HomeMy WebLinkAbout2015-00181 - plumbing CITY OF ORONO * z 0 1 5 - 0 0 1 8 1 *
' 2750 KELLEY PARKWAY DATE ISSUED: 02/12/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 114 CHEVY CHASE DR
PIN : 36-118-23-41-0035
LEGAL DESC : HILL O'WAY MANOR
: LOT 001 BLOCK 002
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: (2)WATER CLOSETS
(3)LAVATORIES
(1)BATHTUB
(2)SHOWERS
(1)SUMP PUMP
(1)WASHER
(1)LAUNDRY TUB
VALUATION OF PLUMBING 2500
APPLICANT PLUMBING F[XTURE FEE 50.00
STATE SURCHARGE PLBG (VALUATION) 1.25
SAM HENDRICKSON PLBG& HEATING INC MAIL-IN FEE 2.00
29901 725TH AVE
DASSEL, MN 55325- TOTAL 53.25
Minnesota State License#: mech-005006 Payment(s)
CREDIT CARD 7507 53.25
OWNER
MCLEAN, CHRISTOPHER& ELIZABETH
114 CHEVY CHASE DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
�'he work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for oniy the work described and does
not grant permission for additional or related work which requires separa[e
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whe[her or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days a[any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
C�'!�t ��1:�LX�.GC�I C /T�1,�-L �L�A_GC—K.� v' l /v� l �S
Applicant Permitee Signature Date Is�By Signature Date
. �
` FC3 tt 138E ONLY
�A� City of Orono �` /� �,�y 9
1�/O F O Box 66 taate�teceFo�l� Permitl� OS[/ �/��
2750 Kzlley P�rkway �
Crystal Bay:MN��323 t1pP�"o�red By,: ",�1�t}t�t$;r�..
(9�2)249•4600—Main ,� _
� (952)249-46l6—F9x
�` �`� CITY OF ORONO—PLUMBING PERMIT
1�����H��`� (All Commercial Permits Must be Approved by the State Prior io City Approval)
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' G�NE.R���,�'��:A7�I4� _
1. Y'ou may apply for plumbing permits by mail or in person at the Ciry o�ces_ Applications will be
reviewed an8 a permit will be issued within ewo working days,
2. permiC cards�vill be sent�y return mail after a review is cornpleted. PER1�iITS ARE NOT
VA1,lb U'NTTL,YOYJ R�C�T'V�A P�lZ.'v(IT. W01tK 1�1�JST 1VQT��GIIY UNTIL THE
PERMIT CARD IS P4STEb ON T!-IE.�48 SITE.
3. plumbin�pelCmits may be issued ONLY#o licensed plumbing contractors and to propetry owners
residing in the dwelling.
4. When sny new construction or rernodeling is involved,a separate building permit must be
obtained_
5. All work must be done in aCcordance with Slate Code requirements_
6. Al)work must be inspected and air tested before;t is covered. Call(952)349-4600.
(24-48 hour notice required)
"TY�'E`QF PE�iXT
'��h��k Ali Tha�A 1
/�j Resid�ntial ❑Commercial (Approval Required)
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❑New �Additiona] ❑Ytepairs Q lZeplace
❑ ln Accessory Structure?
�You will need�rior apqro_v�l.and may need CUP.(Per Orono City Code,Chapter 78,Article IV}
J"ol�S�te/Uwner In.��z�riation:
Site Address: ����Uy ���� ���ryQ`
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Owner�/// �-�� Mailing Address: /
City: W� � �� �ip� �� / �
Home Phone: Alternate Phone:
Gonfra�tor�:n;fQr�t��tic�r�:
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Contract • ��C� � ��J ContacC Persott: ^� - 4��Sm�
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Address:G����/ r�� State Bond#: �//� ��I���
City: ��`� zip`��.�r'��piration Date: ��1"/�/ l�
Phone: �� � Alternate Phane: �� ��
❑ Cnsurance urrent: ��
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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTT-�R
TYP�, FL FL TYPE FL FT�
'Water Closet i J �loor brains
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Lavetory � � �r�z �o�� /
rrr �lI M
$atlttub � Laundry Tray
Shower ) 1 Washer �
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Kitchen Sink Water Heater
bisposal Water Softener
b'rshwasher Wet Sar
Sillcocks Miseell�neo�s /
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- ���I�'�`�'�-�l-��C�..CL�1 t��'��AIf��; -
r= - - �:��F����< �f)t3"��=A�'� ��A�U�, �• - -
❑ Yes,this section applies
The replacement of only one Resident'al fi u o a liance that meets all three of the follow'rng
