HomeMy WebLinkAbout2013-00374 - plumbing AMI III III 1111111111 M
CITY OF ORONO * 2013 - 00374 *
2750 KELLEY PARKWAY DATE ISSUED: 05/16/2013
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS 1065 TONKAWA RD
PIN 08-117-23-13-0001
LEGAL DESC AUDITOR'S SUBD.NO.217
LOT 006 BLOCK 000
PERMIT TYPE PLUMBING(>$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE FIXTURES-MULTIPLE
NOTE: BSMT:2 WC,2 LAV,2 SHOWER, 1 DISHWASHER,4 SILLCOCKS, 1 FLOOR DRAIN, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER
HEATER, I WET BAR
1ST FL:2 WC,3 LAV, 1 TUB, 1 SHOWER,2 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,3 FLOOR DRAINS,2 LAUNDRY TRAYS,2
WASHER
2ND FLOOR:2 WC,3 LAV, 1 TUB, 1 SHOWER, 1 LAUNDRY TRAY, 1 WASHER
VALUATION OF PLUMBING 34968
APPLICANT PLUMBING FIXTURE FEE 437.10
SABRE HEATING&AIR COND INC. STATE SURCHARGE PLBG(VALUATION) 17.48
15535 MEDINA ROAD
PLYMOUTH,MN 55447 MAIL-IN FEE 2.00
(763)473-2267 TOTAL 456.58
PAID WITH CC# 1207
OWNER
BEBO,JAMES
1065 TONKAWA RD
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
wtime
,Afor
`due cause.
Applicant Permitee Signature Date Issued By Signat Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO
• 05{14/2013 TUE 12: 57 FAX 763 473 8565 Sabre Plumbing & Heating 0002/007
FOR CITY USE ONLY
o--11ovi- %
City of Orono
P.O.Box 66 Date Received: Permit#
2750 Kelley Part-way
Crystal Bay,MN 55323Approved By: Amount(952)2494600—Main
(952)24946)6—Fax
CITY OF ORONO--PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
htt ://www dli.mn, ov/CCLD/PDI'/ a Blumb lanreva n .W f
GENERAL 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.
(24-48 hour notice required)
TYPE OF PERMIT
Check All That Apply)
("Residential ❑Commercial(Approval Required)
E3.14ew ❑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: 1;�41 a�
Owner: Mailing Address:
City: Zip,
Home Phone: Alternate Phone:
Contractor Information:
e
O �4
Contractor: _i)- - _& Contact Person: ��it t;uL�►
Address: i`7 4-'55 A1Le(l State Bond#: {'C 1l4LJ{AI
City: Zip:"-55 4-ttl Expiration Date: 1'2- --�i 2-C.I
J
Phone: IV6 26 b 416 Alternate Phone:
dInsurance—Current:
1
05/14/2013 TUE 12: 58 FAX 763 473 8565 Sabre Plumbing & Heating 0003/007
FIXTURE BSMT 1 2m- OTHER FIXTURE BSMT I' 2 N11 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains i
2_
Lavatory Sewer Ejector
Bathtub 1 1 Laundry Tray ` I
1
Shower I + Washer j
Kitchen Sink Z F Water Heater
Disposal Water Softener
Dishwasher i i Wet Bar `
Sillcocks L I t Miscellaneous
❑ Yes,this section applies
The replacement of only one Residential fixture r appliance that meets all three of the following
requirements:
I. Does not require modification to electrical or gas service.
2. Has a total cost 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 $
(Permit Fees Continued On Next Page)
2
05/14/2013 TUB 12: 58 FAX 763 473 8565 Sabre Plumbing & Heating 0004/007
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
:�4C Cc, x.0125$_ 7 11.E
(contract price) (minimum$50.00)
2. STATE SURCHARGE nn ('
_�``I`•1�n��•��C�'� x.0005
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ gd8
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 actual contract
The undersigned hereby applies to die 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.
Applicant's Signature: , ' : ui Lw-KL,Ltk- Date:
3
C=5 Wit-
DATE TIME
CITY OF ORONO CALLED IN S-- 11�- --�
INSPECTION NOTICE �7 SCHEDULED S-2�'- ,� 'DU
PERMIT NO.6?015- COMPLETED
ADDRESS P-5 D✓Lk
OWNER TE EPHONE NO. 3 53-LO 997
CONTRACTOR
>' DESCRIPTION
W ❑ FOOTING ❑ &MBING FINAL ❑ EXCAV/GRADING/FILLING
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Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
�d ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
LUXZ El DEMO-FINAL ❑ SEPTIC INSTALL El HARD COVER REMOVAL
v ElPLUMBING RI ElSEPTIC FINAL ElFOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White Copyllnspectoes File Canary Copy/Site Notice
D E TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE CHEDULED
PERMIT NO.J 013-- 40 3 74COMPLETED
ADDRESS 1065
OWNER QQ TELEPHONE NO.
CONTRACTOR
3: DESCRIPTION v �T
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v P�PMMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
TIME (/
CITY OF O ONO CALLED IN
INSPECTION SCHEDULED � 1D"l� •.3�
PERMIT N COMPLETED
ADDRESS
OWNER TELEPHONE NW -�lo�3
CONTRACTOR
DESCRIPTION
❑ FOOTING ❑ PLUMBING FI A ❑ EXCAV/GRADING/FILLING
y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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
2 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W ❑CORRECT WORK&PROCEED ❑ ISSU CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑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 CopylInspector's File Canary Copy/Site Notice