HomeMy WebLinkAbout2018-00293 - plumbing � � CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 8 — 0 0 2 9 3 *
DATE ISSUED: 03/14/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 565 SANDHILL DR
PIN : 33-118-23-24-0012
LEGAL DESC : ORONO PRESERVE
: LOT 5 BLOCK 1
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (1)WATER CLOSET,(1)LAVATORY,(1)BATHTUB
VALUATION OF PLUMBING 2632
APPLICANT PLUMBING FIXTURE FEE 50.00
SABRE PLUMBING&HEATING STATE SURCHARGE PLBG(VALUATION) 132
15535 MEDINA ROAD MAIL-IN FEE 2.00
PLYMOUTH,MN 55447- TOTAL 53.32
(763)473-2267 Payment(s)
Minnesota State License#:mech-MB3392,p1bg-PC645349 CREDIT CARD 7691 53.32
OWNER
OPS Orono LLC
15250 WAYZATA BLVD#101
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 sepazate
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 authorized is not
commenced within 180 days of the date of issuance,or if construction 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.'I'his permit may be
revoked at any time for due cause.
.
�—zc ,l � 18�
Applicant Permitee Signature Date Issued ignature Date
03/14/2018 �E� 8: 39 FAx 763 a73 8565 8�bre Hedting 6 Air Cond �002/007
• , r--. ,,.. .--�--FUA(:1'1'Y USL'ONl.Y.._ .__..
. I
;i�j�'� � (:itv M�d)�-oRic� � ./.����!�/���
��j� P� fir�.e Ce: i I i7lr Rrrc•i�•<<;• . ._. ...._. �'�rnui i�
.`�Y
2750 K(:Ile.0 i'rcicwuy �
� ,1� ,['p c;rysTnl Tt�ry.Ml�:iS:t7.3 I Appimrod 1���: Amai�nl 9�: 2 �
\��t�.6�^���,,fil'° (l52J 24J-4G(Nl•-Maln ( •—. ... . ... . .. .. , . , . �J /'�
'+��r° (952)2A94(�11i ••l�uy, -��*rJ�
C'l'�'�.' ()l�'Okl)NO�- 1"�.,111Vl�liyl�� P�R1Vll..1-.
(All Com.mercial Pennits 1Vpust l�c Approvcd hy lkre S[a(e Prior to City Approv�l)
I►LtYr:II1WN'N'.(�II.i11l1.�11\�/!'.f:I.i�)/C'�1�!!��'__��fu ni lil�l�r�re��a�iL�,��d I'
(�r�NrR��,rrrro�ia�rro��r ---- -- --J._,_� --.___.__.�
l �Cou rnay apply for plumbing permit,g b,Y mail or in �erson at 1he(;it,y officas. Applicat�rni5 will bc
reviewc;d aad a permit will be issued within two workin�days.
2. I'em�it cards will be se�t by return mail aftor a roviow is completed. PERMITS ARL•NO'1'
'VAr,YD UNT7L.YniJ RF.',CJ:IVJ�.A.pERMIT. 'W01tK aVJCJST NnT RT�iN�I]�ITTf,'X'Y�1+;
' ��XtlV�YT CA$D IS�'OS�'�D UN T�JOB SIT�.
3. �IutnUing permits may be i�gued ONLY to licensed plumhing contract�rs and to propeity owners
residing in the dwelling.
A. When any new const�Uctioc�or remodeling is involved,a separate builditig pe��cnit must be
obiainod. �
5. Al1 work mr�st be donc in accordance with Sta.te Code requireanez�ts,
6. A!i work must be inspected and tsi.r tested beFore it is covered, C'.all(952)249-4600.
, (?A-48 6aur n�tice required)
TY�'�OF��RNIIT
� GheCk A1,1 T#t,�l 1
[�Resident�ai Q Conunercia!(Approval Required)
❑New Q�Additional ❑�tepairs Q Rsplace
❑ ��a A,ccessocy Struature?
"You wdi aeed oeiar anuro+v�f,�.nd rnay nced Cl►P.(l�er Oxox�,o City Cade,Chapter 7B,Article 1'V)
Yob S�t�/Owu�c Infrnma�ioa=
Site Address: �JlQS SI�IA(��rj��l �r�Yl� .
�nicr: 1V1ai�ling Address:
Gity: Zx�:
' Horrxe�hone: 111ternate Phone:
Coniractor Lnformation:
Contractor: Y Contact Yez-son: �
Address: ��- -- � � State Bond#� „�LU�15�q__
Cit�y: Zip:�'� �xpiratioxa laate; . 12•31�.`2014� _
P]�one: ��'��}}y�•t2b�1 ,_,,, Alternatc Pllo��e: `�b�•2.5�•'�'�(Sl .
[� lnsurance--Cu��•ent: �),(,��'
I 2
03/la/2018 wE� 8: 39 FAx 763 a73 8565 Sdbre He�ting � Air Cond �009/007
�!.
F1X7'CJRL:'. . liSlvC'1' i� � (?'1'l)1?lil�.� 1+131'lUItI��M 1�SM�1 I' � U'I'HLR-.
TYPF i+L Pf. 'FYPP: F'L [�i.,
--• - ..._......-••- ••-•----- ----------- --- ---- ��- --.._.... �_...•-----•---,..
