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Home My WebLink About2014-00948 - plumbing CITY OF ORONO * Z 0 1 4 - 0 0 9 4 8 * � 2750 KELLEY PARKWAY DATE ISSUED: 08/25/2014 ORONO,MN 55356- ` (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3265 SIXTH AVE N PIN : 29-118-23-44-0002 LEGAL DESC : LJNPLATTED 29 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : PLUMBING(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG(<$500) 5.00 APPLIANCE CONNECTIONS MAIL-IN FEE 2.00 12850 CHEST'NUT BLVD TOTAL 22.00 SHAKOPEE, MN 55379 (952)445-4803 Payment(s) Minnesota State License#: cont-057209PM CHECK 5508 22.00 OWNER WICHMAN,MICHAEL&AVA 3265 SIXTH AVE N LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this rype of work shall be compied with whether or not specified herein.This permit will expire and bewme null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. c l�l�,� l l Applicant Permitee Signature Date Issued By ature Date FOR CITY USE ONLY " ` �` City of Orono !�¢�`r ' P.O.Box 66 Date Received: Permit# ` 'I��,. . �,` 2750 Kel ley Parkway ,� ��,`�'�• p;; Crystal Bay,MN 55323 Approved By: Amount$: r.;�,G� (952)249-4600—Main ��`+iss� (952)249-4616—Fax CITY O ORONO -PLUMBING PERMIT (All Commercial Permits Must e Approved by the State Prior to City Approval) ��tr�:':��«<.dfi.u��.��c, rt:'t: I.!p;'Pd)��• aiun;la �I�e��f�e�� > >. 3df GENER.AL INFORMATION 1. You may apply for plumbing pe �ts by mail or in person at the City offices. Applications will be reviewed and a permit will be issu d 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 PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED O THE JOB SITE. 3. Plumbing permits may be issued Y to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or re odeling is involved,a separate building permit must be obtained. 5. All work must be done in accord ce with State Code requirements. 6. All work must be inspected and ai tested before it is covered. Call(952)249-4600. (24-48 hour noNce required) E OF PERMIT C eck All That A 1 �esidential ❑Commercial( pproval Required) ❑New ❑Additional ❑ Repairs �Replace ❑ in Accessory Structure? *You will need prior anuroval and ay need C�l_P.(Per Orono City Code,Chapter 78,Article iV) Job Site/Owner Information: � Site._ddress: '� d Owner: � �� n►� ailing Address: `� �. n !'�-�� City: Zip: Home Phone: � ' �• q Alternate Phone: Contractor Information: Contractor: Contact Person: i ns Inc. Address: _�� '�';"� �Vd. �,, 3�9 State Bond#: 9 �.'`$ 31 �o City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 PLUMBING F TUItES BEING INSTALLED FIXTURE BSMT 15 2 O HER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sinlc Water Heater Disposal Water Softener Dishwasher Wet Bar Sillco� :s Miscellaneous PERMI FEE CALCULATION(S) BASED F -2002 SfiATE:STATUE ❑ Yes,this secrion applies The replacement of only one Residential fi ture or a liance that meets all three of the following requirements: 1. Does not require modificatio to electrical or gas service. 2. Has a total cost of$500.00 0 less;excludine the cost of the fixture or appliance:and 3. ls improved,installed or repl ced by the homeowner or licensed plumbing contractor. Skip next section,if this appl s; Cost of Pemrit $ 15.00 State Surcharge $ 5.00 Mail-ln Fee(If Applicable) $ 2.00 Total Permit Fee $G� (Permit Fees LonNnued On Next Page) 2 , • If above does not apply;follow guidelines low: 1. CONTRACT PRICE 'is 1 5%of contract price with a(Minimum Fee of$50.00) . x.0125$ (�tract price) - (miom!um Ss0.0o) � 2. STATE SURCHARGE '• dd the State Bldg Code Div.Surchatge(Minimnm Fee of SS.00) � ` x.0005 $ � . � (cont�acx pria) ' (miaimum S s.00) 3. POSTAGE&HANDLING( ly on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Ad Lines 1-3 Above) S � ■ • CONTRACf PRICE or JOB CO means the actual or estimated dollar amount chaig,ed for the pennitted a�+ork including materials,l r,pmfit,and other fixed costs. It is the amou�W�b�e charged to the c�stomer for the work done. I at►y materiat,equipment,labor or instal�arions are fiunished by the owner,tenatrt or any othea party, e reasonable madcet value of such items must be added to the estimated cost or contract price for ermit fee purposes. In the event that there is a dispute on the amount of the job cost,the City ma request the submission of a signed cwpy of the actual contract. ■ **The STAT'E SURCHARGE is.00 5 ofthe conhact price under$1,000,000 or$5.00—whichever is greater. For valuations ovcr 51,000, call the Building Departrnent at(9S2)249-4G00 for the price. The undersigned hereby applies to City for issuance of a Plumbing Permit, agrees to do all �,�rork in s�ict accordance with the of the City and the regulations of the State of Minnesota, and certifies that all ents made on this application are complete, true and correct ' � Applicant's Signature: Date: � �� . . • � • ! � . r � • . ��. , � , ' - , , . * 3