HomeMy WebLinkAbout2014-00319 - plumbing CITY OF ORO O * 2 0 1 4 - 0 0 3 1 9 *
" 2750 KELLEY PAR WAY DATE ISSUED: 04/15/2014
ORONO, MN 553 6-
(952) 249-4600 FAX: (95 ) 249-4616
ADDRESS : 75 BAYSIDE TR
PIN : 06-117-23-22-0030
LEGAL DESC : BAYSIDE MEADOWS
: LOT 5 BLOCK 1
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTG: BSMT: 1 WC, 1 LAV, 1 SHOWER.2 SILLCOCKS, 1 FLOOR DRAIN, l W TER HTATER, 1 WL'"]�BAR
I ST FLOOR: 1 WC, 1 LAV, 1 KITCHEN SINK, 1 DISPOSAL, l DISHWASH�R,
2ND FLOOR: 3 WC,5 LAV, 2 TUB,2 SHOWER, 1 LAUNDRY TRAY, l WASHER
VALUATION OF PLUMBING ]7703
APPLICANT PLUMBI FIXTURE FEE 221.29
STATE S RCHARGE PLBG(VALUATION) 8.85
SABRE HEATING& AIR COND INC. MAIL-IN EE 2.00
15535 MEDINA ROAD
PLYMOUTH, MN 55447 TOTAL 232.14
(763)473-2267 Payment(
CREDIT ARD 0331 232.14
OWNER
WACHMAN JR., ERVIN
2135 SALEM CT
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and spccifications,applicable City approvals,and the
State I3uilding Code. 'I'his permit is ibr only the work described and does
not grant permission t�or additional or rclated 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 ifconstruction 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.
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Applicant Permitee Signalure Date [ssued B gnature Date
04/15/2014 TUE 12: 21 FAX 763 473 8565 Sabre Plumbing & eating �002/007
i'OI2 C2TY USF ONI,Y
' //,�o��� Cii,y of Orono
!'.O.13ox C�(i Dute R��ccived: Verniit ii
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„A�}�o 64� (952}2�9•4G(b...Ma;n
��'�oeaQ�� (952)249-4(i1G—Fxx
� CI`l'Y OI' ORONO— 'LUMBTNG YE�2MI7�
(All Commercial Pennits Must be Approved by the Sfate Frior to City Approval)
htt�://ww�v.dli.mn. o��/CCLI)/PU[�/> >lii�itil>>lanreva > >.>�ff
G�NL;RAL INFORMATION
1. You may apply for plumbing pernlits by mail or in p rson at the City of�ces. Apptications will be
reviewed and a permit will be issued within twa wor ing days.
2. Permit cards will be sent by return mail after a revie is complefed. PEKMI'I'S ARL'NOT
��AJ.,1D iJN'17L Y�U RI.C�iIVI3 A I,'I:RMI'1_ WC) MiIS'I'NOT BEGIN iINTIL 7'13E
PERMIT CARD IS POS7'ED ON THF,JOB STI' .
3. Plumbing pern�its may be issued ONL,Y to licensed lumbing contractors and to property owners
residing in the dwellin�.
4. When any new construction or remodeling is involve ,a separate buildin�;pern�it must be
obtained.
5. All work must be done in accordance with State Cod re,�uirements.
6. Atl work must be inspected and air tesfed before it is overed. Cali(9S2)249-4600.
(24-48 hour noticc requirec►)
TYPE Or PER T
Cl�eck All'T'hat A 1
{�Resideiitial ❑Commercial(Approvat Required
[�New ❑Additional ❑Re airs ❑ Replace
❑ ln Accessory Structure?
'�'S'ou wiif needgrior a�proval and�nay need CI�P.(P Urono Gity C:nde,Chapter 78,Anicle IV)
Job Site/Owner Information: �-----�---�
/ �
Site Address: � C ` d �
Ow�ier: Mailin Addx•ess:
City: Zip:
1-iome Phone: Altern te P1lorie:
Contractor I�aformation:
Contractor. 5 Yt� � �- 6� Conta t Person: �U,�1,�V)
Address, I GJ� Y����( State ond#: ���Q`}�J��-�
City: N � Zip:��'j Expira ion Date: I`2- �l�7�,,,)5
Fhone: ��P!� ���J �-L�v� Altern te Phone: ��D��� Z�3 '����
[� insur ce—Current: �
1
04/15/2014 TUE 12: 21 FAX 763 473 8565 Sabre Plumbinq & eating �003/007
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I'IX'T'[JFtE 13SM'I' 1' 2 OTHER FIX'I' E I3SMT 1' 2 O'T'HI�12
TYPE �'L FI_ "I'YP� FL PL
Water Closet � � � Floor rains �
L.avatory � � � Sewer �jector
13athtub .j Laund Tray
G-�
S)�ower } � Washe �
l
Kit�chen Sink � Water eater �
bisposal I Water often�r
1
Dishwasher � Wet B r �
Sillcocks � Miscel aneous
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.:. �y ry 4d y1 /r G ��° f r �+ ; q 7 � �x i` Y �F
`�:1u�S'�7 �,G S.7$f;Kq.'.� S. { .1 K #`?2.�,5�4 h-�
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❑ I'es,ih�s section applies
The replacement of only one Residentia!fixture or appliance at meets all three of the fol(owing
requirements:
1. Does not require modification Yo electric.�I or ga service.
2. Has a total cost of$500.00 or less;excludin�the cost of tl�e fixture or appliance:and
3. is improved,icislalled or replaced by the homeo er or licensed p(umbing contractor.
