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Home My WebLink About2013-00331 - plumbing CITY OF ORONO * 2 0 1 3 — PJ 0 3 3 1 * 2750 KELLEY PARKWAY DATE ISSUED: OS/08/2013 � ORONO, MN 55356- . (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 110 CHEVY CHASE DR PIN : 36-118-23-41-0046 LEGAL DESC : HILL O'WAY MANOR : LOT 012 BLOCK 002 PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: 1 KITCHEN SINK 1 DISHWASHER VALUATION OF PLUMBING 3495 APPLICANT PLUMBING FIXTURE FEE 50.00 GENZ-RYAN PLUMBING&HEAT STATE SURCHARGE PLBG(VALUATION) 1.75 2200 HIGHWAY 13 BURNSVILLE, MN 55337 MAIL-IN FEE 2.00 (952)767-1000 TOTAL 53.75 OWNER HIGGINS, KENNETH& LAURA ]10 CHEVY CHASE DR WAYZATA, MN 55391- AGREEMEIVT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expice and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applican[is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cailse. `'��,Q,c.� � l l � � Applicant Permitee Signature Date Issued By i nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABO t ` FOR CITY USE ONLY �O�O Citp of Orono P.O.Box 66 Date Rcceived: Pcrmit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main � �. (952)249-4616—Fax yF c.` CITY OF ORONO—PLUMBING PERMIT ��kESH��`� (All Commcrcial Pennits Must be Approved by the State Prior to City Approval) htt�://��v��.dli.mn.<so�°/CCLD/NDF/�c lumb �lanreva>>.�df 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 t��o 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 1�1UST 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 che dwelling. 4. Wl�en 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 befare it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT Check All That A 1 tial ❑Coiumercial(Approval Required) ❑ New ❑Additional ❑Repairs ��e ❑ In Accessory Structure? *You will need arior aanroval and n�ay need CUP. (Per Orono City Code,Chapter 78, Article IV) Job Site/Owner Information: Site Address: U C Owner: �1 � Mailing Address: �� City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: � Contact Person: �� Address: �(�W � 1"1 � 3 State Bond#: � � I G�� City: 3�� Zip:�"v�xpiration Date: � � � � ��-� � Phone: �� ' �� AlternatePhone: ❑ Insurance—Current: ��iY�(�� 1�(,�N�'� 1 PLUMBING FIXTURES BEING INSTALLED FIXTURE I3SMT 1�� 2�D OTHER FIXTURE BSMT 1'�r 2��> OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink I �' Water Heater Disposal Water Softener Dishwasher I Wet Bar Sillcocks Miscellaneous PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of only one Residential fixture or appliance 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 plumbing contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcl�arge $ 5.00 Mail-in Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 ' PERMIT FEE CALCULATION 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$50.00) �� `''�� x .0125$ �lJ �� (contract price) (minimum$50.00) 2. STATE SURCHARGE C �� I `1� �J X .000s � � � (contract price) 3. POSTAGE&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, labar,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 furnisl�ed 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. ln 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 ardinances 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: ��C� Date: � � � 3 DATE TIME `� CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. v?�/? -�d33� COMPLETED �/ ADDRESS //d C.f�.T L'�� !J/'- OWNER TELEPHONE NO. CONTRACTOR G c�z ��...�I � DESCRIPTION ��'�� ` � ❑ FOOTING PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. (,�.EQLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: a ~//s,5 L��rn.•�L` ti�'!�� fD��✓ /i'1�1s r�. � �J lC��.rt.IZ `Z��-a�/3 " 00�lO a2 �j�i � l.v G1� /,3 d 1 6/— !4' -/�3 0 � W � Q � 2 W � W � � J W ❑WORK SATISFACTORY:PROCEED �IECT COMPLEfE �C (i — W ❑CORRECT WORK 8�PROCEED O ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR W{LL REfURN ❑STOP OFDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on site: Inspector. ��/�-- � W�ite Copyflnspector's File Cenary CopylSfte Notice