HomeMy WebLinkAbout2013-00223 - plumbing CITY OF ORONO * 2013 - 00223 *
2750 KELLEY PARKWAY DATE ISSUED: 04/08/2013
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 4655 TONKAVIEW LA
PIN : 07-117-23-32-0064
LEGAL DESC REG. LAND SURVEY NO. 1036
LOT MB BLOCK MB
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES:
(1)WATER CLOSET,(1)LAVATORY,(1)SHOWER,(1)DISHWASHER AND(1)WET BAR
VALUATION OF PLUMBING 4330
APPLICANT PLUMBING FIXTURE FEE 54.13
SABRE HEATING&AIR COND INC. STATE SURCHARGE PLBG(VALUATION) 2.17
15535 MEDINA ROAD
PLYMOUTH,MN 55447 MAIL-IN FEE 2.00
(763)473-2267 TOTAL 58.30
PAID WITH CC# 1207
OWNER
LICURSI,ANGELO&RACHEL
4655 TONKAVIEW LA
MOUND,MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due dause.
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Applicant Perm ite re Date —Isguf By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
06(08/2013 MON 7: 51 PAX 763 473 8565 Sabre Plumbing & Heating 2002/007
R '1TY USE ONLY0 City of Oronoy�P.O.Box 66 Date Ry/F0
_ Pen»it#��Gt/
"'" '•�_ �: 2756 Kelley Parkway
1 Crystal Hay,MN 55323 Approved By: Amount$�ai
(952)249-4600-Main
tiico� (952)249.4616-Fax
CITY OF ORONO--PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
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GENERAL INFORMATION
1. You may apply for plumbing pennits 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 ONI.,Y 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
(Check All That Apply)
Q"Residential ❑Conunercial(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:
Owner: G. i i''; [ _ Mailing Address:
C1ty: 1. 'r',`> i. Zip,
Horne Phone: Alternate Phone:
Contractor Information:
Contractor ]'I 1J) Contact Person: i%i.l�.r:i:•.r
Address: 1,'') l.�.Uu; r x.'11 State Bond#:
City: ���' '.1"?; a-.'�.\ Zip:j)')NExpiration Date:
Phone: _!.-1 Alternate Phone:
❑ Insurance—Current:
I
0108/2013 HON 7: 52 FAX 763 473 8565 Sabre Plumbing & Heating 12003/007
FIXTURE 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 Water Heater
Disposal _ Water Softener
Dishwasher Wet Bar {
Sillcocks Miscellaneous
❑ Yes,this section applies
The replacement of only one Residential fixture or alliance;that meets all three of the following
requirements:
1. Does not require modification to electrical or gas service.
2. Hasa total co e of$500.00 or less;excluding 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 S
(Permit Fees Continued On Next Page)
2
04,108/2013 MON 7: 52 FAX 763 473 8565 Sabre Plumbing & Heating 2004/007
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minirnurn Fee of$50.00)
Ji x.0125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE
X.0005 $
J
(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 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 achial convact.
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.
r t Date:
Applicant's Signature: . ......
................- ............... ...
3
e_ DATE/z TIME V
CITY OF ORONO CALLED IN 'IT-
60-INSPECTION NOTICE SCHEDULED — a e-0
PERMIT NO�.20_L 3 0 4 3 PL
ADDRESS q42 11blLd(4,,12j,�
OWNER A TELEPHONE N07
CONTRACTOR
DESCRIPTION
❑ FOOTING ❑ PLUMBING FI AL ❑ EXCAWGRADING/FILLING
Q
El POURED WALL ❑ MECHANICA ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q El TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ 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:
CC
W
CL
CcO
O
U_
Uj
CC
Q
o
z
W
Z
W
CC
d
LQ RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
ElSTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice