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Home My WebLink About2017-00175 - plumbing CITY OF ORONO * 2 0 1 7 - 0 0 1 7 5 * � � 2750 KELLEY PARKWAY DATE ISSUED: 02/23/2017 �� ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2701 KELLY AVE PIN : 21-117-23-23-0040 LEGAL DESC : WALTERS PORT : LOT 001 BLOCK 002 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOIY TYPE : WATER HEATER NOTE: REPLACE WATER HEATER VALUATION OF PLUMBING 600 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.30 APPLIANCE CONNECTIONS, INC. MAIL-IN FEE 2.00 12850 CHESTNUT BLVD SHA.KOPEE, MN 55379- TOTAL 52.30 (952)445-4803 Payment(s) Minnesota State License#:mech-MB004165 CHECK 9197 5230 OWNER STORLIE, TED& WENDY 2701 KELLY AVE EXCELSIOR, MN 55331- AGREEMENT AND SWORN STATEMEfYT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the S[ate Building Code. This permit is for only the work described and does not grant permission fi�r 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 I 80 days of the date of issuance,or if construction is suspended for a period of I RO days at any time after work has commenced. The applicant is responsible for assuring aIl required inspections are requcsted in conformance with the State Building Code.This permit may be revoked at any time for due cause. r, �C-� '�� 7 , � �� :'�--r�--C-'� ��`_�-k�`��-' -3--_� �� -- Applicant Permitee ignature Date Issued By Signature Date �pN City of Orono FOR CITY US ONLY O P.O. Box 66 Date Received: � � � 2750 Kelley Parkway Crystal Bay, MN 55323 Permit# ,-� ��1 �? — ( � c �^+ c,� y � . c` (952)249-4600—Main ' ;"1 ��KESHn�� (952)249-4616—Fax Approved By: Amount$: �J�� CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) httq://www.dli.mn gov/CCLD/PDF/ae piumbplanrevaqq 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 RECEfVE a PERMIT. 1/VORK 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) ❑ New ❑ Additional ❑ Repairs � Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article I� Job Site / Owner Information: Site Address: �� CJwner� n Y' � Mailing Address: ��'�.-ei City: Zip: Home Phone�.'j�o2 - �/7�- 7g.�� Alternate Phone: Contractor Information: Contractor: Contact Person: �rri I`� pp �ance onnections �nc. �G � Address: 12�50 Chestnut Blvd. State Bond #: � f(0 , City: 9�2-445-480'3 Z�p: Expiration Date: Phone: Alternate Phone: ❑ Insurance — Current: Page 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT �sr 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 Sa`tener Dishwasher Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) x .0125 $ �. (�(� (contract price) (minimum $50.00) 2. STATE SURCHARGE �0. �)l1 x .0005 $__ ��J(.� (contract price) 3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ 2.00 / � 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $_ ;J * 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 statement made on this applic�tion a complete, true and correct. \ � � Applicant's Signature: Date: I � Building Official/ Inspector: � Date: Page 2