HomeMy WebLinkAbout2017-00522 (Plumbing) CITY OF ORONO * z 0 1 7 - 0 0 5 z z *
2750 KELLEY PARKWAY DATE ISSUED: 05/1�2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 4730 AUGUSTA ST
PIN : 06-117-23-32-0010
LEGAL DESC : LAKEVIEW OF ORONO
: LOT 9 BLOCK 1
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: NEW FIXTURES:5 WATER CLOESTS,7 LAVATORY,2 BATHTUB,3 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,
2 SILLCOCKS, 1 FLOOR DRAIN, 1 LALJNDRY TRAY, 1 WASHER, 1 WATER HEATER, 1 WET BAR, 1 PVB
VALUATION OF PLUMBING 22976
APPLICANT PLUMBING FIXTURE FEE 287.20
STATE SURCHARGE PLBG(VALUATION) 11.49
SABRE PLUMBING&HEATING MAIL-IN FEE 2.00
15535 MEDINA ROAD
PLYMOUTH,MN 55447- TOTAL 300.69
(763)473-2267 Payment(s)
Minnesota State License#:mech-MB3392,p1bg-PC645349 CREDIT CARD 7681 300.69
OWNER
Source Land Development Inc.
18215 45TH AVE N
STE D
PLYMOUTH,MN 55446-
AGREEMENT AIVD 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
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not speci6ed herein.This permit will
expire and become null and void if construction suthorized is not
wmmenced 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 at any time for due cause. �Q�j
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Applicant Permitee Sigr►ature Date Issued By Signa re Date
05/18/2017 TeU 13: 01 FAx 763 a73 8565 Sdbre xedting 6 p,i.r Cond f�002/007
��x+Olt CITY UBIL ONLY
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� r Cryafel�Ilay,MN 55323 App�nvcd F,3y: Aurowil Y.~�'-
�'a��� (952y1.49-4G�G-Fx�t d��L`D
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CITY OF OItONO --PLUMBTNG PERMX�' �d�
(All Comnaercia� Pezznits Must be Approvr�l by the SEate�rior�o City Appro�val)
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GE�ra�z�v�.,nvrox�'�'ION
1, You mtty apply for plwnbing pcxmils by maii or in pa�son at thc City o�ces. Applications wil�bc
reviewed and a permit wi11 be isaueei witbin two working days.
2. Permit cards will be sent by raturn mail after a re�view is compler,ed. PP.RMITS ARE NOT
VALiD UN'1�'lI,1t0U RECEIVE A PERMIT, WORK MiIST NDT D�EGIN UNTII.THE
PERMTY'CA12b YS pOSTEb ON T�E�OB SY'T'E.
3. Plumbing permits tnay bs�ssued ONL.'Y to ficensed plumbing contractors and to pruperiy uwners
residing in the dwelling.
4, When any new construcuoa or remodeling is iuvolved,a separate building pennit must be
obtained.
5. All v�rork must be done in accordarsee with State Code reyuire►nent�.
6. All work must bo inspxted and air tested before it is covered, CaU(952)249-4600.
(24-48 hqur notice required)
TYPE OF PERMIT
Check All That,4 1
[�Residerrtial ❑Commarcial(Approval Ttequired)
�Tew [�Additior►e�l ❑Repairs ❑i7.eplaco
[a ln Access6ry 5`tructure7
'You will ue�ed m9o�•aonroval and mAy need 4,u.,P.(Per Ocono City Code,Chapter 78,Article i�
Job�ite/Owner iufoiYnatiou:
Site Address:
Uwner: Mailing Address:
City: 7ip:
Hpme Phone: Alternate Phone:
Cont�actor Ynformation:
� Contractor: ,� Contact Pe�son: �
Address: 1�535 ��di�. 4� State Bond�: �L�.1,�5���
City: Zip��`� Expiration T3ate: 1'Z.•.�1• �017.
Phone: ���_���•_�L(o`� Alte�nate Plioiie: ~I��•�.53•�7d� _,
. (� Tnsurance—Cuzrent: �, Vf L5 ,�
1
05/18/2017 xHU 13: 41 FAx 763 473 8565 B�bre xentinq b p,ir Cond �003/407
FIXTLTRE �SMT 1' 2 0'1'li� N1X'1'URL 135M7' 1 2 OTHF.R
'I'YPL FL Fi. TVPF Ff. FT.
