HomeMy WebLinkAbout2018-00380 - plumbing 1 i
CITY OF ORONO !I I' 1�
* 2018 - 00380 *
2750 KELLEY PARKWAY DATE ISSUED: 03/29/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 175 LANDMARK DR
PIN : 05-117-23-22-0011
LEGAL DESC : BAYSIDE LANDING
: LOT 002 BLOCK 002
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WATER HEATER
NOTE: WATER HEATER
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,mech-MB003206 CREDIT CARD 2893 52.50
OWNER
HARREN,LEE&JULIE
175 LANDMARK DR
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.
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Applicant Permitee Signature Date Issued ignature Date
2018-03-29 07:16 Ecowater 3202515566 >> 9522494616 P 1/2
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/4.04;\ City of Orono FOR CI A4'E E . LY •
/ O P.O.Box 66 Date Received; ,1 k /
2750 Kelley Parkway
z. Crystal Bay,MN 55323 Permit# — AP
'Kr. `,a`4 (952)249-4600 Main
Approved B
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Amount$: ,-51:W---
CITY
-5Z.CITY OF ORONO-PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http:Nwww.dli.mn.aCLDIPD
ov/CFIp8 plumbpIanreyabn odf.
LGENERAL 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. Ail 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)
lld-esidential ❑Commercial(Approval Required) [Backflow Device:❑AVB 0 PVe]
❑New ❑Additional
Q Repairs El Replace
0 In Accessory Structure?
'You will need prior aDprovai and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information: 7
Site Address: 17h
Owner: Lee /)Y'rrirl Mailing Address: ITC- 61i- lam/
City:Lyr'.l�_(4 .- Zip: b`5-/51, -
Home Phone: 6 12-875- g7 t 7 Alternate Phone:
Contractor Information: •
Contractor: --Y._.-c) VNu 7--(1 - Contact Person:
Address: 32.0 f ci sr 5rxeer S State Bond#:_4 N 3 4 U - PAi
City: Ltla,'r:f P4 r 1Z Zip: 5'63 v7 Expiration Date: YL"a.i-- I.7
Phone: 52-Q ZS 1- 2,6-0 Alternate Phone:
[,Insurance-Current: Y s
P.g.I
2018-03-29 07:16 Ecowater 3202515566 >> 9522494616 P 2/2
FIXTURE BSMT 1ST 246 OTHER FIXTURE BSMT 1sr 2ND OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet , Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater 1
Disposal Water'Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
1, CONTRACT PRICE "is 1.25%of contract price with a(Minimum Fee of$50.00)
I Oyu x.0125 $ 6'0. 01)
(contract price) (minimum$50.00)
2. STATE SURCHARGE
(W x.0005 $ c 6-6
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL.PERMIT FEE(Add Lines 1-3 Above) $ 6-7_, 5-0
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.
. ''''!''..,' '''.7 .'".:TIMMBING RER'1PLITITtAF;PL.f,C ONMflEIVIsWNT.'``
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.
Applicant's Signature �•r /4/7„,. Date: 3 --z- iJ"
Building Official/inspector: Date:
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