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Home My WebLink About2012-00562 - plumbing . CITY OF ORONO * Z 0 1 2 - 0 0 5 6 2 * 2750 KELLEY PARKWAY DATE ISSUED: 06/20/2012 ` ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1 14 CHEVY CHASE DR PIN : 36-118-23-41-0035 LEGAL DESC : HILL O'WAY MANOR : LOT 001 BLOCK 002 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURE NOTE: KITCHEN SINK VALUATION OF PLUMBING 1100 APPLICANT PLUMBING FIXTURE FEE 50.00 HILLCOR PLUMBING STATE SURCHARGE PLBG (VALUATION) 0.55 53 TERRACE RD NE ST MICHAEL, MN 55376- TOTAL 50.55 (763)688-0342 PAID WITH CC# 2293 Minnesota State License#: PC645327 OWNER MCLEAN, CHRISTOPHER& ELIZABETH 114 CHEVY CHASE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State E3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permi[s. All provisions of laws and ordinances governing this type of work shall be compied wi[h whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construc[ion is suspe d for a period of 180 days at any time after work has commenced. The pl cant is responsible for assuring all required inspections are requ ste in conformance with the State Building Code.This permit may be �,�� , revo ed t any for due cau G"L,�� ,�/ / l l '� �� C E' C�yC ('��1 � C�;. .�C /,. App(icant P rmitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CITY USE ONLY ' O4p�O City of Orono � P.O.Box 66 Date Received: Permit# � 2750 Kelle Parkwa ^ ' 3i;i�br. Y Y �j/ ��' f C stal Ba MN 55323 A roved B Amount$: '� �\� 1��1'fi�.r-- �' rY Y, PP Y� � t� '�,K��.�o" (952)249-A600—Main �eao$ (952)249-4616—Fax CITY OF ORONO - PLUMBING PERMIT (All Commercial Permits Must be Approved b��the State Prior to City Approval) htt :/I��ww.dli.mn.<rov/CCI�D/PDF/ e lumb lanreva �.idf GENERAL INFORMATION 1. You may apply for plumbing pernuts by mail or in person at the City offices. 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. 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 pernut 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) �Residenrial ❑ Commercial(Approval Required) �New ❑Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site/ Owner Information: Site Address: f� ( �G1 t v l/ ��,q-s� t�,� Owner: �G I e�.✓ �P$ Mailing Address: City: V Qt9�^O Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: t�[1 Y � �� Contact Person: /(/r9d�/a'! � Address: S3 �,pQ/l�� Ge� ,N� State Bond#: City: S�- W�itk�� Zip:��(p Expiration Date: Phone: �43 "G�Y'03� Alternate Phone: ❑ Insurance—Current: t({f 1 PLUMBING FIXTURES BEING INSTALLED ' FI�TURE BSMT 1' 2 OTHER FIXTURE BSMT 1� 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink t Water Heater � Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous '� PERMIT FEE CALC ULATION(S j BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of only one 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 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�C.�,.LC��'TLATION(S)-JOBS OVER $500.00 ' If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �1�� x .0125 $ (contractprice) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 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 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 installations 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 putposes. 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. �E?'��$��'"r'�,?,� �" �'��'PL`ICATION AGREEMENT �",� ,��, . � "� . The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ardinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: Date: Zd 2d12 3 (✓ — " TE TIME / / 2� / V CITY OF ORONO CALLED IN �P �-- INSPECTION NOTICE SCHEDULED a r� PERMIT NO. � — �COMPLETED � ADDRESS OWNER L PHONE NO. � g " � CONTRACTOR � �; DESCRIPTION / � 11r ❑ FOOTING ❑ PLUMBING FINA EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI LAKESHORENVETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � GW/��V�LORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED f! ISSUE CERTIFICATE OF OCCUPANCY � ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. CPHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on sited Inspector. White Copyllnspector's File Canary CopylSite Notice