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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 (>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPLE NOTE: PLUMBING FIXTURGS: (4)WATER CLOSETS,(6)LAVi1TORIGS,(2)BATHTUBS,(2)SHOWERS,(1)KITCHEN SINK.(1)DISPOSAL,(1)DISHWASHER, (2)SILLCOCKS,(3)FLOOR DRAINS,(2)LAUNDRY TRAYS,(1)WASIiF,R,(1)w'ATF,R I11?A��GR,AND(I)WET BAR VALUATION OF PLUMBING 17634 APPLICANT PLUMBING FIXTURE FEE 220.43 SABRE HEATING &AIR COND INC. STATE SURCHARGE PLBG (VALUATION) 8.82 15535 MEDINA ROAD PLYMOUTH, MN >5447 TOTAL 229.25 (763)473-2267 PA[D WITH CC# 1207 OWNER OLSON, MICHAEL&JENN[FER 3924 UPTON AVE S MINNEAPOLIS, MN 55410- AGREEMENT AND SWORN STATEMENT 'I�he���ork for���hich this permit is issued shall be performed accordin;to the approved plans and specifications,applicable City approvals,and thc State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separatc permits. All provisions of laws and ordinances govcrning this typc of work shall be compied with whether or not specified herein.This permit will expire and become null and void it�construction authorized is not commcnced within 180 days of�the date of issuance,or ifconstruction is suspended for a period of 180 days at any timc attcr work has commenced. The applicant is responsible for assuring all roquired inspections are requested in conformance with the Statc 13uilding Code.This permit may be revoked at any time for due cause. ����� ��,�.c,G�� ��' �/ / � � �l � /�— Applicant Permite;e Sign� ure Date Is. ed 13y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 12/31/2012 MON 10: 35 FAx 763 473 8565 Sabre Plumbinq & Heating �j002/007 � • � T%OT2(:XZ'Y SF dPILY ��`^--��,`• Cit o Ocrono / � ��`�\�� J.'.().�130�f,.(i 1Jnlc Rcceivcd!2/�f o i�e,nnit IJ �1�;.,d p��� �I O�,-- O 11. 2750 KellcV PRfICN'AY '�`.+ �'�'' � C�ys�at 13ay,1�4N 55323 ApprovcA 13y: ____ Aiuou�ll$:���_ S � ; `�J��/ (952)249-4C>00--Maiu ��(�.. ��°�� J�2 249-4G1G--l�ar �y-y ( ) � 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 ~ — _. _--- ____ _____ � ��� (Cl�eck All Tlaat AppIY) ��� , � :� , �` i[�T;esidential [] C'ommerc;al(A�proval Rec�uired) ., Q'New ❑ Additio�iaf ❑Repairs ❑ Replace ` , ,, , ' ❑ ]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: --� - _ _ ,, • - ,�,. ,i�t �, , , Site Ac�dress: �`� ,k�'�; 'v "i��- `. 31 "�'..i;�'•k" --� � � .. ��t; ,. , � � � �. � .� .����i ��� ? �;_ , .� ", ��i d �c� Uwtier.�_ _^ MUi1i�g Address: __. _ � . << , City: _ �.__,.....�__....____.—.�. 7ip: .. � � � �,i � , �,r, � � . T-�.ome I'liorrc:` ' �lternatc Phone: � ,,.�,- Co»trac�or.I�Yfq�-mati on:. Cot)traclOT; -' tl�S� 1 �}�; r*i f 1 ���� C011Y�.Ct P(;1'So11: _�,� �.<�... �--- � , , _ ._ . , Adc3ress: l , ,� ; 1:1 \��(.�:�:�1. �!�I State Bond #: } �; I� ��`:� ','�'; „ ,.,� City; ' ` ;, ` Zip � )':;u�. =� Expit�atio�i Date: _ Phone: . . �(r�i �� c-:�; ,�;i ���l Alternate Phone: � , ,� �:x,; ; �,,,,:, � � [] Tnsurance–Current: ����';i . _ . --r- , �;�, ,�i�.