HomeMy WebLinkAbout2009-00010 - plumbing CITY OF ORONO PERMIT NO.: 2009-00010
� 2750 KELLEY PARKWAY
N ORONO, MN 55356- �ATE IssuEn: OU13/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 146 CHEVY CI-IASE DR
PIN : 36-118-23-41-0045
LEGAL DESC : HILL O'WAY MANOR
: LOT O11 BLOCK 002
PERMIT TYPE : PLUMBING (<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURE
NO"CE: WATER IiEATER
APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00
NORBLOM PLUMBING CO. STATE SURCHARGE PLBG (<$500) 0.50
2905 GARFIELD AVENUE S.
MINNEAPOLIS, MN 55408- MAIL-IN FEE 1.50
(612) 827-4033 TOTAL 17.00
OWNER
ANDERSON, RETA& STEPHEN
146 CHEVY CHASE DR
WAYZATA, MN 55391
AGREEMENT AND SWORN STATEMENT
Thc 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 Yor additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compicd 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 l80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in confonnance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Datc Issued By i nature Date
SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIB ABOVE.
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FOR'QTYUSE�ONLY
� Ci of Orono
���� �` ty DateReceived_ Pernut#
,��" '�� P.O.Box 66
�1�, ��`s 2750 Kelley Parkway - `
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CITY OF ORONO—PLUMI3ING PERMIT
(Ail Commercial permits must be approved by the Building Official or Inspector)
GENER`AL INRORIvMATION .
1. You may apply for plumbing permits by mail or in person at the City o�ces. 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. Piumbing permits may be issued ONLY to licensed plumbing_conlractors 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. A�l,work must be inspected and air tested before it is covered. Call(952)249-4600:-
(24-48 hour notice required) -
TYPE O��;PERIVIIT
,: > ,
; _ ; _"
:: Check All`--That A 1
Residential ❑ Commercial(Approval Required)
❑New ❑Additional ❑Repairs �Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUY.(Per Orono City Code,Chapter 78,Article I�
Job:Site/'Owner�nformat�on � '
Site Address: Stephen Anderson
146 Chevy Chase Drive
Owner: Orono, MN 55391
9524760901
City:
Home Phone: Alternate Phone:
Contractor Infoxmation'�
r: �('f(b1U(1�, �)�l,l(�(l b)Yl Contact Person: � ���'
Contracto �
�ddress: ��� ��� � S. State Bond#: l��I � �' V f
City: �-�.E.� �� ZiP���" Expiration Date: � CJ�
Phone: � �(�J ���^Ll�3� Alternate Phone:
� ❑ Insurance—Current:
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FTXTUiZE BSMT I 2 OTI�R FIXTURE BSMT 1 T 2"D OTF�R
TYPE FL FL TypE
�- FL
Water Closet Floor Drains
Lavatory Sewer Ejector
r
Bathroom Laundry Tray
Shower -
Washer
Kitchen Sink Water Heater ,
Disposal Water Softener I
Dishwasher
Wet Bar
Sillcocks Miscellaneons j
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� Yes,this section applies �
. I
The replacemer.t ef a Resideniiai fixture or appliance that meets ali three of the fo[lowing requirements:
1. . I
Does not require moclification to electncal or gas service. �
2. Has a total cost of$500.00 or less;excludina the cost of the fixture or appliance:and ' '
3. Is unproved,insfalled or replaced by the homeowner or licensed contractor.
i
Skip neact section,if this applies; Cost of Permit
$ 15_00 �
Stata Surcharge $ .50
Mai- i
. 1 In Fee(If Applicable) $ 1.50 �
Total Permit Fee $`�
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(Permit Fees Continued On Next Page) .
2 i
� D T TIME �
CITY OF ORONO CALLED IN � ��
INSPECTION NOTICE SCHEDULED ��"� �
PERMIT NO. ��9—" d� �O COMPLETED
ADDRESS � C.�iC�.d-e�
OWNER CONTR. �P�.�'Gb�h�'
TELEPHONE N0. ��l Z �7(p d�L� �
� DESCRIPTION l�/� ���=�-�'�-
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
,Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULAT�ON ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
� ❑ WALL BD.
Z ❑ 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
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED r! SSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor on site:
Inspector. / � / 'i
White Copyllnspector's File Canary CopylSite Notice