HomeMy WebLinkAbout2008-00206 - plumbing ,,, CITY OF ORONO PERMIT NO.: 2008-00206
2750 KELLEY PARKWAY
� ORONO, MN 55356- �ATE ISSUEn: 09/10/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 142 CHEVY CHASE DR
P1N : 36-118-23-41-0044
LEGAL DESC : HILL O'WAY MANOR
: LOT 000 BLOCK 002
PERMIT TYPE : PLUMBING(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: KITCHEN SINK,DISPOSAL&DISHWASHER- 1 ST FLOOR
APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00
CHAMPION PLUMBING LLC STATE SURCHARGE PLBG(<$500) 0.50
3670 DODD ROAD-SUITE 100
EAGAN,MN 55123 MAIL-IN FEE 1.50
(� TOTAL 17.00
OWNER
HANNEMAN, JAMES&CHIEMI
142 CHEVY CHASE DRIVE
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 the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. AII 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 applicant is responsible for assuring all requiced inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
`�'�t-,°(-t-C �t�. / / �>'K-,�,,,ti, / /
Applicant Permitee Signature Date Issued By Si ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED BOVE.
..�
CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Cry�stal Bay, 11�iN 55323
GENERAL INFORI�IATION
1. You may apply for plumbing permits by mail or in person at the City ofhces.
?. Permi[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 property owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
�. All �vork must be done in accordance with the State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice
required.
Instructions Complete all items on this application. Compute the perniit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have
questior�s, cala (952) 249-�600.
Please check one: New Addition Repair �Replace
✓ Residential Commercial
JOB siT�.: i�� C�V�',�jCt�ei I.��� z�P: 5��
O«ner's Name: � }�,�,Q�S �n��(�4�, Telephone Number: (-(-�j��- L.-f1�- f�O
�lailing Address: ,�( � City: (�r�,�p'�v Zip: _ Gj�� ���
Contractor's Name: amp�on Telephone Number:
i��lailing Address: - .-� � �,� ��nn City: Zip:
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PLUi�IBING FIXTLJRE SCHEDULE
FIITURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Wa�er C1ose[ Floor Drains
Lavatory Sewer E�ector
Bathrub Laundr Tra
Shower Washer
f�icchen Siril: Water Heater
Dis osal ' Water Softener
Dishwasher Wet Bar
Sillcocks Misc (list)
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PERMIT FEE CALCULATION(S)
2002 State Statute � Yes, This Section Applies
The replacement of a 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; excludin� the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licenced contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125 % of job with a Minimum Fee of ($35 00)
x .0125 $
(contract price) (minimum $35.00)
2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of $ .50)
x .0005 $
(contract price) (minimum $ .50)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT F'EE (Add lines 1-3 above) $ �__�u
* 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 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$1,000,040 or $.50 - whichever is greater.
For valuations over $1,000,000 call the Department of Inspection 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
conect.
Applicant's Signature: Date: ' -
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CITY OF ORONO CALLED IN O
INSPECTION OTICE SCHEDULED i� �� /1'L
PERMIT NO. $-UGab�v COMPLETED
ADDRESS �� � �� '
OWNER CONTR��L_�'1�Lf�'J/�C, �I�J �
TELEPHONE NO.
� DESCRIPTION ` � - ✓ �—�'�- '
� ❑ FOOTING ❑ MECHA AL RI ❑ EXCAV/GRADING/FILLING
Q � FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z0 WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. � ❑ COMPLAINT
J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� �I PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU�S_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED '= SUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR '�CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-46��
OwnerlContractor on ite:
Inspector. � l ;� �
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