� _. ' , . . ,., 1 � ., , .:1� .., �.. . : �il . . :rtti 12/31/2012 MON 10: 35 FAx 763 473 6565 Sabre Plumbing 6 Heating �003/007 1 i - < - �i _ ,r� 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 i ; L.� I3athcub -� Laundry Tray 4 ( , 5howcr � ` Washer i K�Yche�t Sink � Water H.eater I � Disposal V f Water Softet�er T�ishwast�er �•a� -� ,� ` . — WetBaT -� � .-.— F-, � - •- . . I Sil(cocks Misceilaneous l.� __ .____------- -- -.____ _._..._. . �.___.. _ . ,,_. . _.._ _. ❑ 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 _.._, ___ ___ _.. _ � r� - 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) _ .� . _ _ _ .... .__ _ _... .... ._. . , ,, i , � ...__. .: _.. . ... . 2 _ _ _ ._ ._ _� . '! �'�-.. i'n; �� ..,-.�r...:�,. .. ,.n�i.�il �n�,� ;a:,. � ..� .. , ;.ii.. ;r.:i� . .,. . -. �:��, ��V�r�f':��Ir�n,�,�.p: , t, , ,�� � i•+ �i;. ;�'.. i�: � , . � ". I;� � t� I___ � � _.. � � "-- „ � � , ,�'.al,a:�� .��,;. 12/31/2012 MON 10: 35 FAX 763 473 8565 Sabre Plumbing & Heatinq �004/007 I � 1 1 � ,ei��+3?.: `� 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..� .., ,, �, > (contmcl pricc) (minimum�50.00) 2, S'I'ATE S CIiAT2GE � i , . �. ,. r•; ,�__� 1 l ntract 1 nce� x_0005 $ ;:, �. :___ _.. ,�.� , ; �. ..---.�.—_.�_ _.._.._._..------�._...�_..___ (' F 1 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. ,, � :.� .�. ) ` A licairt's Si ature �� ` ` "\� PP S� ,.*.�L,( U��. - 1_ ,(i,L�__``���{.4{:.� llate: I . ' � /.� ._ l=-----� -_-_ __ _.._.._'_...�.,�_.___.._.__ ._.---�- ---•- ��"'`�����.h�-��tt'�( � : _ , . , �, i , , :� ,�,�, ,� . i, �,t r� .��• �.. , . . ,_ , ,. � , , nc, ,t .� �� ic� r; �, � �r�t. ; _ . ,,,. ., r . . �. , . �. .,, ;��_ a� ,. ����, .���i" !�'�."..�171 , . ;V •.C� , . � ���ic , � .��.� � � :ti. � � , i��. �.�r,.: '.y:. �i�� .� 7t .� ,�1.. ... i . ..U', ... � . I',:� . ;1� �. - . .. . . .. . . � . . ,. � r1 , il�� . � , �. � :1:.�.'�... �I i���.i. � � . .., �il',. . 7'.. . . -'ll . , � ;I'�' � ' . �,i���. 11 . . . �. I. � '��f� ... .. � ..i, �i. .�. ;lE.�.l . , ,. � .� .. , .. � , . .. ' . .��.!' ' ,. , .�... .. .,i��,.'.. �. U U , . . � . ��l�l .. .� . . .?Ji : � . � , � . � . . , i�, 'll. . �:�. . , . � . ,I l ... i f�. �,.-(' � . �, ` . . . � . � _ .ii''. .. �.:Ll. . _ . . . �' �� � 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 ti 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: � W a o � l r� ��� �i c��3 � ,�+���+�� �. '-' l ` ,+-, � i`�a� � �c'� '�--' U!l-' � �,,�, � � �'+ '� F'. ,v A I W � Q � Z W � W � � 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: � W a o � ) ` ��`` � � �"' /�'�(�. '' C..v� � ( T��S�fi ? .��� � �� � ° ��( S �+-���� � -t' � W k ` '� r Q � � � (�" (� .� � cJ n C_ ��� ���� � � d 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 �---- � COMMENTS: � � � ~ � � � O � � O � W � Q � Z W � W � j ��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