HomeMy WebLinkAbout2018 - 00240 - plumbing CITY OF ORONO 11111111111111111111111111111111111111
* 20 1 8 - 00240 *
2750 KELLEY PARKWAY DATE ISSUED: 03/02/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2865 WOOD DUCK TR
PIN : 33-118-23-24-0034
LEGAL DESC : ORONO PRESERVE
: LOT 4 BLOCK 4
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (5)WATER CLOSETS,(7)LAVATORIES,(3)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2)
SILLCOCKS,(1)FLOOR DRAINS,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER
VALUATION OF PLUMBING 18401
APPLICANT PLUMBING FIXTURE FEE 230.02
STATE SURCHARGE PLBG(VALUATION) 9.20
SABRE PLUMBING&HEATING MAIL-IN FEE 2.00
15535 MEDINA ROAD
PLYMOUTH,MN 55447- TOTAL 241.22
(763)473-2267 Payment(s)
Minnesota State License#:mech-MB3392,plbg-PC645349 CREDIT CARD 7681 241.22
OWNER
OP5 Orono LLC
15250 WAYZATA BLVD#101
WAYZATA,MN 55391-
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.
(17)tt,c(--61-)
Applicant Permitee Signature Date Issued Signature Date
03/02/2018 FRI 13: 06 FAX 763 473 8565 Sabre Heating S Air Cond U002/007
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CITY OF ORONO— PLUMBING PERMIT
(Al]Commercial Permits Must be Approved by the State Prior to City Approval)
httpa/wwrr.(lli.mn. or'/(:('Ll)/I'�i/pe t)IfEeubt)lanrcvat)n.pdt
1 GENERAL INFORMATION --- i
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. yv RK MUST NOT BEGIN UNTIL THE
royal'CART)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.
(24-45 hour notice required)
•
TYPE OF PERMIT
(Check All That Apply) • _
E Residential 0 Commercial(Approval Required)
['New 0 Additional ❑Repairs ❑Replace
0 In Accessory Structure?
*You will need utrlor'_approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information_
Site Address: 13: V V[I
Owner:_ Mailing Address: ,_.__..______.-._,_
City: _ Zip:.
Home Phone: Alternate Phone:
Contractor Information:
Contractor: S AoV(, 0119(9_11 LdkDj Contact Person: '51Uktj
Address: 15aia_Mailti.4 State Bond#: 0.4,X 631.0
City: Pili)Vvit444I Zip:5.441 Expiration Date: J2-31' LO l'i
Phone: ':IA-41j.Z7---(i1 Alternate Phone: fa3 7gi
I Yf Insurance—Current.: ,/..
1
03/02/2018 FRI 13: 06 FAX 763 473 8565 sabre Heating & Air Cond 0003/007
'Ca CEIT-M7t' r
FIXTURE BSMT l2' OTHER FIXTURE BSMT OTHER
TYPE FL FL lYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
t 6
Bathtub Laundry Tray
.
Shower Washer
Kitchen Sink Water Heater
Disposal
Water Softener Dishwasher Wet Bar
Sillcocks
2. Miscellaneous
, 'CH ' ' ' •'. ' r
Yes,this section applies
The replacement of only ono Residential fixture or appliance that meets all three of the following
requirements:
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)
Total Permit Fee
(Permit Fees Continued On Next Page)
2
. .
03/02/2018 FRI 13: 06 FAX 763 473 8565 sabre Heating & Air Cond 1004/007
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�nL•ili.1.;11.r JA..�t4:f.a��l.M:.r.��,.��.�..,l.i�f'CY���.°�.f� �.��:1:.G�Il��( �ll k ����i �r� }:�f.1+fzE.}4 f It tiu�r.,i9 \a,t1� L?;F'N r.,�L�tn (L,t tifL 1',V;'•
If above does not apply,follow guidelines below:
S.
COFftiACT PRISE * i5 1,25%of contract puce with a(Minimum Fee of$50,00)
1. 1401'-5 ..._..... x .0)25$ 'a,30•r Z. --
(col(L nc1 pi h ) puDiii ium ssula)
2, STATE SURL'HA,RGJ
'111401: 51-1- x 0005 $ q•7.10
(contract.pnoe)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 2't. 2.Z,
* CONTRACT PRICE or JOB COST moans 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 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: _ tail LokmAmitat. Date: 3. Z,2.01 •
3
/\
DATE TIME \/
CITY OF ORONO CALLED IN
INSPECTION NONE SCHEDULED /0-0
�r
PERMIT NO. aO�O -DD'2 /d`` COMP
ADDRESS F COS L�(� C / r
OWNER TELEPHONE -763-NO .2s3•"Y�FS
CONTRACTOR j� y
DESCRIPTION N (14_ //
• ❑ FOOTING 0 MEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL AELPLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
❑ DEMO-SITE ❑ SEPTIC INSTALL
Q OWNERICONTRACTOR TO MEET YOU: YES NO L
COMMENTS: G� G • .0 W V V. — P VG 7.
• 0
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W YORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTIONO I E SCHEDULED if-- —/ve 1:36
PERMIT NO. cOj - o02-f/0 COM L D f
nC'AO
ADDRESS U r--
- We6 Gli._1 . 1%re) �
OWNER TELEPHONE NO. l 02`7 4-4DW
CONTRACTOR 6L't-10 t''P, lay IS
3:: DESCRIPTION Leni.-- ie...
" .
4, ❑ FOOTING ElDEMO-FINAL 0 SEPTIC FINAL
❑
Q POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL 0 TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q 0 FINAL El WATER HOOK-UP ElFOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP 0 FOUNDATION/REMOVAL
✓ ❑ DEMO-SITE ElSEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS: $iJ yd /7k G Pet, V R'y
sz
Q. Le"...):r L.,'Asas t FS1 c:r" 7 1sT
o px ho0'I p/�'fSS J ow5..ems` «b s.rppoet
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tp____Ab_Lee_______,Rcriele/1-71- co r S .4:2 c".
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a
W ❑WORK SATISFACTORY:PROCEED El PROJECT COMPLETE
CCW
StCORRECT 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
13STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OvrnedContractor on site:
Inspector. c,--- a, '1 A
White Copyllnspector's File Canary CopylSIte Notice