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Home My WebLink About2016-00017 - plumbing i CITY OF ORONO r �K20 16 - 000 17 �K 2750 KELLEY PARKWAY DATE ISSUED: OU06/2016 ORONO, MN 55356- (952 249-4600 FAX: (952) 249-4616 ADDRESS : 795 LAKEVIEW PKWY PIN : 06-117-23-43-0014 LEGAL DESC : LAKEVIEW OF ORONO : LOT 3 BLOCK 2 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL COI�STRUCT[ON TYPE : FIXTURES-MULTIPLE NOTE: 5 WATER CLOSETS,7 LAVATOR[ES,2 BATHTUBS,3 SHOWERS, l KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,2 SILCOCKS. I FLOOR DRAINS, 1 LAUNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WET BAR VALUATION OF PLUMBING 19160 APPLICANT PLUMBING FIXTURE FEE 239.50 STATE SURCHARGE PLBG(VALUATION) 9.58 SABRE HEATING&AIR COND INC. MAIL-[N FEE 2.00 15535 MEDINA ROAD PLYMOUTH, MN 55447- TOTAL 251.08 (763)473-2267 Payment(s) Minnesota State License#: plbg-PC645349 CREDIT CARD 9764 251.08 OWNER Source Land Development Inc. 18215 45TH AVE N STE D PLYMOUTH, MN 55446- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the S[ate Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate perrnits. 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 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 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 a[any time for due cause. ; � �� ) � ,� � �, ;� � �� , , --- � ��1 � `' �<_ f � �C� -�:� � � � ` , ��_� Applicant Permitee S�gnature Date Issued By Signature Date 01/06/20i6 wEo 9: 51 FAx 763 a73 8565 Snbre Heating & Air Cond f�002/007 �OR CI'I"Y U9�ONLY �p� City of Urono r O O P.O.Bax dG Dato Roceivod: � 4 � Pemtll fl 2�u'{ii" -,�� I -� Z750Ka11cyParkway , �j0 , C�� T' CryR�ai Aay,MN 55323 ApprovHcl By, ��` Amrnuat�: � ` ��4��c� (952)249.�00—�� ` w' ' �' (952)249-4616 W Fex CITY OF ORONO —PI,T7MBING PERMIT (All Commorcial Pe�znits Must be Approved by tha Stato priar to City Approval) n ��v CCLD/PDF/�e �lumb lu v f GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City dffices. Applications will be � reviewed snd a perrraat will be issued within two worlcing days. ', 2. Permit cards will be sent by return mail after a review is completed. PLRMITS ARE NOT � YALID UNTII,YOU REGENE A pLItMIT. �O�K 'I'NO'T BEGIN UNTIL THE , � RMIT CARD IS POS A QrJ THE JpB STTE. 3. Plumbing permits may be issuecl ONLY to licenged plumbing cont�actors end w property owners residing ia�the dwellang, 4, When any new construction or remodeling is invoivad,a se�arate building perrnit muat be � o6tained. 5. All work must be done in accnrdenco with Stato Coda requireme��ts. 6. A,11 work must be ixlspected and air tasted before it is covarod. Call(952)249-4600, (Z4•48 hour notice reqr�h�ed) i �'YPE�F PERNIIT � Chaak All That A 1 ['�Residontial ❑Commercial(Approval�tequired) �New ❑Additional ❑Repairs �Replace ❑ ln Accessory Structure? #1'ou will need nripr auuroval and may need Cl1P. (�ar Orono City Code,Chtipter 7B,Article I� Job Site/Owner��formation: Site Address� �q�j ,�1,Y�W11 l,v�7 OM(k� 70w1 i ', Owner; Mailing Adciress: City: Zip: Home Phone: Alternate Phone: Contractor Ti�fi'ocmation: I Contractor: � Contact Person: DI Address: �� .Y_�,.�(�l� State Bond#: �C��5.�9 �ity; Zip:�� xpiration Date: L�� ;�jl� LO�� ,ox�e: ��B�J��7.li'1 AlternatePhone� � ��J • � [`f� Insurance--G�arrent: � 1 O1/06/2016 wEo 9: 51 FAx 763 �73 8565 Sdbre He�ting & Ai.r Cond �003/007 � I � � FI?CTU1tL BSM'T 1 2 QTHER P17CTURE BSMT ] 2 4'�'HER ; '�'Y,PE FL FL TYPE FI, �'Y, Water Closat � � Floor brains � I.avAtOry � Sewer Ejector Batha,b z ��,r�dry Tray , ShoweQ � � Washer ( Kitcl�en Sink ' Water IIcatoc t � � Dispossl ( Watar Softener Dishw�sher ' Wet Bar � Sillcooks � Miscellanaous � � 0 Yas.this section applies � The replacement of only one Re�idential fixture or applinncc that meeta all three of the follo�wing � requirements: I �. �require modification to electrical or gas service. ; 2. Has a total cost of SSOO.Op Qr lass;�;1ySl�lg the coat of the�xiure ar appliancfl:and 3, Is improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip naxt section,if thie applies; Cost of Pernut �� 3tate Surohatge S 5.