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Home My WebLink About2013-00562 - plumbing f • CITY OF ORONO * z 0 1 3 - 0 0 5 6 z * 2750 KELLEY PARKWAY DATE ISSUED: 06/24/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 126 CHEVY CHASE DR PIN : 36-118-23-41-0040 LEGAL DESC : HILL O'WAY MANOR : LOT 006 BLOCK 002 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: ROUGH [N LAUNDRY AND I3ATHROOM FOR PLUMBING VALUATION OF PLUMBING 750 APPLICANT PLUMBING FIXTURE FEE 50.00 LEGACY MECH SERVICES STATE SURCHARGE PLBG (VALUATION) 0.38 114 THOMAS CIRCLE#106 MONTICELLO, MN 55362- MAIL-IN FEE 2.00 (763)314-0877 TOTAL 52.38 OWNER WATZ, PATRICK&DAWN 126 CHEVY CHASE DR ,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and speciYications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Cd �� , , Applicant Permitee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , F CIT USE ONI.Y �� City of �� j �� P.O.I3ox�� Date Recei Permit# �� 2750 Ikelley Park�a�ati ��.'_�_ �j Crystal Bay��j� ��'�� APProved By: Amount$', d vl'�-/ / i j (952)249-4 n � � (952)249-4616— =�xry p�� ` � � ��'I'Y'tX'URONO— PLUMBING PERMIT ��kF�S�� (All Commercial Permits Must be Approved by the State Prior to City Approval) � htt i:;',`��»��.tlli.ni��.��u�,%( (�i,l)/1'I)I�/ ic �lumli�lunrc��:� i �. ulf GENERAL INFORMATION I. 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 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 1 �Residential ❑Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need('l;I'.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: ��iU ��,�� i � � �� Owner � ��h. Ma g Address: City: �V� �� Zip: J Home Phone: _ � �� ' �Alte nr ate Phone: Contractor Information: � - , J � Contractor: �� (,��tac erson. �� / Address: �� Z�� State Bond #: �� "/ ( � I City: �� Li��p�Expiration Date: Phone: �rp 3 Alternate Phone: � ( �� ❑ [nsurance— Current: � I PLUMBING FIXTURES BEING INSTALLED FIXTURE BSM"1' l�� 2��' OTHER FIXTURE BSMT I�� 2��' OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous . � L 1�. �(�i�'lr � � ��I� � � �l � ' � 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: l. 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. [s improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip next section,if this applies, Cost of Permit $ 15.00 State Surcharge $ 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$5Q�Q0) � 5�, s z� • X .o�2s $ (contract pricc) (minimum$50.00) 2. STATE SURCHARGE �j/� I✓ � JV i x .0005 $ 1 � (contract pricc) 3. POSTAGE& HANDLING(Only on Mail-ln Applications) $ 2.00 r �4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ p � ■ * 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 issuan e of a Plumbing Permit, agrees to do all work in strict a with the ordin c s of th City and the regulations of the State of Minnesota, d certities t t all statem made this application are complete, true and correct. � �n d Applicant's �ignature: Date: W � 3 � DATE TIME V 1 % CITY OF ORONO CALLED IN �P � INSPECTIO TICE SCHEDULED — —I � ��'�'� PERMIT NO. 3—�?�ZbMPLETED ADDRESS l2 � C � OWNER EPHONE NO��3� � —o��7 CONTRACTOR � � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. O FOLLOW-UP _ ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/FiEMOVAL � OWN CTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � W/iCf1M9RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE �❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952� 249-460� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSfte Notice � DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTICE / SCHEDULED -Z- /:OD PERMIT NO.c�0/3��S2S�0 Z COMPLETED ADDRESS I Z �� OWNER � a- TELEPHONE N0.�5z � O�ZZ CONTRACTOR �-'eqQ� Mt�G�J � DESCRIPTION aC.- � � ❑ FOOTING PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP p COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � W a � J O � � O � W � Q � 2 W � W � J a � ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (g52 49-460� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice