HomeMy WebLinkAbout2018-00507 - plumbing �
, � CITY OF ORONO * 2 m 1 8 - � 0 5 0 7 *
2750 KELLEY PARKWAY DATE ISSUED: 04/24/2018
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 575 SANDHILL DR
PIN : 33-118-23-24-0013
LEGAL DESC : ORONO PRESERVE
: LOT 6 BLOCK 1
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
C01�1STRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (4)WATER CLOSETS,(6)LAVATORIES,(3)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(2)DISHWASHERS,(2)
SILLCOCKS,(1)FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WET BAR
VALUATION OF PLUMBING 19235
APPLICANT PLUMBING FIXTURE FEE 240.44
STATE SURCHARGE PLBG(VALUATION) 9.62
SABRE PLUMBING&HEATING MAIL-iN FEE 2.00
15535 MEDINA ROAD
PLYMOUTH,MN 55447- TOTAL 252.06
(763)473-2267 Payment(s)
Minnesota State License#:mech-MB3392,p1bg-PC645349 CREDIT CARD 4946 252.06
OWNER
OPS Orono LLC
15250 WAYZATA BLVD#101
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit 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 dces
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 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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
Mcu�� , , , ay,
Applicant Permitee Signature Date Issue y Signature Date
p4/23/2018 MOx 14: 52 FAx 763 a73 8565 6�bre Hedting & Air Cond �002/009
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City of Orono FOR CITY U3E ONI.Y
�NO P.o.eox se �ate Rec��ved:-------------- -
2750 Kelley Perkway
� �. Grystal 6ay,MN 55323 perrnit# , „�,
`�r R�� (gs2)2as-4aoo-naein Approvod�y:
. ._ .... _.._.
sn� .__.._._._�)Z49-4618—F�. .. . ........._...._... ._._.._._...._--- -- ----- -
Amount$;
CITY OF ORON�—PLUMBING PERMIT
(All Commerciel Permits Must bq Approved by the 8tate P'rlo�to City Approv�l)
GENERAL INFORMATIQN
1. You may apply i�or plumbing permfts by mell or In pereon at the Clty oitices. Applloatlons will be
revlewed and a pertnit wlll be lssued wlthln twa woricing days.
2. PermR�ards wlll be sent by return rr�A after a review i$cvmpleted. P�RAAITS AR�NOT VAI:ID
UNTIL.Y4U RECEIVE A PEFtMi7'. WORK MUS7'N07 BEGIN UNy'IL THE pERMIT CARD IS
POSTED ON THE JOB 81TE.
3. Plumbing permlts mey be issued ONLY to licensed plumbing contr�ctors and to property vwners
' residing in the dwelli�g.
a, When any naw cQnstructlon or remodeling Is Involved,a separate bullding permlt must be obtafned.
5. All work muet be done In ecxordence wlth State Code requlrsmente.
6. All work must be Inapected and alr iested beibre It is cover�d, CaN(952)248-4600.
(24-48 hou�notice required)
TYPE 0� P�RAAIt(Check All That Apply) �
�Resldentfal ❑ Commerclsl (Approval Required) �eackflow novl�o:[]AVB ❑PVB]
�New ❑Addltlon�l ❑Repalre ❑ Replace
❑ In Acceseary 9tructura?
�'You wUl need orlor a�nroval end m�y need CUP. (Per qrono Clfy Code,Chapter 78, Artlole IV)
Jab Site/4wner Information:
Site Address: �"J7`� �e►n�r�lni l,� �iY.t J
Owner: Malling Address:
City: Zip;
Home Phone: Aitemgte Phane:
Contractor Informatlon:
Contractor. � Contact Person: _�Q�Iyyl,vl
Address: ._�,,, 5���� A� � ,"5tate Bdnd #: �f����'��1 A ��
City: ip: ��1'1 Expire�on Date: • � 0( q
phone:�(��• ��i�_ZZI�� , „ .._. Altemate Phane: 71��• �53•'���(�
Q�Insurance—Current: �,�h
04/23/2018 HON 1Q: 52 FAx 763 a73 8565 S�bre Heating & Ai.r Cond f�003/009
.
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�l � a�� Y 1� Y �i �y1�A�lYi7�:T' IF. �:����4 I�N;` y�� ��(���h�t;Y�l',�
;'A.�;tS;a.�'llal,•�f�''a7pJ..1.1�',4M���.1,��i(:�ii¢�Mi..�hti:�:Nrk �i ,d �)4.�Pddq��:,o'��`!;�,"•44:,l,(�u,1'����6@hLA�..,'�',ib.�.�^1l�ltl"��7°���
FIXTURE BSMT iar 2Nb pTHER �lXYUR� �SM'C 1 r 2"o pTHER
TYPE Fbor Floor TYPE Floor Flaor
. .. ..........__..--�------ -�-----��---- -- �..� ...... ,,.... �.,....,.... ..w....4.,�
Water Closet , Floor Dralna `
Lavatory � y Sewer E)ector
Bathtub � Laundry Tray
8hower � Washer �
Kltchen Slnk � Watar Heater �
Disposal � Water 8o�ttener
Dlshwasher ` ` Wet Bar (
S�Icocks � Miscellaneo�s
'I
1. CONTRAICT PRICE •is 1.259�0 of oontra�t prlce wlth a(Mlnlmum Fs� of$50,00�
- jA?,..'SS.zI, x .o�z� � 2�a+��
(contract prlce) (minlmum$50.00)
2. 9TATE SURCHARt3�
---- - - �a �..��.Z� , X.a�5 $. ..,... . ..�9��� _
(contract p�ce)
3. PGSYpGE a NANDLING (Only on Mail-In Applications) $ 2.00
4. TOTAL PERM17 F�E(Add Lines 1-3 Abova) S ���•� _
,� " CaNTRACT PFtICE or JOS COST means the actual or esUmated ddlar amount oharged for the
permltted wor'k InCluding materials, Isbor, praflt, �nd other fbced costs. It is the emount to be charged to
� the customer for the work done. If any material, equlpment, labor or Installataans are furnlshed by the
owner, tenent or any other pe�ky, the reesonable market v�lue of euoh itams mu�t bs added to the
estimated cost or contre�at p�ice for permit fee purpoaea, In the eve�t that there la a dlspute on the
amount of the job cost, the Clty m�y request fhe submisslon of a signed oopy of the aatual contract.
The undersigned heraby applles to the Clty for Issuance of a Plumbing Permit, agreea to do all work In
atrlct accordance with the ordinances of the City and the regulations of the State of AAlnnesQtai, and
certlfles that�II stabBments made on thla appllcetlon are complete,#rue and correat.
AppUcant's Slgnature; _ ANL�bY �,�Ar(rU�X�G(�±�_ _ _ _ Date: '�'-�,�• Z0,/,�
Bullding�iflcial/Inspector: Date;
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