HomeMy WebLinkAbout2011-0151 - plumbing , CITY OF ORONO PERMIT NO.: 20��-o�s��
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE IssUED: 12/OS/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 141 CHEVY CHASE DR
PI N : 36-1 18-23-41-0026
LEGAL DESC : HILL O'WAY MANOR
: LOT 021 BLOCK 001
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NO'CE: 2ND FLOOR: 1 WC,2 LAV, 1 SHOWER, 1 LAUNDRY TRAY, 1 WASFIER
VALUAT[ON OF PLUMBING 6500
APPLICANT PLUMBING FIXTURE FEE 81.25
EASCO PLUMBING& HEATING INC. STATE SURCHARGE PLBG (VALUATION) 3.25
7965 PIONEER TR TOTAL 84.50
LORETTO, MN 55357
(6l2)369-5486
OWNER
REMARK, ROGER&MEGAN
141 CHEVY CHASE DR
WAYZATA,MN 55391-
AGREEMEIVT AND SWORN STATEMENT
Thc work for which this permit is issucd shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specitied herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked aC any time for due�cause:����
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�icar�t Permitee,Signaturc, Date Issued By S' ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABOVE.
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� • ����� FOR CITY USE ONLY
,¢0� City of Orono
P.O.I3ox 66 Date Received: Permit#
� ��� � 2750 Kelley Parkway �
�a ��'���> � Crystal Bay,MN 55323 Approved By: Amount$�t���--s�
��^ ����������o'` (952)249-4600—Main
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(952)249-4616—Fax
CITY OF ORONO — PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
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GENERAL 1NFORMATION
L 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. Pernut 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
PERMTT 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 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) ' � �
�Residential ❑ Commercial(Approval Required)
❑ New �]Additional ❑Repairs ❑ Replace
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t
❑ In Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
Job Site/ Owner Information: �� �
Site Address: � �"� � L ��� L h�� s. �v-�
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Inforn�ation:
�
Contractor: � E; � ( � �� .�f�h-"� Contact Person: ��"���
Address: � �l�: S (�i ���� r -� r State Bond #:
City: �-� �Y �1`' Zip:Ss3 S� Expiration Date:
Phone: 1� �- 4 %�-� % �1 Alternate Phone: (;/2� 3(� %- S �'�3 �
❑ Insurance—Current:
1
7
My, ,�,, ' 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
Bathtub Laundry Tray i
Shower i Washer I
t
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Silicocks Miscellaneous
PERMIT FEE CALCULATION(S} �
BASED �FF - 2402 STATE STATUE
❑ Yes,this section applies
The replacement of only one Residential fixhzre 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; excluding 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 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 CALCULATI{7N S �--JUBS OV�R�S�QO.OQ '
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
�,`j 0Q. �0 x.0125 $
(contract price) (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
pemutted 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 ar 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.
�`�` �k ��w �'�TIVIBING PE ' �T����'.����T�N AGREEMENT �°,�'� � ` �:, �$
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
wark 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.
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Applicant's Signature �'�� � �..� � ,����������� Date: �G � �
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3 DAT TIME
CITY OF ORONO �D IN �
INSPECTION NOTICE SCHEDULED �
PERMIT NO. �� / /� COMPLETED
ADDRESS � �
OWNER EPHONE NO. �
CONTRACTOR
� DESCRIPTION
-iY� ��L�L�,(���
� ❑ FOOTING �RL.UMBING FINAL � EXCAV/C DIN�IL
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WET ND
Q ❑ FRAMING �MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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�1�-6ATISFACTORY:PROCEED G PROJECTCOMPLEfE
� fJ� CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
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� ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
Owner/Contractor o site:
Inspector. ��_��
Whiie Copyllnspector's File Canary CopylSite Notice
�`�J D TIME �
CITY OF ORO CALLED IN ��^
INSPECTION ����j� SCHEDULED ia-9-�/ _�
PERMITNO. ���5�� COMPLETED
ADDRESS �7 � ��Lp-�1-f�1 C���-�' � -- —
OWNER TELEPHONE NO. ��a 3lo g �'��'�
CONTRACTOR �Ct-S�
>; DESCRIPTION O��� � /'"` �-`-' ` ��
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB � WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP � COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� f�VORK SATISFACTORY:PROCEED C� PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION W�THIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR W4LL RETURN ❑ GTATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-46QQ
Owner/Contractor on site-
Inspector.
White Copyllnspector's File Canary CopylSite Notice