HomeMy WebLinkAbout2014-00100 - plumbing � �
CITY OF ORONO * 2 0 1 4 - 0 0 1 0 0 *
2750 KELLEY PARKWAY DATE ISSUED: 02/03/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1161 ELMWOOD AVE
PIN : 07-117-23-14-0029
LEGAL DESC : SKARP& LINDQUISTS FERNHILL LA
: LOT 009 BLOCK 000
PERM[T TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES - MULTIPLE
NOTE: PLUMBING FIXTURES:
(4)WATER CLOSETS,(6)LAVA"I'ORIES,(2)BATIITUBS,(2)SHOWERS,(I)KITCHEN SWK,(I)D(SPOSAL,(I)DISHWASf1E;R,(2)
SILLCOCKS,
(1)FLOOR DRAIN,(1)LAUNDRY"I'RAY,(1)WASHER,(1)WATER HEA"['ER,(1)WET E�AR
VALUATION OF PLUMBIN(i 19070
APPLICANT PLUMBING FIXTURE FEE 238.38
STATE SURCHARGE PLBG (VALUATION) 9.54
SABRE HEATING &AIR COND INC. TOTAL 247.92
15535 MEDINA ROAD
PLYMOUTH, MN 55447 Payment(s)
(763)473-2267 CREDIT CARD 0331 247.92
OWNER
SUNDBERG, RICHARD
5125 WEST STREET
GREENWOOD, MN 55331-
AGREEMENT AND SWORN STATEMENT
The work for which this pennit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or rela[ed work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein."I'his permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at�my time afrer work has commenced.
The applicant is responsible for assuring all required inspec[ions are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
���c��d� �'�.��� � _ , �3 ,/
Applicant Permitee Signature Date [ssu� E3}�Signature Date �
O1/31/2014 FRZ 12: 52 FAX 763 473 8565 Sabre Plumbing & Heating �002/007
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/,¢(y�,\ (�ity of fJrono ��/ /y.� ��-�
P.O.I3oa GCi Dnte Receivcd _�� Pennit u 7 G/!/
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� y�, 2750 Kcllcy Yarkway (�
�� ,p��� Crystal iiay,Mt�!55323 Approvcd I3y: /vnowri$_ � / �
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CI�1'Y OF QRnNO - PI,UM�31NG PERMIT
(All Commercial Permits Must be Approved by the State Prior to Ciry Approval)
htt�://«w�r.dli.mn. ov/CCLI)/1'llI�/�e �luntb�lanrcva >>.�df
GI;N�CtAI�INI�ORMATION ��
1. You may apply for plumbing pem�its by mail or in person at the Ciiy offic;es. Applications will be
reviewed and a permit will be issued wiil�in two workirt�days.
2. Permit c;ards wilf be sent by return ntail afrer a review is completed. PERMITS ARE NOT
VAL1D UNTIL YOU 12i;CTIVT A P�RMIT. WORK MYJST NOT BEGIN CJN'T'TL 7'HE
YERMIT CARD 7S POS7'EI)ON'I'T�E JOB SIT�.
3. Plumbing permits may be tssued ONLY to licensed plurnbing contractors and to property owners
residing in tile dwellin�.
4. Wher1 any new construction or remodeling is involved,a separate building pern�it must 6e
obtained.
5. .All work must be done in accordance with State Code requirements.
6. All work must be inspected and air testeci before it is covered. Call(952)249-4600.
(24-48 hour notice required)
�� 'I'YPE OF PERMIT
(Check All That ApplyZ
[�Residential ❑Commercial(Approval Required)
[�New ❑Additiona[ ❑Repairs ❑Replace
❑ In Ar,cessory Structure7
*You will aeed prior aa�roval and may need CUP.(Per prono City Code,Chapter 78,Article 1�
Job Site i Owner Information:
Site Address: ,�(o� 1.,_�I�v��j����@,(/1�,t,{,
Owner:, Mailin�Address:
City: _ "Lip:
Home Phorie: Alternate Plione:
Contractor Information:
Contractor: ,�f� � Contact Person: �
Address: � 1 U �� State Bond#: ����p��j�j�-�
City; Zip�..���'� Expiration Date: _ I Z � I �Z�l'�
Phone: �IG�) ��I�) Alternate Phone: ~I lQ�j ��5�j-�}��Y�
[� Insurance—Current;
l
O1/31/2014 FRI 12: 52 FAX 763 473 8565 Sabre Plumbing & Heating �003/007
FIXTIJRE BSMT 1' 2 OTHER �'IXTURE IISM'I' ] 2 V O"I'HER
TYPE FL I�L TYPr FI., FL
Water Closet i Z � Ploor Drains i
Lavatory { � .� Sewer Ejector
Bathttib ' ` L.aundry Tray �
Shower � � Wasl�er `
L
Kitchen Sink I Water Heater �
Disposal � Water Softener
Dishwasher � Wet Bar '
Sillcocks Z Miscellaneous
❑ Yes, this section applies
The replacernent of only one Residential fixture or appliance that meets alf three of the following
requirement�:
1. Does not require n�odification to elecirica[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,instalted or replaced by the l�omeowner or licensed plumbin�contractor.
