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Home My WebLink About2016-00869 - plumbing ti CITY OF ORONO * Z 0 1 6 - 0 PJ S 6 9 * 2750 KELLEY PARKWAY DATE ISSUED: 07/25/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2811 FARVIEW LA PIN : 04-117-23-34-0003 LEGAL DESC : FARVIEW : LOT 012 BLOCK 001 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: WATER SOFTENER VALUATION OF PLUMBING 500 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.25 RICHARD GRASSIE INC. TOTAL 50.25 6121 EXCELSIOR BLVD Payment(s) SUITE 206 CHECK 14147 50.25 MINNEAPOLIS,MN 55416- OWNER DANIELSON, SCOTT 28ll FARVIEW LA 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 E3uilding 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 I RO days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in confor�2�with the St Building Code.This permit may be revoked at any,time�for e use� � , '" / i � / � -° %' ,;%�` �7"� � ,�S�/-� , � � Applicant Per � Signature Da Issued B ignature Date �"' ,��=,�p�� City of Orono FOR CIT U QA1 LY� � � . �—��.7--'/ � P.O. Box 66 Date Received: t 4 2750 Kelley Parkway �J � ` .. ' Crystal Bay, MN 55323 Permit# �� —� �✓ `.,'�;,�,� `;�;' (952) 249-4600-Main Approved By: � xFSH��-- (g52)249-4616-Fax � ---- 1'll �7 Amount$: � 7 CITY OF ORONO — PLUMBING PERMIT (Ail Commercial Permits Must be Approved by the State Prior to City Approval) http:llwww.dli.mn.qovfCCLD/PDF/pe plumbplanrevapp.pdf GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. (24-48 hour notice required) � TYPE OF PERMIT(Check All That Apply) �Residential ❑ Commercial (Approval Required) [Backflow Device: � AVB ❑ PVB] ❑ New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Jo� Site / Owner information: Site Address�� n ► �� L� �� Owner:J�IQ�TU Mailing Address: City: Zip: Home Phone: Lp1Z -�loC� ��31�-1 Alternate Phone: Contractor Information: Contractor: �,�C)�c�,rc'] ��c�s�r.�� o. �� Contact Person: ��Y�rrrc� C�c�'�`� Address:+ll� l� 0�1 `4' �t� ��i�l State Bond #: l�C.��3gSS City: �$� � i� �C�'K Zip: 55'-1Z� Expiration Date: 1a ' l � Phone: �-1�2�� yC""C�,�-l1b Alternate Phone: �SZ�G ZC� �1?_�� [�Insurance — Current: P a��P�e��, .��, • PLUMBIN� FIXTURES BEING (NSTALLED . �' FIXTURE BSMT 1sr 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER TYPE Floor Floor TYPE Floor Floor Wat2r Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener � Dishwasher Wet Bar Sillcocks Miscellaneous PERM(T FEE CALCULATION 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) F�� •�� x .0125 $ � Z�i �_��C; -C� (contract price) (minimum $50.00) 2. STATE SURCHARGE �� .C� X .0005 � - �S (contract price) 3. POSTAGE 8� 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 �ity 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 oC��thjs applica�ion are complete, true and correct. I � � / � � ,' /�. ��T Applicant's Signature: � Date: � Building Official/ Inspector: Date: Page 2