HomeMy WebLinkAbout2016 - 01327 - plumbing CITY OF ORONO 1111 Ill III 111111111111 II
2750 KELLEY PARKWAY * 20 1 6 - 0 1 2 7
DATE ISSUED: 10/11 8/2016
ORONO, MN 55356-
- (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 993 WILDHURST TR
PIN : 07-117-23-12-0003
LEGAL DESC : UNPLATTED 07 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURE
NOTE: REPLACE:DISHWASHER
VALUATION OF PLUMBING 1000
APPLICANT PLUMBING FIXTURE FEE 50.00
ECOWATER STATE SURCHARGE PLBG(VALUATION) 0.50
3208 FIRST STREET S MAIL-IN FEE 2.00
WAITE PARK,MN 56387- TOTAL 52.50
(320)251-2505 Payment(s)
Minnesota State License#:plbg-PC643402 CREDIT CARD 0033 52.50
OWNER
PFAFF,BRAD
993 WILDHURST TR
MOUND, MN 55364-
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. l / I p
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u
10, 1k, 1 ( '
Applicant Permitee Signature Date Issued By Signature Date
2016-10-17 11 :25 Ecowater systems 3202515566 » 9522494616 P 1/1
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6(4 f-44- 1%* 4--r/
4,. ,J 'M 'Mg o tnit-7
44, City of Orono FOR CitiTISE ON Y
" 6 P,0 Box t Date P,ecelved. I .
• 2750 Kerley Parkway
* 4 Crystal Bay,MN 55823 Permit# 21-1 kri Qi
lir 44., ( 52)2464000-Mein Approved By:
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* • (652)240-4516
„Amount 11:
CITY OF ORONO—PLUMBING PERMIT
(Ail Commercial Permits Must be Approved by the State Prior to City Approv$1)
GENERACTRT5Ta
1, You may apply for plumbing permits by mail or in person at the City offices, Applications will be
reviewed end a permit will be Issued within two working days,
2. Perrnft cards will ba sent by return mail after a review is c,omplated, PERMITS ARE NOT VALID
UNTiL YOU RECEIVE A PERMIT zt k ; F 4, 4, • • .; •!”
• :• • •:
3, Plumbing rherns 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,6 separate building permit Must be obtained,
5, All work must be done in*mordant*with State Code requirements
8. AO work must be inspected end air tested before it is covered. Call(852)204800.
(2448 hour notice required)
TYPE OF PERM1T(Check All That Apply)
[ -;4esidential 0 Commercial(Approval Required) (Bnkflow Dtvicc 0 AVB PV31
New Additional 0 Repaid 151:Replace
0 In Accessory Structure?
*You 4 I, • and may need CUP.(Per Orono City Code,Cnapter 78,Article IV)
41..n
[Job Site/Owner information:
Site Address: 7 3 ( .1
tvi .t4
Owner: 43 ... - Mailing Address:
CitT,J2:4:‘,4-1,4r _Zip: trjr 3 41
Home Phone: f& !4 1 5-311 __Alternate Phone
Contractor Information:
Contractorl&el TA-r" Contact Person:
Address: 34(1 7reer -S State Bond St: - • 014''
City: IV T;0. Zip; •4%3 r7 Expi -tion Date: a / 7
Phone: V-0 — Alternate Phone:
ig Insurance—Current: V '
Poo
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1:-::- 67 't^ / W H $4,(51- 'TM, /
SPL MB NQ'FIXTUR- SEINQ INS •ALLED
FIXTUR 8' • T 1`' 24' 0. F'IXTt1iTir—8SMT -71r— 2 OTHER
TYPE __. Floor Floor TYPE Floor Floor
Water Ctoset �.,.r._. ,....._.�._,_,..,..„„- ...r,...,_ Floor Drains ,-.,.,,....,...._,.......,
Lavatory Sewer Elector
___...,..,.�.w
Bathtub -�__ Laundry Tray
_
Shower Washer
Kitchen Sink Water Heater
,.
littpnsal Water Softener _.__�
_...-. . ._. --------
w,,,,.._. -_
Dishwasher Wet r
Sil s Mtecelisneous _,..w,,�. µ . _
_.�. R v tFEE �: ULITItN=
I, CONTRACT PRICE ' is 1.25' of contract price with a(Minimum Fee of$50,00)
UV x.0125 $ ., QU
2, STATE SURCHARGE (contract price) (minimum$50,00)'- _
,x.000$ $ Ge)
(contract puce)
a, POSTAGE&HANDLING(Only on Mall.tn Applications) $ 2,00
4, TOTAL PERMIT PEE(Add Lines 1.3 Above) $_ 3- 4L,, r`
” CONTRACT PRICE. or JOS COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor, profit,and other fixed costs, tt 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 per, the reasonable market value of such llama must be added to the
estimated cost or contract price for permtt 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,
.-- ' PL; MB N c P ; Ef %'11it t��At” REI ENT . I
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do ail 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 Signeture. Date:, 10 - / - I
'
Building Official/Inspector Date, -
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