HomeMy WebLinkAbout2018 - 00487 - plumbing 9 IICITY OF ORONO �� 111 11 I 11111 11111 111111111 11111
* 20 1 8 - 00487 *
2750 KELLEY PARKWAY DATE ISSUED: 04/20/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2895 WOOD DUCK TR
PIN : 33-118-23-24-0031
LEGAL DESC : ORONO PRESERVE
: LOT 1 BLOCK 4
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (4)WATER CLOSETS,(6)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 16437
APPLICANT PLUMBING FIXTURE FEE 205.47
SABRE PLUMBING&HEATING STATE SURCHARGE PLBG(VALUATION) 8.22
15535 MEDINA ROAD MAIL-IN FEE 2.00
PLYMOUTH,MN 55447- TOTAL 215.69
(763)473-2267 Payment(s)
Minnesota State License#:mech-MB3392,plbg-PC645349 CREDIT CARD 7681 215.69
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 he
revoked at any time for due cause.
(Maictid 1 01/r
Applicant Permitee Signature Date Issued By Signa r° Date
04/20/2018 FRI 8: 04 FAX 763 473 8565 Sabre Heating & Air Cond 2002/006
t ,
— 1
City of Orono FOR CITY
i f'U. Box 65 Date Received:_-.-.
S I 2750 Koltey Parkway Q
Crystal Bay,MN 55323 Permit _-._,.. 00 U
c',-; (952)249 4600 Mein Approved By;
�aisuo�`: (952)249-4616-Fax
Amount$:
CITY OF ORONO- PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dii.mn.govlCCLD/PDF/po plumbplanrevapp.pdf
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 CARO) 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 QF PERMIT(Check AII.That.Apply)
[°f Residential ❑ Commercial (Approval Required) [Backflow Device!❑AVB ❑I'VI!]
L New ❑Additional ❑ Repairs ❑ Replace
Fl In Accessory Structure?
*You will need prior approval and may need CUR (Per Orono City Code, Chapter 78,Article IV)
[Job,Site/Owner Information:
Site Address:
Owner: Mailing Address:
City: . ^Zip:.
Home Phone: Alternate Phone:
Contractor Info'rnation; : ' .
Contractor: 4301k)VG PIh? µ lkikl Contact Person: S01,44
Address: 1555 State Bond #: Pr..1014,5 34 ct
City: PiplOw1 (1 . Zip: y3,5141 Expiration Date: 12-'5I•2-0/9
Phone: Mi?). 1-1,12j. 2-il/) . _ Alternate Phone: `f i!i, 25 -47Fr
.1 insurance-Current:
Pde6 1
04/20/2018 FRI 8: 04 FAX 763 473 8565 Sabre Heating & Air Cond U003/006
PLUMBING FIXTURES BEING INSTALLED
IXIURL I33MT 1' 2'�' ' C7THF'R I=IXTIIRE B M1 1 2rar. ()1"HFR
TYPE I-Iooh Floor TYI F 1-Ioo1- I Icor
Walur Closet 1 Hoer grains
I avalnry rJ f e:wrr Fje lrii
Bathtub Laundry fray 1
Shower ( Washer
Kitchen Sink , Water Heater
Disposal , Water Softener
Dishwasher Wet Bar
Sillcceks Miscellaneous
WY.v �� � ��� � �'��.��, y� (�� � i�����bf,�;M1 1�r,�' ,L W °�y
`I £�rir�N,b „ �4,r'lii 1 ' �1!late ++?l'�$3 , i�`C"l �a� ...!i1,,Atid- N Illxi'W�r�9 �`�`r'�'"a`?� d°.," !
1. CONTRACT PRICE .is 1.25% of contract price with a(Minimum Fee of$50.00)
31. 34 x.0125 $ .20 5.441
(contract price) (minimum$50.00)
2, STATE SURCHARGE
16 443'1. 1-1 x.0005 ,,7_: a,...�
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) 2_50_-
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 2.15.
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 foe 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.
�•y�� ti•,r� ���� h�¢,a. ����t�.� a!uly. "'VFX � � N Y �iJ SIM{�iP�' i` 7 'a^�a5n �,;� "*t i 1ti�
'yi(ri"7: �A.�. 22,3 PIIC 'TMallita c" � t ash �. . � �f`7 Vi�:'Jdl.� ,�w �i Ca i'c. 1
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: G]/IL .4_' Date: .. 4,211. it,g -_
Building Official/ Inspector: , Date:
Pag€2