HomeMy WebLinkAbout2014 - 00407 - plumbing CITY OF ORONO II 11 lI111111111 II 1111 11 II
* 204 - 00407 *
2750 KELLEY PARKWAY DATE ISSUED: 05/07/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 364 WESTLAKE ST
PIN : 05-117-23-23-0043
LEGAL DESC : HILLSIDE PARK
: LOT 000 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: BSMT:4 WC,4 LAV,2 TUB,2 SHOWER, 1 DISHWASHER,2 SILLCOCKS, 1 FLOOR DRAIN, I WASHER, I WATER HEATER, I
WET BAR, 1 MISC
1ST FLOOR:2 WC,3 LAV, 1 TUB, 1 SHOWER,2 KITCHEN SINK, 1 DISPOSAL,2 DISHWASHER, 1 LAUNDRY TRAY, 1 WASHER
VALUATION OF PLUMBING 64473
APPLICANT PLUMBING FIXTURE FEE 805.91
STATE SURCHARGE PLBG(VALUATION) 32.24
SABRE HEATING&AIR COND INC. MAIL-IN FEE 2.00
15535 MEDINA ROAD
PLYMOUTH, MN 55447 TOTAL 840.15
(763)473-2267 Payment(s)
CREDIT CARD 0331 840.15
OWNER
Identisys, Inc.
SHIELDS TRUSTEES,JANELLE K&MICHAEL R
7630 COMMERCE WAY
EDEN PRAIRIE, MN 55344-
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.
I
Applicant Permitee Signature Date Issued Be.ignature Date
05/06/2014 TUE 12: 29 FAX 763 473 8565 Sabre Plumbing & Heating 2002/007
FOR CITY USE ONLY
''= City of Orono o /5-o o (/0 7
/� 0�, 1'.0.13ox 66 Date Rc eived: ._ _-__ Permit tl _a,-.-
I ii 2750 Kelley Parkway
Crystal Bay,MN 5532.3 Approved 13y: Amount 5: ...�
(9(952)249-4600—Main
(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
I. 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 0 Commercial(Approval Required)
New ❑Additional ❑Repairs 0 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: )(ol-} \ 0.- t-Ab r .p,t4
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:f1
Contractor: 5OOY11 PIbo) ` .") Contact Person: 3 Q
Address: 1 t Vtilpfiltk,6 State Bond#: f'(Lp453>-{--C1_
City: P V \ Zip:55tN1 Expiration Date: U,.:31-2_0 t
Phone: `1(o7Y-41 -2.2.1pr7 Alternate Phone: `1f,5-LS -'i--
a Insurance—Current: I'9
1
05/06/2014 TUE 12: 29 FAX 763 473 8565 Sabre Plumbing & Heating 8003/007
<S`.T'1 e t, � d l�l.� .aeossa�y,.•es �vs� ,a�.v x+�4-'� x^ ese� .*+�ys' sec.q '^'E{K`sF�.<:�..�,
r . .� t `u h: e�. ev IT ash, ?:fie ° aIC �,, ` .h.i _f i
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FIXTURE I3SMT I sr- 2ND OTHER FIXTURE BSMT l ST 21QD OTHER
TYPE FL FL TYPE FL FL
Water Closet LA
Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower Z 1
Washer 1 `
Kitchen Sink Water Heater
Disposal ` Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
0 Yes,this section applies
The replacement of only one Residential fixture or 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
05/06/2014 TUE 12: 29 FAX 763 473 8565 Sabre Plumbing & Heating 0004/007
a�t����,�o�'ts.S�4'L��, y e +.��" �:w.u .'�C(��i '�t P R /c� ¢ s., c:Y n"z- e cF '�n mkt' `�,���``."a`"
1:02 -3 �'Izwk',.�,?h..d07.1 a tot �) Cf�E ✓l. �rEC(�6 -s, x ' .c .,.rQ�kcr�tii x i�_ oa�.�`a•'��SaY;., •k\>
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If above does not apply;follow guidelines below:
I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
IQLL-11) .O0 x.0125$ <O5
(contract price) (minimum 550.00)
2. STATE SURCHARGE
1,0,44"R D O x.0005 $ t-1.2A
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ j 2 S•1'5
a * 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.
