HomeMy WebLinkAbout2012-01275 - plumbing c s
CITY OF ORONO * Z �J 1 2 - PJ 1 2 7 5 *
2750 KELLEY PARKWAY �ATE �SSUE�: 12/31/2012
ORONO, MN 55356-
� (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1860 FOX ST
PIN : 03-117-23-42-0016
LEGAL DESC : WALDRON WOODS
: LOT 2 BLOCK 1
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: PLUMBING FIXTURGS:
(4)WATER CLOSETS,(6)LAVi1TORIGS,(2)BATHTUBS,(2)SHOWERS,(1)KITCHEN SINK.(1)DISPOSAL,(1)DISHWASHER,
(2)SILLCOCKS,(3)FLOOR DRAINS,(2)LAUNDRY TRAYS,(1)WASIiF,R,(1)w'ATF,R I11?A��GR,AND(I)WET BAR
VALUATION OF PLUMBING 17634
APPLICANT PLUMBING FIXTURE FEE 220.43
SABRE HEATING &AIR COND INC. STATE SURCHARGE PLBG (VALUATION) 8.82
15535 MEDINA ROAD
PLYMOUTH, MN >5447 TOTAL 229.25
(763)473-2267 PA[D WITH CC# 1207
OWNER
OLSON, MICHAEL&JENN[FER
3924 UPTON AVE S
MINNEAPOLIS, MN 55410-
AGREEMENT AND SWORN STATEMENT
'I�he���ork for���hich this permit is issued shall be performed accordin;to
the approved plans and specifications,applicable City approvals,and thc
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separatc
permits. All provisions of laws and ordinances govcrning this typc of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void it�construction authorized is not
commcnced within 180 days of�the date of issuance,or ifconstruction is
suspended for a period of 180 days at any timc attcr work has commenced.
The applicant is responsible for assuring all roquired inspections are
requested in conformance with the Statc 13uilding Code.This permit may be
revoked at any time for due cause. �����
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Applicant Permite;e Sign� ure Date Is. ed 13y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
12/31/2012 MON 10: 35 FAx 763 473 8565 Sabre Plumbinq & Heating �j002/007
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T%OT2(:XZ'Y SF dPILY
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�I O�,-- O 11. 2750 KellcV PRfICN'AY
'�`.+ �'�'' � C�ys�at 13ay,1�4N 55323 ApprovcA 13y: ____ Aiuou�ll$:���_ S
� ; `�J��/ (952)249-4C>00--Maiu
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� CITY OF OXtONO — PLLIMBING PEIZ�II7'
(AIl Commercial Pennits Must be Approved by thc SEate Prior to City Approval)
Irtt�:/h��v��.<lli.t�T��. oi-/(.'f'i.,I3/['llfi/�e �{umb �fatn•eva> >. �df
GI;NERAL INTORMAI'ION
]. You may apply or plumbing pennits Uy mail or i3�person at the City offices. Applications wilt be
reviewed and a ermit wiil be issued widiin two working days.
2. T'ermit cards wi! be sent by return mail after a review is completed. P�RMl'TS Al2L NOT
'VAI.ID UNTI.L OCJ RrC'I;3VI3 A P�R.MIT. WOR.K.MiJST NOT TiECIN Ll7tit'I'II:,"L'HE
PERMI'T CARll 1S POSTED ON TI�i;JOB SITE.
' 3. Plumbuzg perrnits may be issuet3 UNLY to licenseci plumbinb contractors and io property owroers
residin�in the dwelling.
�. When any new construction cn-remodelin�is involved,a sepai<1re Uuilding pern�it must be
obtained.
�. A[1 work must be done in accordance with State Code requirements.
, G; -,,All �C�rk r;t�sf be inspected axtd air,fested befor�.it i�covered..�Call(952)?_49-46U0, r,��r, ,, �
I (24-48 houe'riotice reyiii�•ed)
__.r� ._._..— �I'YPE Or PLRMIT ~ —
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i[�T;esidential [] C'ommerc;al(A�proval Rec�uired) .,
Q'New ❑ Additio�iaf ❑Repairs ❑ Replace
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❑ ]n Acces$ory Sl?ucture7
*You will need nrior aaaroval and may need Cli.l?, (Per Urono City Code, Chapter 78,�Article 1�
Job Site/Owner Infornlatiorz: --� - _ _
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Site Ac�dress: �`� ,k�'�; 'v "i��- `. 31 "�'..i;�'•k" --�
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Uwtier.�_ _^ MUi1i�g Address: __. _ �
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T-�.ome I'liorrc:` ' �lternatc Phone:
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Adc3ress: l , ,� ; 1:1 \��(.�:�:�1. �!�I State Bond #: } �; I� ��`:� ','�';
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City; ' ` ;, ` Zip � )':;u�. =� Expit�atio�i Date: _
Phone: . . �(r�i �� c-:�; ,�;i ���l Alternate Phone:
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12/31/2012 MON 10: 35 FAx 763 473 6565 Sabre Plumbing 6 Heating �003/007
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T'1XTURE BSMT 1' 2' OTI3EK F1X'I'URE BSM'l� 1' 2 OTHER
TYPE �L FL TYP� PL FL
Water Closet ,' Floor llrains .?
