HomeMy WebLinkAbout2017 - 00870 - plumbing 1 I IIIIIIII II II II II II II 11 111
CITY OF ORONO
* 2017 - 00870 *
2750 KELLEY PARKWAY DATE ISSUED: 07/26/2017
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2875 WOOD DUCK TR
PIN : 33-118-23-24-0033
LEGAL DESC : ORONO PRESERVE
: LOT 3 BLOCK 4
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (5)WATER CLOSETS,(7)LAVATORIES,(3)BATHTUBS,(1)SHOWER,(I)KITCHEN SINK,(1)KIDPOSAL,(1)DISHWASHER,(2)
SILLCOCKS,(1)FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER,(I)WAER HEATER
VALUATION OF PLUMBING 18786
APPLICANT PLUMBING FIXTURE FEE 234.83
STATE SURCHARGE PLBG(VALUATION) 9.39
SABRE PLUMBING&HEATING MAIL-IN FEE 2.00
15535 MEDINA ROAD TOTAL 246.22
PLYMOUTH,MN 55447-
(763)473-2267 Payment(s)
Minnesota State License#:mech-MB3392,plbg-PC645349 CREDIT CARD 7681 246.22
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.
G`-Y1iL.R..a��L .tom fiaCe 7 -zee /7
Applicant Permitee Signature Date
Pp �► ssued Signature Date
07/25/2017 TUE 8: 06 FAX 763 473 8565 Sabre Heating E. Air Cond l2002/007
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....._ RCI" USE ONLY ~
�s -0 °+ City of Ornnn j 17—leg 7 0
/Q$ �� 1',U,llux 66 Date Ree2624S Permit tf—PC
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CrystiLHuy,MN 55323 Approved y: Amount S: __ c��
'IA (952)249,100-Fax
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CITY OF ORONO —PLUMBING PERMi TT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www,dli.nin.gov/CCI.,Din)V/pe phi mhplanrevap[had t -- _
GENERAL INFORMATION ...._]
1, You may apply for plumbing permits by mail or in person at the City offices, Applications will be
reviewed arid 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 TILE
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) .
eResidential 0 Commercial(Approval Required)
❑New ❑Additional E Repairs ❑Replace
❑ In Accesstiry Structure?
'Youwill need oriar an royal and may need X11?,(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information: J�
Site Address: 2 "�b Y V cod t u t -10:4,1
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
•
Contractor: ,(J WQ, PIL).aj w '.1. Contact Person: �
� AAI.Ano
Address: 16'53 , lAkcititta lei State Bond#: PC 46.34 pl
City: Pipldi Zip:,560.7 Expiration Date: 11�3 I•Z011
Phone: !]tab.416:ZZ(o1 Alternate Phone: _,„ ,53 4if SI'
1' Insurance--Current: W
1.
07/25/2017 TUE 8: 06 FAx 763 473 8565 Sabre Heating 6 Air Cond Q003/007
v 1 aZr �:: ( ` I f iFiitl
e.�l ! 1511 ifl, .f �- 1 �,l .p°� .t 7�1 �! LS4 1 ::,: ' . '
1?IXTURE BSMT 1ST 21 OTHER FIXTURE BSMT 1-r 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet t Floor Drains
Lavatory 1 6 Sewer Ejector
Bathtub 1 1 2 Laundry Tray
Shower i Washer
Kitchen Sink Water Heater `
Disposal t Water Softener
Dishwasher Wet Bar
Si!(cocks T Miscellaneous
5 f 1, f'lr , rr ))
[] Yes,this section applies
The replacement of only one 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-ln Fee(if Applicable) $ . 2,Q0
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
07/25/2017 TUE 8: 06 FAx 763 473 8565 Sabre Heating & Air Cond U004/007
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If above does riot apply;follow guidelines below.
1 CON'l'RAC1'PRICE is 1.25%of contract price with a(Minimum Fee of$50.00)
13'1 •34 x.0125$ z3/,+0 %.