Applicant's Signature: 4.1)11 __NOM/0- Date: 5- Le- 2-01
3
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE atitfO7 SCHEDULED
PERMIT NO...?0,-/a1,:riert COMPLETED
ADDRESS ides
OWNER TELEPHONE NO.
CONTRACTOR / a 4.
DESCRIPTION _ T `�1. C,
tu 0 FOOTING A-RLLkMBING FINAL ❑ EXCAV/GRADING/FILLING
Q 0 POURED WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS
h ❑ FRAMING
❑ TREE REMOVAL
Z ❑ INSULATION WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
Lta ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES NO / ,
2 COMMENTS: ,O4 • `'krSNQ— LS K�L40
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• ❑WORK SATISFACTORY:PROCEED COMPLETE
0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING 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:�/—.l (1t
K
Inspector.9,•--' — /
White Copyllnspector's File Canary Copy/Site Notice
....-- :::5(?)---
CI OF O ONO CALLED IN 7"
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INSPECTIONS '1,IE0 SCHEDULED -7-2-1 _14 3. .
PERMIT NO /pCRMPL ED
ADDRESS -5(p4/ w ' ek
_--� Pl-
OWNER TELEPHONE NO.SP- .45, r a"
, ,
CONTRACTOR /I '' Q �
DESCRIPTION PLo V ..
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k ❑ POURED WALL CI MECHA AL RI ❑ LAKESHORE/WETLANDS
y
Q ❑ FRAMING ❑ MECHANICAL FINAL El TREE REMOVAL
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
' ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
I, ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
Lu ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v �FRLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
cam.) COMMENTS:
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❑CORRECT WORK,CALL FOR REINSPECTIONCC
TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
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Owner/Contractor on site: c'Lf i4
Inspector. ?/,,,,-. *----
White Copy/Inspector's File Canary Copy/Site Notice
��� BATE TIME LJ
CITY OF ORONO CALLED IN •• i /
INSPECTION NOTICE SCHEDULED dj'!?,...; /01)6
PERMIT NO. ,,4/cL /0
207 COMPLETED gi .
,
ADDRESS t/ • Lo GQ 574
OWNER TELEPHONE NO. 7&3 263-V-
CONTRACTOR So/_ , bre
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DESCRIPTION 5c - ( 1 L/7�2P0-1,t_t/c//�/k�r
t n
4, CI FOOTING CI PLUMBING FINAL ❑ EXCAV/GRADING/F�NG
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
' ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
• ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
✓ ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
W ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
.. X PLUMBING RI u G . ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL
2 OWNER/CONTRACTOR TO MEET YOU: YES_NO
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(1 COMMENTS:
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W ORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
CCW
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN
INSPECTOR WILL RETURN
El
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for thle-next inspection 24 hours in advance. (952) 249-4600
Owner/ ontracto site: c' /i
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
DAT TIME ✓
CITY OF ORONO CALLED IN
INSPECTION NOTI9SCHEDULED // ;an
PERMIT NO. 490/ y--001O7 COMPLETED
ADDRESS '6 Lt 1.04-4t L',k-e_ 54
OWNER TELEPHONE NO.763 ZS-3 SI7
CONTRACTOR se--
• DESCRIPTION 6zm6 'WI'
" ,4
....
ty ❑ FOOTING ❑ PLUMBIN INAL ❑ EXCAV/GRADING/FILLING
et et ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
✓ 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP
W 0 DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL
vXI:PLUMBING RI W.4/P - ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
cn• COMMENTS:
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LU RK SATISFACTORY:PROCEED ElPROJECT COMPLETE
CC
IQ
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Oc..) BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
C rth ct inspection 24 hours in advance. (952) 249-4600
Owne ntractor on site: 4
Inspector. fig-,
White Copyllnspector's File Canary CopylSite Notice