1.. 1
{ �--..
I_.avatocy i Sewer�jector
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I3athcub -� Laundry Tray 4 (
,
5howcr � ` Washer i
K�Yche�t Sink � Water H.eater I
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Disposal V f Water Softet�er
T�ishwast�er �•a� -� ,� ` . — WetBaT -� � .-.— F-, � - •- . .
I
Sil(cocks Misceilaneous
l.� __ .____------- -- -.____ _._..._. . �.___..
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❑ Yes,ihis section applies
'1'he replacement of oniy one IZesidential fiaturc or�Lpliance tFtaY rnet;ts all three of Che 1''ollowin�
Yc:t�uiremt'.nLs _.._, ___ ___ _.. _
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- 1. Does�rot rec7uire modi�cation to electrical or gas service. - -� �
2.� �T-las a total cost.of$500.00 oc less; excludin�d�e cosc of the fixture or appliance: and
�, 3. Is iitiproved, installed or replaced by the homeo�vner pr llcenscxl pluntbin�contracior:-
Ski� next se,�ction, if Chis applies; C�st of Permit - $ l 5.00
State Surcharbe � 5.0�
._. _ __.. _ Mail-In Fee(l:f Applicable) 5��_:_:;�_L.00 _
� 'I'otat�ermif Fee �
(Perm"rf Fees Confinueci On Next Page)
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12/31/2012 MON 10: 35 FAX 763 473 8565 Sabre Plumbing & Heatinq �004/007
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If lbove does not apply; folfow guidelines below;
L CnNTRAC'i'PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
�..�' �,�:�. r. x .O125 $ :'� �.�', i..� ..,
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(contmcl pricc) (minimum�50.00)
2, S'I'ATE S CIiAT2GE
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1 l ntract 1 nce� x_0005 $ ;:, �. :___
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3. POS'TAGI;&T-IANDLING(Only on N1ai1-Tn Applic;ations) � 2.00 ______.
�t. TOTAL PE�tMIT F�E(Add T.,ines 1-3 AUove) $ �-��� �'-`::.^>
s * CONTRACT PRT�'L-' or JOB CUST �iieans the actual or estimated dollar amou�it ehar�ed for ilie
permitted work including materials, labor, profit, and other fxed cosis. It is the amouitt to be charbed
�, .
- to the custo�nerifor t�ie>work done. Tf a��y inatcriat, eqt�ipment, tabor or installations are furnislled by ' � �
the owner, tenant or,any odier psrty, the reasonaUie market value of such ilems must Ue added to the
esti�7�ac.ed cost or co�icract price for permit fee g>urposes. In tlie event that these is a dispute on tlie
amount of U�e joU epst, tlto City may request the suU�tiission of a signed c:opy of ihe actual contract.
The undersigned hereby applies to the City for issuance of a T'lumbing Permit, agrees`�o do a11
work in strict accordance with lhe ordinances of the City and the regulations of the State of
Mimiesota, and certif'zes that all stateinents made on this application fu�e co;�nplete, true and
co�Tect.
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�� � DATE TIME �
CITY OF ORONO CALLED w ��7-��' —�—,��.
INSPECTION �Q TICE SCHEDULED h-l�'i-13 ���
PERMIT NO. d��a-��a�s COMPLETED
ADDRESS ! U'� `��i v
OWNER ELE HONE NO. 5�-�7��
CONTRACTOR �
�; DESCRIPTION �r
�
lt� ❑ FOOTING ❑ PLUM FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MEC N AL RI ❑ LAKESHORE/WETLANDS
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O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� 0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW RKSATiSFACTORY:PROCEED ❑ PROJECT COMPLETE
� RECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �Q52� 249-4600
OwnerlContractor on site:
Inspector. r . � ��
White Copyllnspector's File Canary CopylSite Notice
� ^ � � TE TIME
CITY OF ORONO CALLED IN
� '� � ��
WSPECTION aQTiC� a`27�SCHEDULED I fLr''/ -!� �—
PERMIT N0.0�U OMPLETED
ADDRESS �� �/
OWNER TELEPHONE NO.?�3��S3��1��
CONTRACTOR �
>; DESCRIPTION � ' � �
�
Ll� ❑ FOOTING ❑ PL NG FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTI�FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:x YES_NO
� COMMENTS:
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W r' RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED �-' ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46��
Owner/Contractor on si :
Inspector. ���
White Copyllnspector's File Canary CopylSite Notice
��i►''v " T TIM E �
CITY OF ORONO LLED IN ���
INSPECTION N ICE _�Z��EDULED p?=�� � /�
PERMIT NO. � OMPLETED
ADDRESS � O (Y D /��,�,Q�i /
OWNER T PHONE NO �` �
CONTRACTOR �
�; DESCRIPTION � ^''"'' '"
�
� ❑ FOOTING ❑ PLUM FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECH CALRI ❑ 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
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPT�FINAL ❑ FOUNDATION/REMOVAL
� OV�If! NT CTOR T EET YOU:_YES_NO
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� COMMENTS:
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��K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CAL�TOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (J52� 249-46��
OwnerlContractor on site:
Inspector. �� / ��
White Copyllnspector's File Canary Copy/Site Notice