WaterC►osct ` Fluoi Diairis
T..a�ator,y_' ... 1 —�' Sewra•Ljecto��
' Y3athtub � ' Laundry Tray -
�Showes WAshe��
Kitchen Sink WAtei Heater
bisposal Watc.�r Soflen�t-
17ishwesher Wet�ar
Sii icocks Miscellax�eous
� Yes,this secaon a�xies
'Ihe repla.oement of anly oae R,esidential fixturgqr s,�}�lianoe that meais a11 thrae of the Fol)owin,g
requirem�ts:
1. Does not rtiquire modi5cation to electrical or gas secvice.
2. Has a total cost of�500,00 or less;e�ccludina the cost of the fixture or appliance: and
3. Is improved,i�nstalled or replaced by the homeowner or lieensed plumbing contractor.
Skip na�ct section,if thi5�pl�es; Cost of Pern�it $ I5,00
5tate Swrcbarge $ 5.00
Mail-Tn�+ec(rf Applicable) �-__- 2.00
Toial�Crtnit l�'ee �
I
(Permit P'e�r,Continued Qn l�cact X"a�e)
� '
03/14/2018 we� 8: 39 FAx 763 fl73 8565 S�bre Henting b Air Cond �40�/007
.. . .
� ,�'�C"' ., a
If tthavr,dues not apply,follo����uidelincs Lelow:
] ('f1NTRA�"t'P`1tCCL *is l 7.5�/0 of c:ontr�t�.t pE i c�c�with a(]V!'i�irnuwn X+ce o�'Ssq.O�)
— ��i�rr,�•,��_� �r��.�----... �.Ql 25'�'__ �mini uum� 5�.5(1.�11(1) ---
�.. srnr�_Svuc�ttc��
Z,fi3Z�0 x.000s �__._._.....I•3Z. ,_
(cp�Irnct rrl�)
, 3. IrOSTAGL�&HANDx.T�TG(Only o��Mail-In Applicatio�is) $2.00 �„_
I
' 4. TQTAL�'E�tM�'1'FEE(Add Litecs 1-3 Abovc) ��-�•3 Z.. �
• t C.ONTRAC'T'pRl(:L or JOB CUST means t�ae actua.l or estimated dollar amount charged for thc,
permitted work includiu�matc;rials,i�bur,profi�and othcx fixul coscs. It is �he amou�►t w bu c.�,arged
to Ule Customtti for ihe work done. If any matarial,equipment,labor or installations are furnished i��r
thc owner,t�nant or an,y other party,the reasoeable market value of sucii items mvst 1�e addod t,o tf�e
�� esfiirnated eost or contr$ct�rice�'of�petYuit fce purpases. Tn.ihe evetrt that there is a dispute on Ifte
amount of iiie joU eost,t3�e City may requast the submission a{'a sign�d copy of the aetual enutract,
I
� � , �
�
The un;dersi�ied hereby applies to the City for issusnce of a Plum�iing i'ecmi� agrees to do a1!
, work in strict aacordance with $ie ordinsnces of the Cify and the regu]ations of the 3tate of
� Minnes�la, and catifiss tiiat a1i s�atemer�is mad�e on this application are coxnplebe, �we a�d
coirecl:.
; Applicaut°s signature: �.---��„� � Date: 3•I"�•Z.pl$
3
� � ��-
ATE TIME
CITY OF ORONO CALLED IN � � �
INSPECTION N • �b�(3�+EDULED �/ d'
PERMIT NO. ec�nPLETED . '
ADDRESS �� ���-�C��-��
OWNER — LEPHONE NOtP�7i–�g�–���g
CONTRACTO
� DESCRIPTION � � ��' ""'
4~j ❑ FOOTING ❑ DEMO-FINA ❑ SEPTIC FINAL
Q ❑ POURED WALL ��LUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTtON
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTO T MEET YOU:_YES_NO
y COMMENTS: � � ���
a� •
W �
C
O ✓`� � f . _
�
� �_ !/G ,S�Li . �td - , �.�
W •
� ���s��� vG �sti( � -
Q
�
� �. � C3�x�i�r�
W
�
�
�
W �RKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
� ❑CORRECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFOREC01/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 ror the next inspection 24 hours in advar�e. (952) 249-4600
OMmerlContractor on site:
Inspeator: `
WAite CopyMnapectw's Fik Cenary CopylSite Notke
/
DATE TIME
C OFORONO CALLEDIN L/�� �
INSPECTION NOTI E SCHEDULED
PERMIT NO. O - OD coM L ED
r
ADDRESS �� I� � d`!�
OWNER TELEPHONE NO.
CONTRACTOR /'e—
�
� DESCRIPTION
t~N ❑ FOOTING ❑ DE -FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: ���,�`� G�/"'tiS ��/� �c�f c h'��
� �/ '�� S G-� ���' sl-, � �5.�� L ,�
o �� �'� ��� �
�
�
0
W
�
Q
�
W
�
W
�
�
�
� ❑WORKSATISFACTORY:PROCEED �RWECTCOMPLETE
W �CORRECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector: / � 5��
Whlfe Copyllnspectors Fila Cenary CopylSits Notice