Water Closek ` � � f�loar Drains
I,avatory , � � Sewer Ejecwr F���
I3atlitub z Laundiy Truy
Sktower ` Washer '
Kitchen Sink Water Heater
Disposat � Warsr Softener
Dishwasher l Wet Bar
� Sillcocks � Misce aneous 1
[� Yos,this scx,`tion applies
The renl�ce�ent of oialy one�tesidcntial fixturo or applianec that meots al[three af the following
require�nents:
7. Does not require madification to el�trical or gas scrvice.
2. Yies a�of$500.00 or less;excludina the cost of the fixture or applianee: and
3, ls improved,inst�lled or feplaGecl by d�e homeowner or lice�l5ed�lumbing�ontraCtor.
Skip next sectian,if this spplies; Cost of�ermit R_ . 15.44
5tate Surcharge S 5.00
Mail-In Fee(If Applscable) $ 2.00
`I'atnl permit�'ec S
(1'crmit Y'eea Continued On Next Pagc)
2
05/18/2017 TxU 13: 01 Fax 763 473 8565 Sebre Heating & Air Cond �004/007
,
If abovc daes not pnply;f.o[low�,►uidellnes belaw:
1. CQNTRA�PRICL * tn 1.25%of wntract price with a(Minimum Fee uf S50,Ot!)
�[..Yl�(D-�� x,0125$ 2„g'�. �
(conlruclpncc) � (minlmun�S30.00)
2, STATE$URCHARGE
x Z.q 7(�.�i X.oao5 � ���'�a
(�tia�t���) _"
3. POSTAGL&T-IANDLING(Only on Msil-In Applications) $ 2.00
4. TOTA,L PERNIIT FLE(Add Y.,ines 1-3 Abwe} $ dC7. �a --
� " CON'IZtACT PRICB or IOB CUST mean9 d�e actual or estin�ated dollar a�nour�t charged frn� �ha
permit�ed work including n�aterials, labor,profil,and uthcx Fxed wsis. I�is lho amuunt ta be charged
to tho customer for the work done. I[any matorial,oquipment, labor ur insrsillations are fi�rnished by
the owner, teuant or any other party,the reasonable market vaiue of such items must be added to the
estama,ced cost or contract price for pern�it fea pvrposes. ln the eveut t�hat there is a dispute on the
amaunt of the job cost, the City may requ�t the submission of a signed copy of the actual contract
Tho u».dexsigned hereby applies io tho City �ox issuance of a Plumbing Pennit, agrees to do all
work in strict accordance with the ardinances of the City and the regulations of the State of
Nlinnesota, $nd Certifies that all steitemerrts made on this application are complete, truc and
correct.
Applicant's Signature: (�,(�eld��_M�',.._ Datc: ..._...����:_�a..l�
3
i
`�-'� pq� TIME
CITY OF ORONO CALLED IN ..S
INSPECTION N ICE EDULED / � �
PERMIT NO. ' � "-���LETED
ADDRESS ��
OWNER TE P E NO. 4 — S - 7��
CONTRACTOR
� DESCRIPTION �< � �
l~y ❑ FOOTING ❑ DEM - INAL SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�j ❑ 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
2 O'WNERICONTRACTOR TO MEEf YOU:_YES_NO
y COMMENTS:
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� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W�O 'ARRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. U pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDEFi POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a hours in advance. (952) 249-4600
OwnerlContractor on site:
inspector. /'no�-/C• G--•
VYhite Copyllnspector's Flle Cenary CopyfSfte Notice
1'� �� DATE TIME v
CITY OF ORONO cnLLED IN �
INSPECTION NQTICE scHEDULED
PERMR NO. b�a!7-�� COMPLETED
ADDRESS �t"� .�C� f�'I-.L�L.��--1�'�- �.-� ,
OWNER TELEPHONE NO.���2`�3 y 7�
CONTRACTOR � o-
� DESCRIPTION � G l�f'1�L' 1�(.����
�y ❑ 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
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
�U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑�S�PTIC INSTALL
2 OWNFRICONTRACTOR TO MEET Y�ll:fL YES_NO
`�.�1\
� COMMENTS:
� � An .�5' o /�'��vrn_ i�U v✓t�i.� a,S
0 ,�jP�,.. �oi�-'TG�
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� -�/c..�.:►.A .Tra�od/,�S vn S,�7'�v, ��jir��.� .
W ❑WOFiK SATI.SFACTORY:PFiOCEED ❑PROJECT COMPLETE
� ❑ RRECT W'ORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE CONERING PERMANENT
CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP OROER POSTED.CALL INSPECTOR �GTATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cafl for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. �"''��*�•� �.
VYhits CopyAnspector's FiN Cen�ry CopylSib Nod�x