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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 (<$500) 0.50 2905 GARFIELD AVENUE S. MINNEAPOLIS, MN 55408- MAIL-IN FEE 1.50 (612) 827-4033 TOTAL 17.00 OWNER ANDERSON, RETA& STEPHEN 146 CHEVY CHASE DR WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission Yor additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compicd with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in confonnance with the State Building Code.This permit may be revoked at any time for due cause. ` u�(,/ / / / / Applicant Permitee Signature Datc Issued By i nature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIB ABOVE. � FOR'QTYUSE�ONLY � Ci of Orono ���� �` ty DateReceived_ Pernut# ,��" '�� P.O.Box 66 �1�, ��`s 2750 Kelley Parkway - ` ��� . s.%� C stalBa MN55323 ApprovedBy • Amount$.: '.,. , �a IY Y. _. ;; ._.:;r :.,;� � .: .. �_ : . �'� ���t��',�,p�� (952)249-4600 c��� � \�sao�`� 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: 1 � . � � £'-����'� .� �,�= ��� =� -.�����; ��'l��IN:G�F - - � ��-����ET�G-II���;L LEl�.�v� -�-��.��` _ -� :.�x-� 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 1 .� � _ I ' � ` ,FF��� ����rir�EE c �LCITL �z,«���c�� - I t - _ � a ;����D�oF� - �?�c�? ' - - - _ � ,�7�,IL_�I,��7�L�1 - - _ � ; � 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 $`� I I . i ,, � (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: � W a � J O � � O � W � Q � Z W � W � � a � ❑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