Skip next section,if this applies; Cost of ermit $ 15.00
State Su charge $ 5.00
Mail-Tn ee(If Applicable} $ 2.00
Tots31 P rmit Fee $
(Permit T+ees Continuecf On Next Page)
2
04/15/2014 TUE 12: 22 FAX 763 473 8565 Sabre Plumbing & Heating �004/007
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If above does not apply;follow guidelines beiow
1. CONTIZACT'PRICE * is 1.25%of contract p 'ce wid�a(Mi�aimum Fee of$50.00)
�l �0 X.oi2s� Z2.1 . Z-�
(contrnct pric ) (minimwn�50.00)
2. S1'ATE SURCI�IARGE
� �� Q _x.0005 $__�______� �� _._.
(Ci�nUnc(Pn' )
3. POSTAGF.,&HANDLTNG(Only ou Mail-T�i Ap�lications) � �-80'
4. 'I'OTALPFRMITrEE(AddLinest-3Above) $ Z3(j. +�
■ * CONTRACT I'RICF, or JOB COST means the actua or estim�ted dollar amount cllarged for the
perrnitted work including materials, labor, pro�t,and otl r t`ixed costs. It is the amount io be charged
to the customer for d�e work done. Tf any material, equ� ment, labor or installations are furnished by
the owner, tenant or any other party, the reasonable mar et value of such items must be added to tl�e
estimated cost or contract price for permit fee purpose In the eveni tl�at there is a dispute on the
amount of the job cost, the City may request t}ie submi sion of a sigued copy of the actual contract.
The undersigned hereby applies to the City for issuanc of a Plumbing Permit, agrees to do all
work in strict accordance witii die ordinances of the ity and the regulaEions of the State of
Minnesot� and certifies that all statements made on tt�is applicarion are complete, true and
correct.
Applica��t'sSignature: 4`������ __._�� W_____ Date: `t �`7'��l`�' T_
Y��k����t�t�� :
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DA 1 �TIME i �
CITY OF ORONO CALLED IN '�--����-�-
INSPECTION OTI E SCHEDULED ���=r�`L� :�0
PERMIT NO. �� � 03��- COMPLETED
r
ADDRESS
OWNER TELEPHONE N0.7
CONTRACTOR �
�; DESCRIPTION �-� I uiYw� v
�
� D FOOTING ❑ PLUM G FINAL ❑ EXCAV/GR /FILLING
Q ❑ POURED WALL O MECHANICAL RI ❑ LAKESHO ETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
� ❑ TREe REM VAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPE TION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMWLAIN
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-U
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COV R REMOVAL
J�PLUMBING RI U-�� ❑ SEPTIC FINAL ❑ FOUNbATI /REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICAT'E OF CCUPANCY
0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING ff�` PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HQURS.
INSPECTOR WILL REfURN ;,� - �PHOTO TAKEN
❑CITATION ISSUED I
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. '�'�"` �
Cail for the next inspection 24 hours in advance. (952) 24 -460�
N:,�
OwnerlContractor on site: '�
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Inspector. `��
White Copylinspector's File Canary CopylSite No�ice
� � � T '� TIME �
CITY OF ORONO CALLED IN - *-
INSPECTION TI SCHEDULED �p- a•� �
PERMIT N . � Q�l COMPLEfED
ADDRESS �
OWNER E E HONE NO. '�7-��i�
CONTRACTOR
� DESCRIPTION �
�
� ❑ FOOTING ❑ PLU I G FINAL , ❑ EX�CAV/ ADING/FILLING
Q ❑ POURED WALL ❑ M HA ICAL RI ❑ LAKESH RFJWETLANDS
y ❑ FRAMING ❑ M NICAL FINAL
Q ❑ TREE RE OVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ Sll'F INS ECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PRpGRE S
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAI T
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW- P
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD CO ER REMOVAL
J �PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDA N/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS: I�tl " VC ' cSC- �{d �
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� 1�WORKSATISFACTORY:PROCEED ❑ PROJECT COMPL�TE
W �❑CARRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF CCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOF2ARY
V BEFORECOYERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN i
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR �
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. ', ��
r the nex ction 24 hours in advance. (g52)I'�Z4 -4600
Ownerl ntractor on site:
Inspect .�
ite Copyllnspector's File Canary CopylSite Notipe
� � D�T TIME v
•`;� .�
CITY OF ORONO CALLED IN � ` II
INSPECTION TIC � SCHEDULED "� l:�
PERMIT NO. � 9 cOMPLF.TED
ADDRESS � '
OWNER PHONE NO. �
-
CONTRACTOR
�; DESCRIPTION
� �C
� I
� ❑ FOOTING ,�PLUMBING AL ❑ EX�AV/G ADING/FILLING
Q ❑ POURED WALL ❑ MECHANIC RI ❑ LAI1�ESH FJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TR1sE RE OVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INS CTION
Z
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRE
� ❑ FINAL ❑ SEWER HOOK-UP O COWIPLAI T
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW- P
? ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HAf�D CO ER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATI N/REMOVAL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
c�., CGMMENTS:
�
a 6 0 - - • • h
� 1 .,L� ' ' ``^' �.�'�
J� - �r'r $7i[nw -7 /'2f/GnLe/ ' S
� " �'V,�7EC/ �l4ti�i - ?S�� �IOR G�IV.Q'�� �
° " 1��5� ���s"� D
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� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPL'iEfE �,
w ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICA'ifE OF CCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMP�RAR
� BEFORE CWERING PERMANEN
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN I'
INSPECTOR WILL RETURN
❑CITATION ISSUED I
❑STOP ORDER POSTED.CALL INSPECTOR
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. i
Call for the next inspection 24 hours in advance. (952 24 -4600
on ite: �
OwnedContractor s
� ,
Inspector. � '"`'
White Copyl�nspectoPs File Cenary CopylSite Nqtice