(contract price) (minimum 550.00)
2, 5TATJ Su cHARQE
l�1 V 34-__.x.0005 $_ a116.�f......_._
(contract pnet)
3, POSTAGE&HANDLING(Only on Mail-In Applications) $ 2,40
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) 2-141/•2..7--
•
-141/•2• * CONTRACT PRICE or JOB COST means the actual or estimated dolla ount 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 cast,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; c p411/A/l•d/ Lit4,,Amtkot, Date: 1 • 15. 2C(7
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CITY OF ORONO CALLED IN- /�j)
INSPECTION TICE�D�,7� SCHEDULED %�/
PERMIT NO. ii /C/iPLETED
ADDRESS a�37sS WOOL I/H_.,k 7
OWNER TELE ONE NO. ,3 3'a -k7
CONTRACTOR =% 6(e -k,--- / 0'
DESCRIPTION P.-LbUriarvt'uv 1t
6.W ❑ FOOTING 0 D -FINAL 0 SEPTIC FINAL
lc ❑ POURED WALL ,PL ING RI 0 EXCAV/GRADING/FILLING
❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
O
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS
Z ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ElFINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
• ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERS:ONTRACTOR TO MEET YOU:_YES_NO / /'
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9 COMMENTS: U,G'. - OW V - JJPVC , i Y
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O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
cj BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP ORDER POSTED.CALL INSPECTOR 17 CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector. (i
White Copy/Inspector's File Canary CopylSIte Notice
•
DATE TIME
CITY OF ORONO CALLED IN i1/� C _/ —�
INSPECTION NCQJ�f SCHEDULED IP /
PERMIT NO. ` ' ` 2)COM LETED
ADDRESS , '??:?j '± C 1 / ,�� 1
OWNER TEINE NO.r NO -C-
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CONTRACTOR /71-: .) '>(--- (4Y-77 ---
77( , S
WDESCRIPTION
0 FOOTING ❑ DEMO-F AL 0 SEPTIC FINAL
Q ❑ POURED WALL `iii PLUMBING RI 0 EXCAV/GRADING/FILLING
❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
m)
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS
1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP ElFOLLOW-UP
W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
.1 ❑ DEMO-SITE ElSEPTIC INSTALL
Z• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
51 COMMENTS: Sc,J 90 j✓ L,L I,k at 1 /Ca r
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W,O_WORK SATISFACTORY:PROCEED ID PROJECT COMPLETE
W "E].CORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY
CI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
u BEFORE COWERING 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
OwnerlContractor on site:
Inspector•.
White Copy/Inspector's File Canary CopylSite Notice
36t-- 7
/ � TIME
CITY OF ORONO CALLED IN R'7/7
INSPECTION N• C o,
." HEDULED 1,3j -/� /7 �r A.
PERMIT NO. / -%i' Ir OMPLETED
ADDRESS 575wodfl1 y!
OWNERi.\� T EPHONE NO. -7
CONTRACTOR C51► .. 7 -0.3_6= -1
DESCRIPTION PJJOALL_
. 2.1
.4, ❑ FOOTING 0 DEMO-F L 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBI G I 0 EXCAV/GRADING/FILLING
y ❑ FOUNDATION DRAIN TILE RPLUMBI FINAL 0 TREE REMOVAL
Z ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
IT 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
1, ❑ 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 0 SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YESL _NO
COMMENTS: /Med- /. )1049/city
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CO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. Cl.i w�
White Copy/Inspector's File Canary Copy/Site Notice
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IDAT TIME/
CITY OF ORONO CALLED IN
INSPECTION TIC SCHEDULED l/ ti AZ /
PERMIT NO. COMPLETED /�
ADDRESS 875 ( cc c_t__ illni
OWNER is. `� , ELS HONE NO '
CONTRACTOR /U `//y . , I K)
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DESCRIPTION `l
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
41.
❑ POURED WALL 0 PLUMBING RI 0 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
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
r FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
Z
✓ ❑ DEMO-SITE 0 SEPTIC INSTALL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS: L-16c• ,' -zi - - fa-" LS--'2
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• 0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
O
Ell STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
0:pISSEETION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. /Aw I
White Copy/Inspector's File Canary CopylSite Notice