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Home My WebLink About2017-01111 - plumbing . � CITY OF ORONO * 2 0 1 7 - 0 1 1 1 1 * 2750 KELLEY PARKWAY DATE ISSUED: 09/12/2017 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 3065 NORTH SHORE DR PIN : 09-117-23-32-0001 LEGAL DESC : CORONADO BEACH LK MTKA : LOT 004 BLOCK 000 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER NOTE: 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 SHAKOPEE,MN 55379- TOTAL 52.30 (952)445-4803 Payment(s) Minnesota State License#:mech-MB004165 CHECK 9673 52.30 OWNER EDWARDS,CODY&NANCY 3065 NORTH SHORE DRIVE WAYZATA,MN 55391- 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 dces not gant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become nu11 and void if consuuction 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.1'his permit may be revoked at any time for due cause. � � a.c��Ca_/ �� /.2--� /7 Applicant Pe��e�Signature Date Issued y Signature Date RECEIVED City of Orono FOR CI'TY U5E C��f�.lfT �NO P.o. sox ss SEP 1 1 201] �ate Received: 2750 Kelley Parkway - � y � Crystal Bay, MN 55323 Permi## ' c? (952)249-4600—Main C�N OF ORONO ��'�ESHO�'�' (952)249-4616—Fax Approved By: Amount$: CITY OF ORONO— PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) htta://www.dli.mn.�ov/CCLD/PDF/ne nlumbalanrevann adf 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 requiremen�s. 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. (24-48 hour notice required) 'fYPE OF PERMIT(Check All That Apply) �Residential ❑ Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs �Replace ❑ In Accessory Structure? "You will need �rior anproval and may need CUP. (Per Orono City Code, Chapter 78, Article I� Job Site/Owner Information: SiteAddress: � �D� IV(1�✓ S�� ,� Owner: Mailing Address: City: Zip: Home Phone:��'" �� "'/3;�Iternate Phone: Contractor lnformation: Contractor: Contact Person. Add ress: � State Bond #: �� 17�6t1,C1�tn�A • City: �hAkt�e�, �At'15537! Zip: Expiration Date: Phone: Alternate Phone: � surance — Current: Page 1 1 � FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 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 Softener Dishwasher Wet Bar Sillcocks Miscellaneous 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 t-U�d7� x .0005 $ � �� (contract price) 3. POSTAGE & HANDLING (Only on Mail-In Applications) $ 2.00 U 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. . � � . . . ... , , i , : :,_ . - N�. - - The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with t ordinances of the City and the regulations of the State of Minnesota, and certifies that all stateme made on this application are complete, true and correct. \ � � Applicant's Signature: Date: � Building Official/ Inspector: Date: Page 2