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Home My WebLink About2011-00070 - plumbing CITY OF ORONO PERMIT NO.: 20��-000�0 � 27_50 KELLEY PARKWAY � ORONO, MN 55356- �ATE �ssuEn: 02�03�2011 �� (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1 14 CHEVY CHASE DR PI N : 36-1 18-23-4 I-0035 LEGAL DESC : HILL O'WAY MANOR : LOT 001 BLOCK 002 PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : F[XTURES- MULTIPLE NO'1�1-;: 15�1�I��LOOR: I 1�'C. 1 LAV 2ND FLOOR: 1 WC. 1 LAV. I 1�UB VALUATION OF PLUMBING 2200 APPLICANT PLUMBING FIXTURE FEE 50.00 GRUPA MECHANICAL CONTRACTORS INC. STATE SURCHARGE PLBG (VALUATION) 5.00 12180 197TH COURT NW ELK RIVER, MN 5�330 TOTAL 55.00 (763)441-5360 PAID W[TH CC# 5918 Minnesota State License#: 0�9138PM OWNER MCLEAN, CHRISTOPHER& ELIZABETH 1 14 CHEVY CHASE DR WAYZATA, MN �5391- AGREEMENT ANU SWORN STATEMENT �fhc w�urk�br�chich this pcnnit i,i„ucd sh�ill bc perfurmcd according to thc approvcd plans nnd�pcci�ications.applicablc Cil}'approvals,and the State[3uilding Codc. "I�his permit is f��r onll'thc work dcscribcd and docs not arant permission for additional or rclatcd�vork��°hich rcquires scparatc permits. nll provisions of la��s and ordinanccs govcrnine this typc of work shall be compied�vith�chether or not specified herein.This pennit will expire and become null and void it�construction authorized is not commenccd�cithin 180 da��s of Uie date of issuance,or if construction is suspended for a period of 180 da��s at any time after work has commenced. The applicait is � onsible fo a ring all requircd inspections are reque i � nfo � ce��i ie State Building Code.This permit may bc r � e ior d �us . .� i -3 i�a t! � l Applicant Pennite .�gnature Date Issued Bv Siet ire Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � FOR CITY USE ONLY �—-��A��, City of Orono ��`r�� P.O.Box 66 Date Received: Permit# � � 2750 Kelley Yarkway � ��,�;�� Crystal Bay,MN 55323 Approved By: Amount$: � ��;�4�0� (952)249-4600 �'''t�eso CITY OF ORONO— PLUMBING PERMIT (All Commercial permits must be approved by the Building Official or]nspector) GENERAL INFORMATION 1. You may apply far plumbing pennits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two warking days. 2. Pernut cards will be sent by return mai]after a review is completed. PERMITS ARE NOT VALID UI�TTIL YOLT RECENE 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 ne��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. 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) 0 Residential ❑ Coinmercial(Approval Required) ❑ New Q Additional ❑ Repairs [1�Replace ❑ In Accessory StructuT-e? *You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/ Owner Infornlation: SiteAddress: /f'� ��'� CJ-�ASF. Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �XQUfA� /� �c.l-�J91'�)C�}1, Contact Person: �� Vf'� Address: �2�$D�IQ��=�CT. State Bond#: City: �L� ��We Zip�p Expiration Date: Phone: ��t.3'`�`��+53�°� Alternate Phone: ❑ Insurance— Current: 1 3 PLUMBING FIXTURES BCING 1NSTALLED F1�TURE ' BSMT 1' 2' OTHER FI�TLRE BSMT 1' 2' OTHER TYPE FL FL TYPE FL FL Water Closet � � Floor Drains Lavatory � ! Sewer Ejector Bathtub ' Laundry Tray Shower Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous � � PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATLTE ❑ Yes, this section applies The replacement of only one Residential fixture ar 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 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 CALCULATION(S) —JOBS OVER �500.00 lf above does not apply; follow guidelines below: l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�50.00) �sZa2� � X .0125 $ (contract price) (minimum$50.00) 2. STATE SUKCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) x.0005 $ (contractprice) (minimum$ 5.00) 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 ar estimated dollar amount charged far the pernvtted work including materials, ]abor, 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 furnisl�ed by the owner, tenant or any other parry, 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 an�ount of the job cost, the City may request the subnrission of a signed copy of the actual contract. • ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$5.00—whichever is greater. For valuations over$1,000,000 call the Building Deparrinent at(952) 249-4600 for the price. � �� PLUMBING PERMIT APPLICATION�AGREEMENT The undersi�med hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accardance with the ordinances of the City and the rebulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and con�ect. Applicant's Si��latu . Date: �-� —�/ 3 DATE TIME V CITY OF ORONO CALLED IN INSPECTION,I�IOTICE SCHEDULED �� % Ub PERMIT NO.c�IO�I^D D �D COMPLETED ADDRESS U C�"C OWNER TELEPHONE NO.��Z ��S �5,3� CONTRACTOR r�a� �rU�c� >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICA�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 REMOVA� J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � . � � :f1 �� "i � � j . ;�, ��,•' � /j i, �;r O � � O � ti � Q � Z W � W � � � d � ❑�"yVORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN �NSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: J: n �7 Inspector. ;' � �� , r` �t � � ; i <' White Copyllnspector's File V Canary CopylSite Notice