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Home My WebLink About2008-P12020 - plumbing � � " PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P12020 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 5/2/2008 SITE ADDRESS: 108 Chevy Chase Dr Unit# Wayzata,MN 55391 P�� 36-118-23-41-0034 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: New Plumbing Fixtures/20 FEE SUMMARY: Pemut Fee: $ 168J5 valuation: $ 13,500.00 State Surcharge Fee: $ 6.75 TOTAL FEE: $ 175.50 APPLICANT: Gru�ia Mechanical OWNER: Mark D Williams 12180 197th Ct 108 Chevy Chase Dr Elk River,MN 55330 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ;-� J , .: � _._ , - �-' � APPLICANT PERMITGE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 , � FOR CITY USE ONLY o'¢°��'� City of Orono `1��i`L—� �/7 o P O Box 66 Date Received OPermit#��Z/ 3„, 2750 Kelley Parkway tl� � `'�� '� Crystal Bay,MN�5323 ApprovedBy: Amount$�, ��u (952)249-4600 CITY OF ORONO—PLUMBING PERMIT (All Commercial pennits must be approved by the Building Official or Inspector) GENERAL 1NFORMATION 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 afrer 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 wark 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 A I ) � ❑Residential ❑ Commercial(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure? *You will need prior approval and mav need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: �GrJ1 ��/�Ur� ��1A5 -L �� Owner: l��}(Z k I„�I��,,qm S Mailing Address: City: �.�S�A Zip: ' Home Phone: C�I� -�s � - %�SO Alternate Phone: y��- .3�r�'�`31 '7 Contractor Information: Contractor: �yiZlJp�} r�EC�{ Contact Person: 1��?O �PuP:� Address: j�-��b"�? L`��r State Bond#: �3��I�S6'O City: rU� �►11�� Zip: 5�'j�Expiration Date: i2 '� � - D�' Phone: ��3��y�"��'v Alternate Phone: ❑ Insurance—Current: � 1 * . �� `��`,�;'�"�'�: �� ' � .:.. f� BEING INS��LL�D��'.� � ��^��t` � �.. FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2�' OTHER TYPE FL FL TYPE FL FL Water Closet / � Floor Drains / Lavatory j �f Sewer Ejector / Bathroom Laundry Tray / Shower / / Washer 1 / / Kitchen Sink • f Water Heater � Disposal Water Softener Dishwasher � Wet Bar � Sillcocks � Miscellaneous � PERMIT�FEE CALCULATION(S) BASED OFF - 2002 STATE STATliE ❑ Yes,this section applies The replacement of a Residential fixture or apvliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 , ` ��°��,. � PERMIT FEE CA�,rCC�L�T10N S)—JOBS OVER $500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) �j, .�� x.0125 $ (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 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. ■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is geater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. � ` �� = PLiJIvIBING PERMIT#A�'�'LICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all wark 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: �- �,/ ��`� Date: ��—u� Reset Form 3 �--� `3-�- � DATE TIME CITY OF ORONO CALLED IN � INSPECTION TICE /� SCHEDULED �— PERMIT NO.�/��J�✓ COMPLETED ADDRESS � � C� � OWNER CONTR.� 2 �� TELEPHONE NO. ��3 '-��L/—S ��D � DESCRIPTION � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL � SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � o �� j•j- �j � � L�,� c� R�(,r ('� J� � 0 � W � Q � 2 W � W � � GW �IORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL FiETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site; Inspector. � � �� White Copyllnspector's File Canary CopylSite Notice ��/ !�� TE �TIME � CITY OF ORONO CALLED IN INSPECTION I�IQTICE SCHEDULED 6 ��4/�'L PERMIT NO./��D COMPLETED ADDRESS �� OWNER CONTR. c.C� � TELEPHONE NO. �C- ��_�l�� DESCRIPTION . � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. o � I � fi�s-, �� v� i3�x -- S�,u r o��s W Q /'�^V S �,— �C� ,� C C�P S S � r31'� � Z W � W � j d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ��CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ! ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOA !� CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnedContractor on sit • Inspector. _ /—�.�,� � White Copylinspector's File Canary CopylSite Notice �.� � ✓ A� � TIME CITY OF ORONO CALLED IN � INSPECTION OT C SCHEDULED v PERMIT N� D COMPLETED ADDRESS �� ,��lJl� ��/�-e OWN ER CONTR. GC_ TELEPHONE NO. � � ��.3� 7�"L—�� DESCRIPTION / ` � . \�� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FIN ❑ LAKESHORENVETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE iNSPECTION Q ❑ FINAL [] SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � J O � �/1./l r��v�rr_-t-v'°�' �� 0 � W � Q � Z W � W � � a W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ IS E CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECT�ON REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46Q� OwnerlContractor on site: Inspector. C�f � White Copyllnspector's File Canary CopylSite Notice