ENTERPRISES TOTAL 1.00 Payment(s) 8530 EAGLE POINT BLVD OTHER 1.00 LAKE ELMO,MN 55042- (651)274-5329 Minnesota State License#: BUIL-BC686374 OWNER City of Orono (ORONO GOLF COURSE) PO BOX 66 CRYSTAL BAY,MN 55323- 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 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. & If/ Lmoi � / l ��l Applicant Permitee Signature Date Issued ''Signature Date . a 1ON City of Orono FOR CITY USE O LY M1 P.O. Box 66 Date Received: -/2-f T 2750 Kelley Parkway Permit# )A $-C6( w' . Crystal Bay, MN 55323 y���� �c` (952)249-4600—Main Approved By: kEsHo (952)249-4616—Fax ,.rte Amount$: ( ; CID CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.gov/CCLD/PDF/pe plumbplanrevapp.pdf GENERAL INFORMATION 1. 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 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 M Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB]Mm ❑ New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site / Owner Information: Site Address: 265 Orono Orchard Rd S Wayzata, MN 55391 Owner: Jason Goehring Mailing Address: 2750 Kelley Parkway City: Orono Zip: 55356 Home Phone: Alternate Phone: 1-952-249-4684 Contractor Information: Contractor: BRS Enterprises Contact Person: Nichole Nielsen Address: 8530 Eagle Point Blvd State Bond #: BC686374 City: Lake Elmo Zip: 55042 Expiration Date: 3/31/20 Phone: 920.450.1217 Alternate Phone: dave 651.274.5329 Insurance — Current: Page 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Floor TYPE Floor Floor Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous a1Gl(-4 7,7,& PERMIT FEE CALCULATION 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00/� ?— ©9 x .0125 $ C� (contract price) (minim m $50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE & HANDLING (Only 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 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 Signature: /fA & 494:zia-¢,iv Date: 4.12.18 Building Official/ Inspector: y cl,e..-1 -iriied, Date: 4///2—/a Page 2 • Shilk‘ am Cos0 0,. 0 - 0 V eis:0 SIP 0 \isi ‘glaggiri 8014 4_ Q1 c 1 4 9 GS V iacr+su- 2 I6iVNi1LJ EM Q a 19 8 c I 01'e13 aGSeo LI /3'11"S I CVf ain Q 90 di N H a 6 W L1 0 IV cr /..S.ETA pun 040J / 4 G.ll -- Z 19-1 1 M 01 ° Lt1 (n L-) O -0 z C Z O O Q CO 10 rn 4,— �' CO fp OD N Pe c) >Ln f0 u-o N T U N 0 J J 0 Um