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Home My WebLink About2013-00688 - plumbing . CITY OF ORONO � * 2 0 1 3 - 0 0 6 8 8 * 2750 KELLEY PARKWAY DATE ISSUED: 07/22/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 139 CHEVY CHASE DR PIN : 36-118-23-41-0025 LEGAL DESC : HILL O'WAY MANOR : LOT 020 BLOCK 001 PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: YLUMB[NG FIXTURES: (1)KITCHEN SINK,(10 DISPOSAI.,(1)DISHWASHER AND(1)SILLCOCK VALUATION OF PLUMBING 1600 APPLICANT PLUMBING FIXTURE FEE 50.00 TRADESMAN INC STATE SURCHARGE PLBG (VALUATION) 0.80 2942 XERXES AVE N MINNEAPOLIS, MN 55411- TOTAL 50.80 (612)581-4472 OWNER BELTRAND, BYAN & WENDY 139 CHEVY CHASE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and Ihe State Building Code. This permit is for only the work described and does not grant pem�ission for additional or related work which requires separate permits. All provisions of laws and ordinanecs governing this type ofwork shall be compicd with whether or not specified herein.'I'his permit will expire and become null and void if construction authorized is not commcnced wi �in 180 days of the date of issuance,or��construction is suspend d fo period of� 180 days at a �time afier k has commenced. The a ic s.�s nsible � a ur� all require � spections are e � s d' onfo i n it t St e BRildi de.This permit may be r k d t ny ti �o e au e. � � �7, a a, /� � � 7� a� �� Ap ica t Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � OR ITY USE ONLY � ' ,�� City of Orono � �/� _ ��'� O% O P.O.Bax 66 Date Recerv1�� Permit �,,,.,,, 2750 Kelley Parkway �' �Q�� a ;�'��'��.`'�- � Crystal Bay,MN 55323 Approved By: Amount :" U`�'' W�, „��,14�;, ti �p,��;{y4o (952)249-4600—Main �g�$ (952)249-4616—Fax CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to Ciry Approval) htt�://�vww.dl�i.mn.�ov/CCLD/PI)F/ e lumb lanre��a �.�d}' GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a pernut 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing pernuts 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 pernut 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 Apply) �� Residenrial ❑ Commercial(Approval Required) Q New ❑Additional ❑ Repairs Replace ❑ In Accessory Sttucture? *You will need prior approval and may need CLJP. (Per Orono City Code, Chapter 78,Article IV) Job Site/ Owner Information: Site Address: 13 � C�C V �f��l�S(- � K--1\/= Owner. ��L�IZlL�-c1`J L� Mailing Address: S�-!til� City: �i2�v c� O Zip: ss3 � / Home Phone: Alternate Phone: Contractor Information: Contractor: /�)�S��-��jU� Contact Person: �I/l�!4= �j�41?�a-r T 7� Address: �_7 �2 xe��-�c=� �✓�-�State Bond#: �p /3 � � ��c'� City: ��ru�v�A�uS Zip: �S�l� Expiration Date: 3 /� Phone: �/Z •5 �� ' y�?� Alternate Phone: �'�o G�<K�e i o�- L� � � ❑ Insurance-Current: �� l�}-►4.i Gc�K--(� �C � Ng �o � 1 ��IS�BA �� 7C�� s� � , � �y � # �.'� �= PLUMBIN�r ., . -�TURES BE�NG�TSTAI,LED ` � � �.:��'?�'. FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejectar Bathtub Laundry Tray Shower Washer Kitchen Sink / Water Heater Disposal � Water Softener Dishwasher / Wet Bar Sillcocks I Miscellaneous PERIvIIT FEE CALCULATIOI�(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; excludine 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 Pernut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � � � .s� »'�T°+'�.�'�� }-� �y. 3��=t;°; �`�� <<. PERMIT FEE C�� '(� '-JOBS (JVER$500 00 . . . If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25°/' f contract price with a(Minimum Fee of$50.00) �� v � D� xA125 $ (contractprice) (minimum$50.00) 2. STATE SURCHARGE _x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �' � ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted 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. . �,'` �;n � � ;� � s.. �� i � ��. �� ' �� 5».A��. - ��;� -x`k. 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 Signatu : � Date: 7 � Z � 3 3 L�J TE TIME � CITY OF ORONO N — INSPECTION I �+EDULED — � �� PERMIT N ' ��bMPLETED ADDRESS OWNER TEL PHONE N � ✓ ' �' CONTRACTOR L � DESCRIPTION � �' " ` �C'� � � ❑ FOOTING ❑ PLUMB INAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHA ICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ PTI INAL O FOUNDATION/REMOVAL 2 OWNERICONTFiACTOR TO MEET YOU: ES_NO v�i COMMENTS: � W � � J O � � O � W � Q � 2 W � W � � � d W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER 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 sit - Inspector_ White Copyflnspector's File Canary CopylSite Notice L� � � DATE TIME �/ CITY OF ORONO CALLED IN - � 'I INSPECTION TICE'�f��j�j SCHEDULED — — ,3.3a PERMIT NO. J�(/ � COMPLETED ADDRESS � - OWNER TELEPHONE NO.!l/��S�I� �� CONTRACTOR C- - >; DESCRIPTION < � �� ❑ FOOTING ❑ BING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU�ES_NO � COMMENTS: ad�3 -�� e��'�- � W 0. � � � J � S r � �� 't"�� O � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑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 Copy/lnspector's File Canary CopylSite Notice