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Home My WebLink About2014-00055 - plumbing � � CITY OF ORONO * 2 0 1 4 - 0 Pl 0 5 5 * 2750 KELLEY PARKWAY DATE ISSUED: OU17/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 133 CHEVY CHASE DR PIN : 36-118-23-41-0022 LEGAL DESC : HILL O'WAY MANOR : LOT Ol7 BLOCK OOl PERMIT TYPE : PLUMBING (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: (1)WATER CLOSE'1",(1)LAVA"I'ORY AND(l)LAUNDRY 1RAY VALUATION OF PLUMBING 4600 APPLICANT PLUMBING FIXTURE FEE 57.50 STATE SURCHARGE PLBG (VALUATION) 2.30 VETSCH PLUMBING SERVICES MAIL-[N FEE 2.00 2451 LACHAMAN AVE.N.E. MN 55376- TOTAL 61.80 (763)497-9733 Payment(s) Minnesota State License#: plbg-7375 CREDIT CARD 6536 61.80 OWNER OLSON, MR. & MRS. ROBERT 133 CHEVY CHASE DR WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and thc 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 applican[is responsible for assuring all required inspections are requested in conformance with the State[3uilding Code.This permit may be revoked at any time for due cause. � � l /�l/lG Applicant rmitee Signature Da [s d By Signature Date JAN-17-z014 09:z1A FROM:UPS- MAGIC WATER 7634971851 T0:9522494616 P.2 TOR CITY USF.ONLY �O A} City of Orono r y P.O.Dox 66 Date Roccived: Permit# � 2750 Kelley Parkwey Crysml Buy,MN 55323 Approved Dy: Amount S: (952)249-4600—Main � (952)249-4616—Faac �' �`� CITY OF ORONO—PLUMBING PERMIT l�'FESHOa'� (All Commercial Permits Must be Approved by the State Prior to City Approval) I�tt ://www.dli.mn.=ov/CCLD/PDF/.e lumb I�nrev� .idf GENERAL INFORMAT[ON 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit wil!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 TWE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed piumbing 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 befora it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT Check All That A 1 (I�Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace ❑ In Accessory Structure7 *You wi11 need nrior aaaroval and may need CUA.(Per Orono City Code,Chapter 78,Article IV) Job Site/'Owner Information: Site Address: 3.. Il (1 � � �iev IC�I�SP� Owner. � Q�� Mailing Address: c�ty: z�p: 5.539/ Home Phone: 9�a` ��3`��a� Alternate Phone: Contractor Information: _ Contractor: V G Cr�J .�� Contact Person: /��d/ I'//`l� �/t'J't` Address: �,� (�'�'� �Vc C� State Bond#: �C��-�9 City: ��Vtt�'�� Zip�537 Expiration Date: �c� ' .��' �J Phone: ��°��a�� 33 Alternate Phone: ❑ Insurance—Current: CD 'Q�' �7 1 JAN-17-2aS4 09:21A FROM:UPS- MAGIC WATER 7634971851 T0:9522494616 P.3 � .,�,:� ` � `' �MI3ilVG�F1XTU�K'ES BETNG�INSTA�L�D � � � , ,, �: �'�� FIX1'CTRE BSMT 1 2 OTHER F1X'I'UK� BSMT l 2 OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains Lavatory �/ Sewer Ejector Bathtub Laundry Tray ✓ Shower Washer Kitchen 5ink Water Heater Disposal Water Softener I)ishwasher Wet Bar Sillcocks Miscellaneous .�.. . „ ,�. , "' . _ �_ `�pERIv1IT FE�CAL�L)LA ION(S)�� . ,. �. ,. �"�� % BASED OFF -2002 STA"T�STATUE �' ❑I Yes,this section applies The replacement of onty 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;excludine the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the hnmeowner or licensed plumbing contractor. Skip next section,if this applies; Cost ofPermit $ 15.00 State Surchnrge $ 5.00 Mail-In Fee(�f Applicable) $ 2 00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 JAN-17-2014 09:22A FROM:UPS- MAGIC WATER 7634971851 T0:9522494616 P.4 ;' PERM�T'�` �:CA�CULf1T.CON S �JOBS OVER$500.00 '`""' �. � �TM - If above does not apply;follow guidelines below: 1, CONTRACT PRICE " is t,25%of contract price with a(Minimam Fee of$50.00) yGbo — X.oizs$ �I �'E� (contmct price) (minimum$50.00) 2. STATE SURCHARGE ��UU J x.0005 $ �' �� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S ��' �� ■ '" CONTRACT PRICE ar JO� COST means the actual or estimated doUar 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. [f any material,equipment,labor or installations are furnishcd 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. �'�� ''�� ;��' °`�PL',U��MBING YERMTT A�'PGT�ATIO �`AGRC�M�NT� �� ,. r _ � ;� The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do a}1 work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that aU statements made on this application are comptete, true and conect. Applicant's Signature: - �� Date: �' ��' �`7 3 �' , I / D TE � �� ✓ CITY OF ORONO OODI'Jy CALLED IN Y INSPECTION OTICE SCHEDULED �/ � PERMIT NO. �'"� COMPLEfED !► �/ ADDRESS �33 OWNER �SDn ELEPHONE NO. �Co3��7-�'1 �Z 33 CONTRACTOR '�" c a DESCRIPTION �` � � � ❑ FOOTING LUMBIN FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECH CAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q O RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP Q COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP �U ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ BING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 ER/CO FiACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � J d W��WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i pection 24 hours in advance. (g52) 249-4600 OwnerlContract s' : Inspecto White Copyllnspector's File Canary CopylSite Notice