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Home My WebLink About2016-00502 - plumbing CITY OF ORONO * z 0 1 6 - 0 0 5 0 2 * 2750 KELLEY PARKWAY DATE 1SSUED: OS/10/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 102 CHEVY CHASE DR NIN : 36-118-23-41-0031 LEGAL DESC : HILL O'WAY MANOR : LOT 026 BLOCK 00] PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER HEATER NOTE: 1 WATER HEATER VALUATION OF PLUMBING 750 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 0.38 COMMERS, INC. 9150 35W SERVICE DR NE MAIL-IN FF,E 2.00 BLAINE, MN 55345- TOTAL 52.38 (612)780-0555 Payment(s) CREDIT CARD 5599 52.38 OWNER YOKIEL, SCOTT&JENNIFER ]02 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 specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction au[horized is not commenced within 180 days of the date of issuance,or if construc[ion is suspended for a period of 180 days at 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. � ____ I J� ( �-� � �--'�=, ;. 4 � I� �C_ /r 1 r l� ��C� � � Applicant Permitee Signature Date Iss d E3 ignature ` Date 05110l2016 12:49 �Al�) P.0021003 �p� City vf Orono F'OFt C17Y US�dNLY O P.O. Box 68 pate t2eceivad: 275�Kelley Parkway P�rmlt# Crystal Bay, MN 55323 i<<q ��c;� (952)2a9�600—Main Approved By: �Fsrio (952)248-4618—Fax Amount$: CITY OF ORONO � PLUM6ING PERMIT (All Commercial Permits Must be Approved by the 8tate Prior ko City Approv�l) ht�,�;/fwww.dli.mn.s�ov/CCLD/PDFIpe qlumbplanrevapp.pdf G�NERAI. INFORMATION 1. You may apply for plumbing permits by mail or in person ak the City offices. Applications will be reviewed and a permit wifl be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALIp UNTII YOU REC�Ia/E A PERMIT. �Q�j�ll(�,�ST NOT BEGIN UNTIL THE PERMIT CARD 15 P�ST�D ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and tv praperty awners residing in the dwelling. 4. When any new construction or remodeling is involved, a separate building permit must be abtained. 5. All work must be done in accordan�e wlth State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (952)248-4600. (24-48 hour notice required) TYPE OF PERMiT(Check All That Apply) �Residentlal ❑ Commercial (Approval Required) [�ackflow 17evice:�,avs �PVB] 0 New [f Additfonal ❑ Repairs ❑ Replace ❑ In Accessory Structure? "You wYll need prlor approvat and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site/ Owner Information: SiteAddress: �dai ��J'� �:t-��5� ��.• Owner: K�"r��y� ��Q'� Mailing Address: s°�m� City: 4G��.1 U Zip: . .S��1� Home Phone: Alternate Phone: 9� �"��l-�°°�� Contractor Information: Contractor: Contact Person: �J-S� �� CCNfM�l�B COWDlfIONED WA'f�fi � Address: a��+w�a�a►ssAv�c�.a��r� State Bond #: C�'CC� l�� / as�s ....__,_, - City: Ztp: �xpiration Date: Phone: Alternate Phone: ❑ Insurance- Current: Page 9 05l10l2016 12:49 �AR} P.OQ3lQ03 PLUMBING FIXTURES BEING INSTALLED FIXTURE SSMl� 1 T 2 ° OTHER FIXTURE BSMT 1sr ZND p7'y�R �'YPE Floor Floor TYPE Flaor Floar Water Gloset Flaor Drains I�avatory Sewer EJector Bathtub Laundry Tray Shower Wpsher Kltchen S)nk Water f-ieater Disposal Water Softener Dishwasher Wet Bar SiIIcOCks Miscellaneous PERMIT FEE CALCULATION 1. CdNTRACT PRICE " is 1.25% of contract price with a (Minlmum �ee of$b0.00) x .0125 $ (contract price) (minimum $50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE & HANDLING (Only on Mail-In Applications) $„ , 2.OQ. _._ 4. TOTAL PERMIT FE� (Add Lines 1-3 Above) $ � �'4� x CONTRACT PRIC� or JOB COST means the actual or estEmated dollar amount charged for the permitted work including materials, labor, profit, and other fixed costs. !t is the amount to be charged to the customer for the wotk dane. If any material, equipment, labor or installations are furnished by the owner, tenant or any other p�rky, the reasonable market valus of such item5 must be added to the estimated cost or contract price for perrr�it fee purp�se&_ 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 cpntract. PLUMBING PERMIT AI'PLICATIQN AGREEMENT The undersigned hereby applies to the City for lssuance of a Plumbing Permit, agrees to do all work in atrict accordance with the ordinances of the Clty and the regulatlons of the State of Minnesota, and cert(fies that all statements made on this appficatlon are complete,true and correct. ApplicanYs Signature:_l�U�� , C.�1iv�-� Date: �� lro Building Official/Inspector: Date: PAqe 2 q �-'� `f �� DATE TIME V CITY OF ORONO CALLED IN INSPECTION:t�OTICE SCHEDULED "�� l��( �..� � PERMIT NO:�i- ,� ��COMPLETED �/ `- � _ ADDRESS - OWNER TE PHONE NO. CONTRACTOR Cr"�"�r�`�-�S � DESCRIPTION `'�� r `�"�� l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q �F}WAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 4� ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIONlREMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � � � l�� . cv � .�,v/ — � J O � 170 �cJ� �--��o • �a�r�!ecL�� '7�`r•s 0 �. �rr� — W � � � Q Z �y"�/p/��- -�r Cs <!�'Q� r�� reso�.1.,��o i� W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERT�FICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDEfl POSTED.CALL INSPECTOR �CITATION ISSUED NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site: Inspector. � /w-' � White Copyflnspector's File Canary CopylSite Notice