� ; Mail-In l�ea(If Applionble) $ Z.00 Total Permit Fee S (Permit Fe�Continued On Nezt Page) ,y 2 0�/06/2016 wE� 9: 51 FAx 763 �73 8565 Sabre Hpdting 6 Ai.r Cond f�446/007 � I � If above does not apply;fallow�uidelines below; ; 1, CONTRACT I'RYC� *is 1.25%of cantract price with a(Minimum Fee o!550.00) _'„a I V O�0O x.OI25 S 7 T1�.-��--- i (conhucl pr�cc) (minlmum SS0.00) I 2. BTATL�SURCHARG� n�5� I x.0005 � "I � (conu�sot prioa) 3, PQSTAGE�HANDLTNG(Only on Mail-Tn AppliCstions) S 2.00 4. TOTA�.PERMIT FE�(Add Linos 1-3 Abave) S ��t•�Q ■ �' CQNTRACT MiTCS or 10g COST rneana the actusl or estimated dollar amount charged for ihe perr�ittod work including msteriala,labor,profit,and othec�xed costs. It is the Funount to be cl�arged to the customer for the work done. If any material,equipment, labar ar installations are furniahed by the owner,tenaat or arry other party,tha reasonsble market value af such items must bo uddad to tho astimdted cost or contract price for permit fee purposes. In the avent that thera is �dispute on the amount of the job cost, the Ciiy may request the submission of a signed oapy of the aotual con�Gact. The undersigned hereby applies to the City for isauance of a�lurnbing Penmit, agr�es to do all work in strict a�cnrdance with the ordu�►snces of the C�ty and the regulatians of the State of Nlinnesota, �nd certiftes that all st�tements made on this application are complete, true and correct. Applicent's Sign�ture: Date: . �-(p�z��D __ I I � 3 i � i � � 1-'' � DATE TIME CITY OF ORONO CALLED IN INSPECTION T , HEDULED -�� -f� PERMIT NO. � ��' ��rnP��eo ADDRESS � � �K� , OWNER TELEPHONE NO. �{� �5 CONTRACTOR �S�-� �: �� 2 � � DESCRIPTION �`�-�� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ��PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES,NO � COMMENTS: � ,�-G• - /�w� ' J�(�� c�• �f U � � � S"��.% �e.s� i„� `ivl�� - 0 � � a ��cl /'�o� v�� ` Q 2 � ��'uvcr✓=Q ic4.� ,c�/�-� �'.� .<�od,t v�.c�" � h� $�i-sfc r�s - ,r�s� �-,� W � � d W C��ACTORY:PROCEED ❑ PROJECT COMPLEfE � RK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: /�%'C!�Q Inspector. `�� ' White Copyllnspector's File Canary CopylSite Notice DATE� TI CITY OF ORONO cnLLED IN l_/�� INSPECTION NO ICE -�HEDULED �_,L',�� PERMIT NO. ��/coM LETED ADDRESS r � OWNER E EPHONE NO � �� CONTRACTOR � DESCRIPTION � l� ❑ FOOTING ❑ DEMO-FIN ❑ P IC FINAL Q ❑ POURED WALL (�'PLUMBING RI ❑ CAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: l�f•=��(/ — 'p� .SG�'I - � ' W � 0 � � �� S'� ��, /l�I�S �. � ° - r�o� ,��.�6 r� 60 ,.�� o�.t W � �� .J4 Wt0 .bt L•�sL� - Q � � �k � ��a v��` W � J � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WbRK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORFECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOPORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 2a hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. �"' White CopyAnspector's Ffle Canary CopylSite Notice �/ �� `� D�jT�_�� TIME CITY OF ORONO CALLED IN � � INSPECTION N�T�� SCHEDULED — � —G6 _,�y" U� PERMIT NO. Ow , P D ADDRESS � OWNER TELEPH E NO. CONTRACTOR 73�'Z�7 � DESCRIPTION ��" ly ❑ FOOTING ❑ DE -FI ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ UMBIN ❑ EXCAV/GRADING/FILLING � ❑ FOUNDATION WATERPROOF PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ M CHANICAL R� ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT•SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W � J � O �. � O � W � Q � 2 W � W � J d W ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ IS E CERTIFICATE OF OCCUPANCY w O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITAT�ON ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho rs in advance. �9 � 2 46QQ OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copyl ite Notice