Skip�text section,if this applies; Cost of Permit � 15.00
State Surcharge $ 5.00
Mait-In Fee(If Applicable) � 2.00
T'ota!Permit Fee $
I
(Perroit Fees Continued On Next Page)
2
i
01/31/2014 FRI 12: 53 FAX 763 473 8565 Sabre Plumbing & Heating �004/007
If above does not apply;foliow guidelines below:
1. (`ONTRACI'YI2ICL * is 1.25%of contract price with a(Minimum ree of$50.00)
�Qa�o.o� X a�25$ Z3�. 3g _
(contrscLpricc) (mininzum 550.00)
2. S'I'ATE SURCHARGE (� �y � ����
._�I"i d�I O UO x.0005 $--- ._ �-J 7.._._-----
(c;ontmct pnce)
3. Pt�STAG�,&HAi�DLII�IG(Only on Mail-In Applications) $ �-bfl`
4. TOTAL PF.RMI'I'rE�(Add Lines 1-3 Above) $ Zf--�� .� �
• "` CONTRACT PRTCI? or JOI� COST means d�e actual or esiimated dollar amount charged for U�e
permitted work inciudin�materials, labor,profit,and other fixed costs. lt is the amount to be charged
to t31e customer for the work done. If any material, equipment, lahor or installations are furnished by
the owner, tenant or any other��arty, the reasonable market value of such items must be added to the
estimated cost or contract price for pennit fee purpases. ln the event diat there is a dispute on the
amount of tl�e job cost, tlie City may request the submission of a signed copy of the actuat contract.
7'he unde�signed hereby applies to tl�e City for issuance of a Plwnbing Permit, agrees to do all
work in stnct accordance with the ordinances of the City and the re�ulations of the State of
Minnesot��, a�id certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: (,�(,f� ��(,�,�,�}-�(,�hJ Date� _ 1 ,� � �D��
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�'� D�a�E TIME �'/
CITY OF ORONO CALLED IN 6- `�
INSPECTION NOTICE SCHEDULED -1 Z-I� I :�
PERMIT NO.X��—d� ��� COMPLETED
ADDRESS ���D I �,LVYL(�l�� �}'l�
OWNER TELEPHONE N0.7�3 2S3 �7��
CONTRACTOR L)Q�1.� '
� DESCRIPTION _ �` �`�'"��n-Cl G��"`���7f �� ""`�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
� ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� RRECT WORK&PROCEED d ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WFIL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou in advan ) 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary Copyl ite Notice
�� �� � DAT TIME
� �
CITY OF ORONO CALLED IN ��"� � � -�-�--
INSPECTION�TICE SCHEDULED f�^�S/5� ��-_
PERMIT NO.=- �` � ���J COMPLETED
ADDRESS .�l�P f �l�'l l L(�G`� c�__ L(�U`e-.-
OWNER T LEPHONE N(�i.o��-��� ��
CONTRACTOR �-�a- �'� �T
� DESCRIPTION — � / �-� �y��"�
W ❑ FOOTiNG ❑ PLUMBING I L -� ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
�
Q � FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
2 ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL
J /�pLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL
2�OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c��, COMMENTS:
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��KSATISFACTORY:PROCEED ❑PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca xt inspection 24 hours in advance. (J52� 249-4600
Owne Contractor on site T '
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
�I� � DATE TIME /
CALLEDIN �
CITY OF ORONO �f�`
INSPECTION NOTICE SCHEDULED � �
PERMIT NO. ?(�J y � ���COMPLETED
ADDRESS I I � I � ���,\,l���� �
OWNER TELEPHONE NO?� Z��� ���
CONTRACTOR —
�; DESCRIPTION — �i� � n /
�
� ❑ FOOTING �PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEP I FINAL � FOUNDATION/REMOVAL
2 OWNERfCONTRACTO� YES_NO
� COMMENTS:
a N4�^b - is hal��K s -
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a �� ��s
W� ❑WORKSATISFACTORY:PROCEED ROJECT OMPLEfE
w ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call xt inspection 24 hours in advance. (952) 249-4600
Owned ontractor on site: a�°'`-
Inspector. � �"'
White Copyflnspector's File Canary CopylSite Notice