HomeMy WebLinkAbout2016 - 00958 - plumbing CITY OF ORONO I I I I II I II I I I I1I I IIII1I *
2750 KELLEY PARKWAY DATE ISSUED: 08/12/2016
•
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 190 WILLOW DR N
PIN : 34-118-23-32-0052
LEGAL DESC : GLENDALE COVE
: LOT 001 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURE
NOTE: REPLACE: 1 DISHWASHER
VALUATION OF PLUMBING 750
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 0.38
ECOWATER MAIL-IN FEE 2.00
3208 FIRST STREET S
WAITE PARK,MN 56387- TOTAL 52.38
(320)251-2505 Payment(s)
Minnesota State License#:plbg-PC643402 CREDIT CARD 2893 52.38
OWNER
WILLIAMSON TRUSTEE,VICTORIA F
190 WILLOW DR 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 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.
Applicant Permi e Signature/
Date Issued By Signature Date
2016-08-11 09:01 Ecowater systems 3202515566 » 9522494616 P 1/2
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$ 3
VI A/ . , City of Orono FOR C--_,Li 5 ONLY
P.0,Bo i.: Date Received; isi, - /—/
i 2750 Kelley Parkway
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Permit$ °7 - ails c-V-
-- 4./ (952)249-4800-Main
Approved Sy:
(75 7"3ay-48'MN53:3
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Amount : .•0 '
CITY OF ORONO—PLUMBING PERMIT
(All Commercial Nrrnits Must be Approved by the State Prior to City Approval)
J 0• .41.4. * SO I *• , I .411 .. *, .0". Ii
ratWAL 1 N FO RikN
1 You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit wit be issued within two working dem
2. Permit cards wit be sent by return mail after a review is completed, PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. , .z. . .‘ :,.( h /. a,.
POSTED ON:114B JQB 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 At work must be inspected and air tested before it is covered, Cat(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT(Check All ThalApeli)_
Residential 0 Commercial(Approval Required) Criacknow Device:0 AVE) 0 PVT31
0 New 0 Additional 0 Repairs aReplace
O In Accessory Structure?
*You yiamtulactiaminyt and may need CUP.(Per Orono City Code, Chapter 7$,Article IV)
Fjob Site t Owner Information:
Site Address: ,t•/0 4/4111 Wi iii..0/ 0 .
Ig.
OWner: a. ' . ailing Address: ;1g . v....441,ill 1..1 /11,41 g )
CitY:-.14-...0.0L--&.iise_ _it'.1...Zilx 6-5- / 4-0.
Home Phone: ' 61`Z- ic, .' 'Iternate Phone:
rEontractor Information°
Contractor: .:: . --.• Contact Person:
Address: 3 40 S' -fo. r 77 , r S State Bond* 4, Li ?cti.Q.Z.,. - P m
City: uW.g.i're Peo r 1 4 _Zip: 5C 3 r 1 Expiration Cate; fl-4 1- 17
Phone; I° - 2,. " — Ci ' Alternate Phone:
.:Insurance-Current: Y -6
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2016-08-11 13:06 Ecowater systems 3202515566 >> 9522494616 P 1/1
- `LUMBtt�lt�t"'`Irl°
-Es:EINGINSTALL,E5
i Fi�CTIi' B=MT 1 2"`OTHER FIXTURE BMT 1 VD OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet .._..._..__..,._.__,__,._w.,......,_..�__^._.. Floor Drains ._....-_w....._.,..,.... ,._,._..,.�.�...__.._
Lavatory Sower Ejector
Bathtub Lary Tray
Shower Washer
Mohan Sink Water Heater �� ^
Disposal Water Softener
.Dishwasher Wet Bar
Slilcocks Miscellaneous
_....,o.-..�.__.� • t F�E`r IT'fEt= ALCUiATI iN
CONTRACT PRICE •is 1.25%of contract price with a(Minimum Fee of$50.00)
x.0128 8 ' '
(contract price) (minimum$50,00)
2, STATE SURCHARGE .✓
.0005
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2,00.
4, TOTAL PERMIT FEE(Add Lines 1.3 Above) w
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,
PL MBI . PE- I` •.PLI ''. :ON<AGREEENT J
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,
wv y
Applicant's Signature, / ,M.,,l''' Date:_Sat
Building Official/inspector, ,Date:
P ,a