HomeMy WebLinkAbout2015-00739- plumbing V ` CITY OF ORONO _
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2750 KELLEY PARKWAY DATE ISSUED: 06/09/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 200 BAYSIDE TR
pi� : 06-117-23-22-0027
LEGAL DESC : BAYVIEW FARMS 2ND ADDN
: LOT 2 BLOCK 1
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES:
(3)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2)
SILLCOCKS,(1)FLOOR DRAIN,(1)LALINDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WET BAR
VALUATION OF PLUMBING 19492
APPLICANT PLUMBING FIXTURE FEE 243.65
STATE SURCHARGE PLBG(VALUATION) 9.75
SABRE HEATING&AIR COND INC. MAIL-IN FEE 2.00
15535 MEDINA ROAD TOTAL 255.40
PLYMOUTH, MN 55447-
(763)473-2267 Payment(s)
CREDIT CARD 9764 255.40
OWNER
Gonyea Homes
6102 OLSON MEMORIAL HWY
GOLDEN VALLEY, MN 55427-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State E3uilding Code. This permit is for onty the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Sig ure Date Issue Signature Date
46�09/2015 TUE 8: 53 FAx 769 G73 8565 Sabre Hedting 6 Air Cond �005/007
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I R 1T E ON[.Y � ���� �Ji
� 44��0 City oPOrono h � ��
1'.O,Sox� J)olelt�u v ; ✓ Pannit���
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� � �,I�?- r CryatalBsy,NiN 55323 Apprwod y; . Amount$�GJ_
� ���E�� (952)249_4600-Mai�t
�� (952)249 4616 Fax
CITY OF ORONO—PLUMSING P�1tMIT
(All Commercial Pez-raaits Must be Approvod by the State Prirn•to City Approval)
►�t •ll n ov/CCLD/FDT/ • n l,►nreva .� F
GENERAL INk'ORMATION
1. You may apply for plumhing pormits by mail or in parson at the City office9. Applicationa will be
reviewed and a per►nit will be issued within two working days,
I 2, Pennit cards will be sent by return mail afler a review is completad, PERM,I�'S ARE NOT
VALID UNTIL YQU RLCEIVL A PLRMIT. K ST NOT b�
� 1'ERMIT CARD,�4�OSTED ON Tf�JOD$TT�.
3, Plumbing permits may be issuod ONLY to lic�i�sed plumbing contractors and to property awners
rosiding in tbe dwelling.
4. When any new constn�cuon or re�nodelmg is involved,a soparate building permit n�ust he
obtained.
5, AII work�nust be done in accordance r�vith State Code res}uirements.
6_ AJl worlc mi�st be inspected ac�d air tasted be�'ore it is coverad. Cali(952)249-4600.
, (24-48 haur notice required)
�'��' oF PExNVT
� Chcck All That A 1
�Residantijil ❑Commercial(A�proval Required)
I
[�'l�ew �Additional �Repairs ❑Replace
� Z�t A.ccessory Structure�
"'You rv111 need nrior aonrovAl and may need CUP.(Per Orono Gity Codeti Chapter'78,Article ZV j
� Jt�b Site I Owner Information:
I Site Address: �� t� ��C��� `.L- ---
Owner: Mailing Address:
City: ZiP� �. - -- --
�Iome Pl�.one: Alternate Phone:
Contraator 7nform�kion:
Contractor: � p d Contact Person:
Address: State Bond#: 1���5,'S�q
City: Zip:��1 Expiration Date: ��,.,,•3 •71J15
Phone: `�V�•�-�I�•,�..2.1�]_._ Alter►iate Pl�otle: �II1'�•ZS��H��`P�
Q� Tnsurance-• Current: � r
� 1
�
06��9/2415 TUE 8: 53 FAx 763 a73 8565 Sabre Heating b air Cond f�006/007
r
�'IXTUR� BSMT 1 2 OTT�ER, �IXTURE SSNiT l 2 OTHER
TYPE FL I'L TYPE FL FL
Water Closet ` � Floor brains l
l
I,avatory Sewer Ejector
� �
Batlttub � � Laundry TrAy 1
t
Shower � Washer
�
Kitohen Sink l 1xlator T��tter
Dispo�al , W�ter Softener
Dishwasher � Wet Har '
Sillcocks � Miscellaneous
Il F �/
f
i �'� .
