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Home My WebLink About2001-P03751 - plumbing PERMIT C�T�'AOF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P03751 Crystal Bay, Minnesota 55323 Permit Type: FiXtures (952) 249-4600 Date Issued: s�ii2oot SITE ADDRESS: 128 Chevy Chase Dr WAYZATA,MN 55391 P I D: 36-118-23-41-0041 DESCRIPTION: -�,--.�_, Pl'OpOSeCl USe: nc�iucii�iai Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Fixtures>3 DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 87•50 Valuation: $ 7,000.00 State Surcharge Fee: $ 3.50 TOTAL FEE: $ 91.00 APPLICANT: LEorr �uDa PLUMBirr� OWNER: �c&E s sMITH 208 17TH AVE NORTH 128 CHEVY CHASE DR I-IOPKINS,MN 55343 WAYZATA MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK II�I STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILI�ING CODE REQUIREMENTS. / y .�. �! �,u/ �� APPLI ANT PERMITEE I NATURE SS D BY SIGNATi.JRE i Copies: City,Applicant,Assessor,Finance Page 1 - �7 �� J CITY OF ORONO APPLICATION FOR PLUMBING PERi�IIT Box 66 (2750 Kelley Parkway) Crystal Bay, M1V 55323 GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. 2. Permit cards will be sent by retum 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 obtai.ned. 5. All work must be done in accordance with the State Code requirements. 6. All work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice required. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WII.,L NOT BE PROCESSED. If you have questions, call 249-4600. Please check one: New Addition Repair � Replace �' �e•�,o � . � Residential Commercial � I f JOB SITE: �� (�J l� � �- Zip: J�� / Owner's Name: ,�� 'elephone Number: yy� - ��!9 l�Tailing Address: � P� City: ,E'oN J Zip: �5�3 p� Contractor's Name: �.��✓ �:,�4 �� °„c s %�'l. Te ephone Number: ��,� y� �� ; Mailing Address: _�o s� - �-t-K � !`� . City: f'l� �t•� Zip: ��3� 3 �; PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND 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 Misc (list) �� `�� t�S"`�� 9c� � i .��, ,n n; # �— :� � �_ � �`"�� x �r "�..�� ` .,a¢� '�Y'� r�t;a��'�. s 9".i �..xn.�"'i '*�, . ' w � �'� � -��; ��'� �c �� `'��z� � � 4a'`� �`� {� A ' � t ; . . , � . '� � �' .., w��.v�a'.�. TM'� - �Jm�_i� .��'��?` �rs , , . ' r " ._�:�� .�.� � yt ,_ =, _' . . ..- �,:. . . � .��,. , ._ .,. _. ...- ._ . .. �.,_. ., .. ".' . . . . , - ... �.� , , .,. . . .. � PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) �� x .0125 $ (contract price) 2. State Surchar� ** Add the State Building Code Division Surcharge to each permit. x .0005 $ (contract price) or $.50, whichever is greater 3. Posta�e and Handlin� (Only 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 installation 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 pemut fee purposes. In the event that there is a dispute on the amount of the job cost, the Ci�y 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 greater. For valuations over $1,000,000 call the Department of Jnspectional Services for the price. 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: �' Date: S� � � ��,. ,°�;. - �: s� - �: . �'_ � . ,. _. . �� . _. _ . .. _ . � . _ , . m .. �.�,� ..._ .�. .. �_. ., .. _. , . � , ._.. ....�, .. �:;- �, �„��. ;�� _ # _ �=� ��s .� =� ;,.. Y .�, . � �� - .� � �- _, w P� 9��- � ;, �� - � � . � .Y �- 3+9 t* a`5, � � �c �� t,s� � � � . _ d . 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'�� '� h ��A"'�� w"� �°,�� '°.�m�� w;£ �4r��f`'�� *u , t ��w +�,.�<. �' ,{ ') '� o�.� `�Y *-7 r� `�+ Y ��f � ,r-,-+,�, �'�'�y�� f�"��a.- �' �:,.� �� a�� .. c ��`y�,. �,,r F � ��'r�,y, ��+�„�.�-��`�,�s � 32 � f��„�'��. � M �� ,��~ �,�. �� ,:s< 5ai�+ �,,,z'�k�� k.�'.+�� ;,��wy �`"' '" �, a r,� � �q�, - �{d �� -+a��.zA�.�.;�s . � si�� , T �^* ,... r �``r'�k i"� �x�a�"�� ^'�� y �� :q�-a�s�'+°��r�: . :�, '�,� � �±� � �_ �fi��i��`� � Fr ,,„�,�y,.��a.p a�, � ��,` �c� s #��s £''�F��, `�; � - �•=�'� r` -r� r�ts"�b�� p`^�a�`".c�a''c�.� '�'' t� ;• �; ?- .� +'S,�Y:'��.�� ,�c��1"� �`,. .�� ,:y �:, . x: , e.. . _ �,� " '° �� g� t �� . �� ;n , ��;�� z�. �� i��:�,.�� ,,��.��.��,.�'��.�r,,.��" . ��>��•:. �r,��.,�� ...., 4 �xr�. � �. :�n,��,� � '��..�:,�.� , n "� "; �_,w .. . .. . . � � D TE TIME CITY OF ORONO CALLED IN � �• � INSPECTION NOTIC SCHEDULED �_ PERMIT NO. � / COMPLETED << ADDRESS �� C/��i�.. OWNER CO TR. �� TELEPHONE N0. Jo� " 7�J� ^�r� � � DESCRIPTION _ —�� "� ��C.(.t/116 � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATlON/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � 2 W � W � � � �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL REfURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContracto 0 Inspector. Wh�te Copylinspector's File Canary Copy/Site Notice � � DATE SIME�„ ,ITY OF ORONO � CALLED IN �3/-�% � C�`� INSPECTION OTICE C SCHEDULED �-�'-� X ��" PERMIT NO�� ✓/ COMPLETED � ( U ADDRESS /� (��='-`{� OWNER � �(� �/ CONTR. C��'"� TELEPHONE N0. � � ` � �� DESCRIPTION � �-��✓�---� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/N/ETLANDS h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERlCONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � d�K SATISFACTORY:PROCEED �: PROJECT COMPLETE W � ❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT Cl CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN C7 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 OwnerlContra o Inspector. White Copyllnspector's File Canary CopylSite Notice � � � ��;�,5 �-�� -��, � DATE TIME CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED PERMIT N0. � COMPLETED ..5�� Y�T ADDRESS g S=� OWNER :7�/�.r� CONTR. J�'�C%� �i'N•-b�_ TELEPHONE NO. '7S� �.3 � �� J��/� � DESCRIPTION / (U/�"Ji � Oi FOOTING 11 MECHANI L RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PFOGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O >. � O � W � Q � Z W � W � � � �NORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W/❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUIREO.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnedCon�gt�o�e: Inspector. � White Copyllnspector's File Canary CopylSite Notice