HomeMy WebLinkAbout2015-00146 - plumbing CITY OF ORONO * 2 0 1 5 - 0 0 1 4 6 *
2750 KELLEY PARKWAY DATE ISSUED: 02/03/2015
ORONO, MN 55356-
"' (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2385 GLENDALE COVE LA
PIN : 34-118-23-33-0069
LEGAL DESC : GLENDALE COVE
: LOT O10 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
COIYSTRUCTION TYPE : FIXTURES- MULTIPLE
NOTE: 1 WATF,R CLOSET, I LAVATORY, 1-SHOWER, 1 WET BAR
VALUATION OF PLUMBING 3467
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 1.73
SABRE HEATING&AIR COND INC. MAIL-IN FEE 2.00
15535 MEDINA ROAD
PLYMOUTH, MN 55447- TOTAL 53.73
(763)473-2267 Payment(s)
CREDIT CARD 9764 53.73
OWNER
WEBER,ANGELA
2385 GLENDALE COVE LA
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
1'he work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission�or additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construc[ion authorized is not
commenced within l80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
"Che applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. ��
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Applicant Permitee Signature Date Issued By Signature Date
02/02/2015 MOx 14: 55 FAx 763 473 8565 Sabre HeAting & Air Cond �005/007
�
, NUR GITY U5$ONLY
��� Ciiy of Orono �
. O, Q P.O.Box 66 pata ltcacived� Permit if
. 2750 ICollcy Pazkway
'y Crystsl Hay,Mt�55323 AppCwal By; �,�, Amourlt$:
, ����� (952)249•4b00—Main
(952)7A 9-46 i 6—Fax
CITY OF dRON�-�LUMBING PERIVX�'T
(All Commorcial Permits Muat be Approved by tho 5tate Prior to City Approvel)
ht • dii mn. ov/CCLD/PD�'/ e I n . df
GENERAL LNFQRMATION
1. You may apply for plumbing permits by mail or in person at the City offi�es. Applications will ba
reviewed and a pe�mit will be issued within two working days.
2. Permit cards will be eant by reivrn mail after a raview is completed. PERMITS ARE N�T
VALID UNT1L YOU RECL�IVL A PL'RMIT. }�ORK MUST NO'I'BEGIN U1�I'T�
�j� ARD lS POSTED QN TNE JOE SIT�.
3. plumbing peamits may be issued ONLY to licenaed plumbing contractars and to properly owners
ragiding in tha dwelling.
4. When any new construation or remodeling is involved,a separata building permit muat be
�I ohtained.
' S. All work must be done in accordance with State Code requirements.
6. Al1 work must be inapected and air t�ted before it is covec�d. Call(952)249-4600.
'I (Z4-48 hour not�ce required)
! TYPE QF PERN�T
� Check All That A 1
�
� ['�Residential ❑Cammercial(Approval Required)
� ❑New �Additipn�l ❑Repairs 0 Replaco
�I ❑ ln Accessory Structuro7
j *You will need prior aparoral and may need�.(Par Orono City Code,Chapter 78,Article I�
, Job Site/Ownar hlformation:
, SiteAddress: �3�� I�IQ�IA.A�OI�P� C�0'1/L �.O1�1/1�C�
Owner: ��{0� Mailing Address:
City_ Zip:
Home Plione: Alternate Phone: �
Con.trac4or In.fo�m�.�ion:
Contractor; � Contact Person: �„
Address: State Dond#: l.�A��J�J�}�
City; � Zip:� +�'J Expiratia:n Date: ����1-�.D I�
Plione: ���J'���'��V� Alternate Phone; �li�-z�J,�'�'.�
� lnsurance�G`�irrent:
' 1
02/02/2015 MON 1Q: 55 FAx 763 a73 8565 Sabre Heating � air Cond f�006/007
FIX'I'[J�J: BSNI'I' l� 2 OT'HER FIX'ItiRL ` - - - _ _.�____
�1SMT ls�-- 2� OTI�.R
TYPE FL FT. TY'1'E FL FL
I Water C149at I, Ploor Drains
L�vatory � Sawar Ejector
Bathtub Laundry'i'ray
Shower � Washer
Kitchen S ink Water Heater
, Diaposal Water Softaner
� Aishwasher Wet�ar �
�
�I Silicocks Miacellaneous
I�� ❑ Yes,this saction a lies
PP
The repiacement of only one Rersidential fi�xture ur uppliance diat meets all three of the following
requirements;
