HomeMy WebLinkAbout2018-00450 - plumbing CITY OF ORONO I II I II I I� 01 II 1111111111111'111111
2750 KELLEY PARKWAY DATE ISSUED: 04/11/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2320 OLIVER HILL
PIN : 34-118-23-33-0074
LEGAL DESC : OLIVER HILL
: LOT 4 BLOCK 1
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (4)WATER CLOSETS,(6)LAVATORY,(2)BATHTUBS,(2)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2)
SILLCOCKS,(1)FLOOR DRAINS,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER
VALUATION OF PLUMBING 16656
APPLICANT PLUMBING FIXTURE FEE 208.20
STATE SURCHARGE PLBG(VALUATION) 8.33
SABRE PLUMBING&HEATING MAIL-IN FEE 2.00
15535 MEDINA ROAD
PLYMOUTH,MN 55447- TOTAL 218.53
(763)473-2267 Payment(s)
Minnesota State License#:mech-MB3392,plbg-PC645349 CREDIT CARD 7681 218.53
OWNER
HOVDE,OLE&CARLIE
2320 OLIVER HILL
LONG LAKE,MN 55356-
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 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.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By ignature Date
04/11/2018 WED 14: 43 FAX 763 473 8565 Sabre Heating b Air Cond [ZI002/006
/R n, City of Orono FOR ciTY US pl /Y,/�
, O P.O.Dox 66 Date Received: `7`'
27'50 Kelley Parkway Permit - z
4" Crystal Bay,MN 55323 # ��� w `�' "
\��� t`� (952}249 4600 Melo Approved By;
'�Arstiev- (952)249-4616--Fax
Amount$:' i,(7;,5 _.. ,..._.,,,. ., i
CITY OF ORONO — PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dli.mn.gavICCLDIPDFIpe plumbpIanrevapp,pdf
IGENERAL INFORMATION ' .__, — .....---, ,-- ---)
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be Issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
• 4. When any new construction or remodeling is involved,a separate building permit must be obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952)249-4600.
(2448 hour notice required)
' TYPE'OF,PERMIT(C$ieck All That Apply '' .
►Q'Residential ❑ Commercial (Approval Required) (Backflow Device:❑ AVB ❑PVB]
❑► New ❑ Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV)
pd.-6—g, te./&mei'lnfotmatioh: _—
Site Address: -2310 011j.'( Li-i 11
Owner: Mailing Address:
• City: Zip:
Home Phone: Alternate Phone:
'C'ontr'actor lhfo'rma)tion`:
Contractor: , )ODYfj 0009 a '9 Contact Person: 5DI41.444
Address: 1�J5.35 6.41. 14 State Bond #: P(1,14.I5,5461
City: Nvin1owY"t Zip: 5i4 041 Expiration Date: 12 61-Z6I1
Phone: 116.1-1-11 ''IVA Alternate Phone: lb •7-53 .47.3V
I"I Insurance—Current: l,L0
Page 1
04/11/2018 WED 14: 43 FAX 763 473 8565 Sabre Heating & Air Cond UO 03/006
i_.-_ ._..._.. . _.. ...............`-.- _---- 'Phi:1MBINQ Fi l Rl S EkEIN1NSTALLO
FIXTURE 13SMT 1"' 2N1' OTHER FIXTURE l3SM1 151 2N') OTHER
TYPE Floor Floor TYPE Floor Floor
Wafer Close( 1 '2— Floor Drains
I..avainry1 (4 Sewer Ejector
Bathtub 2 Laundry Tray 1
Shower ' — Washer r
Kitchen Sink 1 Water Heater I
Disposal 1 Water Softener
Dishwasher Wet Bar
Sillcocks 2- Miscellaneous 7/(J�
�r 4 Y �'"�1'N ��i N L 'F-77;'1PITT'''. Ir I•i'i� 1 Y • �n1. l� y� 1 / V.Y
f:V ^ '1'' .`"1V16�"'� A +� p��t.3J. ��,r7�5 I I, Fi 7Al`i ; ., • l v �'"C'+ 1.r,�7r "R1iY0dN. 'i.ff' '
.��. F i !i:?,1.11,0:e0.: „' Jtl .Hill'L LL i'!.4A„,,,,,,„„t Ari, A _ ,. .. ! .}'.. o-,t, .,4,1 r
1. CONTRACT PRICE * is 1:25% of contract price with a (Minimum Fee of$50.00)
4 Ute l,,no ._..x .0125 $ 20 8'•z.c
(contract price) (minimum$50.00)
2. STATE SURCHARGE
I 11l, i.-00 x.0005 $ '''33
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $_ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 2-I X•55
* 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 purposes. 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,
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The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in
strict accordance with the ordinances 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.
Applicants Signature: tl4t4q' Date: 14' fl' 2-0/$
Building Official/Inspector: Date:
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