HomeMy WebLinkAbout2007-P10772 - plumbing � PERMIT
CITY OF ORONO Perm�t Number:
2750 Kelley Parkway - PO Box 66 P10772
Crystal Bay, Minnesota 55323 Permit Type: Fixtures
(952) 249-4600 Date Issued:
2/15/2007
SITE ADDRESS: 139 Chevy Chase Dr Unit#
Wayzata,MN 55391
P��� 36-118-23-41-0025
DESCRIPTION:
Proposed Use: Residential
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Mulriple Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Petmit Fee: $ 75.70 Valuation: $ 6,056.00
State Surcharge Fee: $ 3.03
TOTAL FEE: $ �g,73
APPLICANT: City View Plumbing&Heating OWNER: Mr. &Mrs. Beltrand
1880 B Wayzata Blvd W. 139 Chevy Chase Dr
P.O. Box 150 Wayzata MN 55391
Long Lake,MN 55356
THE UNDERSIGNF,D HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLfANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPL[CANT PERMITEE SIG ATURE S ED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, l-MonthlyReports, 1-Assessing(IfSeptic, 1-Septic) Page l
�
FOR CITY USE ONLY
City of Orono
�'��'•` DateReceived: Permit#
� O„ P.O.Box 66
� 2750 Kelley Pazkway
� ���'�'?4• r Crystal Bay,MN 55323 Approved By: Amouc�t$:
�`���y;���� (952)249-4600
CITY OF ORONO—PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspectnr)
GENERAL INFOR.MATION
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 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 properiy 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 I
�Residential ❑Commercial(Approval Required)
❑ New ❑Additional ❑Repairs �Replace
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❑ In Accessory Structure?
*You will need arior aaproval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: �3� ����� ���'��J� ��;��
Owner:�tyA�✓���.1 v����CGnC.� Mailing Address: 13°1 Ch����--1��5�'�a�
city: ��c��i� zip: �5 j`�( I
Home Phone: Alternate Phone:
Contractor Information:
Contractor: C;�`f��L�� �I�`���� Contact Person: �V�►^� I�� I Q�l
Address: (88 4� ("�•�a yZ�,�r.(���r.� State Bond#:
City: � � �� Zip:S��S�, Expiration Date:
Phone: �S�y13`b�T�'��J Alternate Phone: C(�-��S���J�'
❑ Insurance—Cunent:
1
PLUMBING FIXTURES BEING INSTALLED
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet � Floor Drains
Lavatory Sewer Ejector
� � Laundry Tray
�'sc} 1�.�
Shower � Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
PERMIT FEE CALCULATION(S)
BASED OFF -2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets ail three of the following requirements:
1. Dces 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 contractor.
Skip ne�ct section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
PERMIT FEE CAL.CULATI4N S —JOBS OVER$500.00
If abave does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
���J b�o x.0125$
(wntract price) (minimum 535.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surchazge(Minimum Fee of S.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines i-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 materiai,equipment, labor or instailations aze furnished by
the owner,tenant or any other party,the reasonable mazket value of such items must be added to the
estimated cost or contraet 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.
■ ** 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 Building Department at(952)249-4600 for the price.
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 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: � 3 �
Reset Form
3
C'��/��`"� �- � D�AJTE'� TIME "
CITY OF ORONO CALLED IN ���
INSPECTION TICE SCHEDULED �- "�07 ��
PERMIT NO. COMPLETED
ADDRESS �.39 �-�'-��� �-�1E- �
OWNER CONTR. � ���� ��
TELEPHONENO. /�� �Z?j �71��
� DESCRIPTION �lr �-S� '" l���u�
l� 01 FOOTWG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPL4CE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTiON
Q OS 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 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �WORKSATISFACTORY:PROCEED I_I PROJECTCOMPLETE
W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. CPHOTOTAKEN
INSPECTOR WILL AETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnedContractor on site•
Inspector. ( '�],� � �
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