1. I7ass n4t require modification to e(ectrical or gas service.
2. Has a�i�t of$SU4,00 or less; in tha coat o�'the fixture ot applianca;and
3. Ie���proved, inxtal lad or rep�aoed by the homeow�er or Gcensed plumbing contrector.
Skip naxt eection,if this applies; Coet of Parmit $ 15.00
State Surcharga $ 5_00
Mail-In Fae(If Applicable) 5 2.Q0
� Total Permlt Foo $
�
I
�i (Pormit Fee9 Continued On Next Page)
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2
I
02/02/2015 MON 1G: 55 FAx 763 473 8565 Sabre Hedting & Air Cond �007/007
� IF above doea not spply;follow guidelines below:
' ], CONTRACT PRICE '"ig 125°!o pf contract price with a(Mtulmum Ree of SSp,00)
� ��la�•00 x.o�2s� �0•0�
� (cantreot pnoe) (minimum 550.00)
' 2. S'TATE SURCHARC=�
3�V'�•04 _ X.000s $ ����
c��,��pri�>
3. PQSTAG�&HANfa�.TNG(Only on�Iail-�n Applicati4ns) $ 2,60_„_,,, _,
I a. 'x'O'i'AL P�RMI'T F�E(Add I���es 1-3 Above) $ _ �J�-��
I ■ * C�NTRACT PWCE or TpB CQST means the actual or estimatsd dollar amount charged for tha
I penmitted work including materials,labor,pro�t,and other fixed cosC�. It is the amaunt ta be charged
to i�e customer for the work done. If any material, e�uipment,labor or installations are furnished by
the oumer,tenant or any other party,tha reasonable markat value oF such item�must be added ta the
j estimated cost or contract price for permit fee pwposes. In the event that there is a dispute on the
amount of the job cost, the City may requeat the suhmission o£a signed oopy of tho actual contcsct.
i
II The undersigned horoby applios to tho City For issuance of a Plumbir�g Permit, agreas to do all
work ui strict accordance with the ordinancea of the City attd tho xagulstions of the State of
� IvYinnesota, and certifies that all statements made on this �ppa�cation are complete, true and
i Corroct.
� Applicant's Signature: Datc; Z-Z•ZOj�J"
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�-- � U � DATE TIME_ j
CITY OF ORONO CALLED IN ---���---�f--
INSPECTION NOTICE SCHEDULED ��
PERMIT NO. �%�1,��--�I y� COMPLEfED ' �
ADDRESS Z �� J � I c`�L 7����� �' ���12G_
OWNER TELEPi�ONE NO. ��� �� 7�'Zl(�� �
CONTRACTOR 7���'�- �Q�� �
�; DESCRIPTION �`L'• � 'L{-
�
W ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL
Q ❑ POURED WALL �PLUMBING 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 BUFNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑�PTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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a �•L� l/s"5 k�+L �6!/ �L,� �� -
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W� VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection/�in advance. (952) 249-460�
OwnerfContractor on site:
Inspector. �-rw- �`'f�
White Copyllnspector's File Canary CopylSite Notiee
� C� DATE TIM�
CiG�'I CITY OF ORONO CAL ED IN
INSPECTION NOTIC SCHEDULED �S �
PERMIT NO. cOMPLEfE
ADDRESS n �J�� �T��6� / ,�7 UP �f1�
OWNER v TELEPHONE NO.1�������o`�'"�
CONTRACTOR 1`��
� DESCRIPTION �l �`1"��� � �1�- �
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTfON
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SE R HOOK-UP ❑ HARD COVER REMOVAL
_
J ❑ DEMO-SITE ❑ E TIC INSTALL � FOUNDATION/REMOVAL
OOWNERICONTRACTOR TO ME�U: YES_NO /�/ � /��
v, COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ 1 UE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 h rs in adv 2) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice