Loading...
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(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (1)WATER CLOSET,(1)LAVATORY,(1)SHOWER,(1)DISHWASHER AND(1)WET BAR VALUATION OF PLUMBING 4330 APPLICANT PLUMBING FIXTURE FEE 54.13 SABRE HEATING&AIR COND INC. STATE SURCHARGE PLBG(VALUATION) 2.17 15535 MEDINA ROAD PLYMOUTH,MN 55447 MAIL-IN FEE 2.00 (763)473-2267 TOTAL 58.30 PAID WITH CC# 1207 OWNER LICURSI,ANGELO&RACHEL 4655 TONKAVIEW LA MOUND,MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due dause. � �' � Z3 Applicant Perm ite re Date —Isguf By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 06(08/2013 MON 7: 51 PAX 763 473 8565 Sabre Plumbing & Heating 2002/007 R '1TY USE ONLY0 City of Oronoy�P.O.Box 66 Date Ry/F0 _ Pen»it#��Gt/ "'" '•�_ �: 2756 Kelley Parkway 1 Crystal Hay,MN 55323 Approved By: Amount$�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) litti2://www.dii.iiiii.pov/CCLD/PDI�'/I)e dumb Canreva>>.odf 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