I� ❑ Yes,this section applie9 . 1
� Tt�e replacemenl of only one Residential�xture or ao�ligncg th�t meets all thrae of the fallawing
requirements:
J. AS7g,�not require modification to alectrical or gas sorvic�.
2. l�as a total cost of$SOO.OQ o�less;�xcludincc tha cost of tho fixture or appliance:and
3. ls impro�ved,installed or roplacod hy the hameowner or licensed plumbing contractor.
Skip next sect�on,if tlus applies; Cost of Yermit $ 15.40
State Surcharge � 5.00
Mail-i��Fee(If Applicabla) � 2.OQ
7'otal Permit Fee $
(Permit P'eee Co��tinued On Ne�t Pnge)
2
I
46/�9/2015 TUE 8: 59 Fax 763 a79 8565 Sabre Heating & Air Cond f�047/007
S
� � �
i�'above does nat apply; follow guidelines bolow,
1, �ONTIiACT�'RXC� '� is 1.25%of contract prica with a(Miui►num Fee of SS0.00)
I a�q z�vo _ �.o�z5 s; ��3.��
(conlruut priae) (minlmum�50.00)
2. S'I'ATE 5URCHARG�
►a�aZ�oo �,oaos �_ a�`1�
(con�inct prico)
3. POSTAGE$HANDLING(Only on Mt�il-In Applications) $ __�.UQ,
4, TOTAL PF�kV,t�,'F��(Add Lines 1-3 Above) $
■ '" CONTRACT PRiCE or JUI3 COST means the actual or estimated dollar amount charged for the
permitted work i►lcluding materials, labor,profit, and otha•fixed costs. It is the amount to be charged
to th�customer for tl�e work done, If any material,equipmenc, labo�-or install�tipns are furnish�d by
the ownar,tenant or any othor party,the reasonxble marlcet value of sucl� ite�ns must be added to the
estimated cost or con�act price for permit fee purposes. In the event that thare is a dispute on tha
amount of tlie job cost, ihe City may request the submission of a signed copy of tha actu�l contract.
The undeistgz��d hereby applies to the City for issu�tlCe of�Plumbing Permit, agreas to do all
wqrk in strict accordance with the ordinat�ces of the City and the re�tlations of the State of
Minnesota, and certifies that all statemen,ts made on this Application are Complete, true and
correct.
Applicant's Signature: _, ��IL�WMfA..(.(.(iL Date, __�Q,'�•�1-��-
II FI f
3
Cv v' — D TE TIME•
�
ITY OF ORONO CALLED IN ' —!
INSPECTION NOTICE --7 SCHEDULED �/ 3 /5 ��
PERMIT N � " L �COMPLEfED � �
ADDRESS �
OWNER E E NE NO �a 3 - 7
CONTRACTOR
j DESCRIPTION
ly ❑ FOOTING ❑ DEM -F NAL ❑ SEPTIC FINAL
Q ❑ POURED WALL �LU G RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS: �� '� l. L ' � � v "' �vC-
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GW ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILI REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�INSPECTION REQUIRED_CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. >v✓ �
White Copyllnspector's File Canary CopylSite Notice
� ; �� DATE TIME
CITY OF ORONO CALLED IN (��� . ' .��'
INSPECTIO�O�T.IS'.E �\��� SCHEDULED
PERMIT NO. � w COMPLEfED
ADDRESS 7 O C� �Q9-(ZtUU�.l �G�,�Il
OWNER TELEPHONE N0.��3 " ��3 "2��
CONTRACTOR S�-�6C�
� DESCRIPTION
�
4� ❑ FOOTING ❑ DEMO-FINAL EPTIC FINAL
�
Q ❑ POURED WALL „�eLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �„l.�•
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W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COYERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector. �
White opyllnspector's File Canary CopylSite Notice