requireinents�
1. Does noc require modificarion ta eleetrieal or gas service.
2. �Txs a TptB�CpSt of$540.Q0 or less;excludin�the cost of the fixture or appliance:and
3. [s improved,installed or replaced by the homeowner or lieensed plumbing contraCCor,
Skip next section,'rf this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-Tn�'ee(Tf Applicable) $��
TotAI permit�ee $
(Permit Fees Continued On 1Vext Page)
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If above does not a�ply;follow guidelines below�
1. CON'C�#C'M'P�10E *is 1.25%of contract price with a(Minimum Fee of$50.00)
��"" ' � x.0125� �._Jvi ��
(contract price) (minimqm�50.00)
2. STATE SURCHARC� �
� � x.0005 $ /�
(contract price) T
3. POSTAGE&HANDLING(Only on Nlail-Tn Applications) $ 2.00
4. TOTAL P�KMN?'�'��(Add Lines 1-�Above) $ �" '��
■ = CONTRACT PRTC� or 70B COS'K' means the actual or estimated dollar amount charged for the
permitted work including materiaCs, labor,profit,and other fixed costs. It is the amount to be charged
to the cusYomer for ihe work done. Tf any material,equipment, labor or installations are furnishec� by
the owner,tenant or any other parry,the reasonable market value of such items must be added to Fhe
estimat�d cost or contract price for perrnit fee purposes. In the event that there is a dispute on the
amount of the job eost,the Ciry may request the submission of a signed copy of Che aetual contract_
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The undersigned hereb� applies to the City for issuance of a Plumbing Perrnit, agrees to do all
w4rk in striet accordance with the ordinanCeS of the City and the regulations of the State of
Minnesota, and ceriifies thai all statements made on this application are complete, true and
correct_
G�L� /J /�s�--
Applicant's Signatu e: Date: /
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DATE TIME
CITY OF ORONO CALLED IN —�.��
INSPECTION NOTICE SCHEDULED �9'�5 _��
PERMIT NO. !�/.S-OZ���/ COMPLETED
ADDRESS �� C�
OWNER TELEP�O. �
CONTRACTOR
� DESCRIPTION �� �'' �`'
ll� ❑ FOOTING ❑ DEMO-FI L ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNEFiICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY
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O U CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
i7 CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. � 2 49-46��
OwnerlContractor on site:
Inspector.
White Copy��nspector's File Canary Co ylSite Notiee
��� C�� I�� �DATE t �TIME
CITY OF ORONO CALLED IN �� �
INSPECTION NOTICE SCHEDULED �'.�
PERMIT NO. �1-U�S—�'1 COMPLETED
ADDRESS < < � l � `
OWNER TELEPHONE N . �' � ��2
CONTRACTOR
� DESCRIPTION
�I L�G�►'l.�J;vl p r�b. ,
�
W ❑ FOOTING ��P#At--�. ❑ SEP IC FINAL
Q ❑ POURED WALL ❑ PLUMBING ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF MBING F�NAL
❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
4J ❑ AS BUILT-SURVEY ❑ SE R HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ TIC INSTALL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU: YES_NO
c�.� COMMENTS:
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W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� CO RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� O CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDEH POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in nce. 952� 249-4600
OwnerlContractor on site:
Inspector_
White Copyllnspector's File Canary opylSfte Notice
^ —� DATE TIME 1./
CITY OF ORONO CALLED IN '
INSPECTION TI E �,8/ SCHEDULED - - � �
PERMIT NO � MPLEfED
ADDRESS �` �
OWNER TE HONE NO.��D�l ZT�
CONTRACTOR � ���"'� �-��
� DESCRIPTION �� �
�
W ❑ FOOTING EMO-FINAL ❑ SEPTIC FINAL
�
Q ❑ POURED WALL PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
�4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
� ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTiiACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W���4fARIfSATISFACTORY:PROCEED G PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED Ll ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
�NSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
or t n ion 2a hours in advance. (g52) 249-4600
Ow rlContractor pn site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice