HomeMy WebLinkAbout2012-00848 - plumbing _ CITY OF ORONO * 2 0 1 z — 0 0 8 4 B *
2750 KELLEY PARKWAY DATE ISSUED: 08/28/2012
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 1595 MAPLE PL
PIN : 08-117-23-33-0035
LEGAL DESC : CRYSTAL BAY VIEW
: LOT 013 BLOGK 006
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES: (3)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(2)SII,LCOCKS,
(1 EACH)SHOWER,KITCHEN SINK,DISPOSAL,DISHWASHER,FLOOR DRAINS,LAUNDRY TRAY
WASHER AND WATER HEATER
VALUATION OF PLUMBING 10375
APPLICANT PLUMBING FIXTURE FEE 129.69
SABRE HEATING&AIR COND INC. STATE SURCHARGE PLBG(VALUATION) 5.19
15535 MEDINA ROAD
PLYMOUTH,MN 55447 TOTAL 134.88
(763)473-2267 PAID WITH CC# 1207
OWNER
Maple Place LLC
550 25TH AVE N
ST.CLOUD,MN 56303-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
� �� � �� a'�/�--
Apphcant Permitee Signature Date �� " � �
. Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
OB/28/`012 TU8 11: 19 FAX 763 a73 8565 Sabre 8lumbing & Heatinq �J002/007
� L
PO CI !USE ONLY �� �
O$p�O c;ty ororono p
Y.o.liox 6b L�a R000iv 'omiit N Q
2750 Kalloy Yerkway r,/
��� Crysfsl 13oy,IvIN 55323 ApProvod i3y: Amowit S: o�
� (952)249-4600-Main
(952)249-4616-Tax
CITY OF ORONO —PLUMBING PERMTT
(All Commercisl Pennits Must be Approved by tho State Prior to City Approval)
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GENER.AL INFORMA.TTON
1. You may apply for plumbiitg permits by mail or in person at the City of�ces. Applicarions will bc
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ATtL NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT B1�.GIN UNT THE
PERNIIT CARD 1S POST�ON THE JOB SITE
3. PEumbing permits may be issued ONLY to licensed plumbing contractors and to propecty ownera
residing in the dwolling.
4. When any new construction or ramodeiing is involved,s separate building permit must be
obtained,
5. A(1 work must be done in accordance with Stata Code requirements.
.6. All work must Ge inspected and air testoci before it is covored. CaU(952)249-4G00. -
_ (p,q-48 hour notice required)
TYPE OF PERMIT
Check AIl That A 1
�Residential ❑Commerciai(Approval Roquirod)
. [�New ❑Additiona.l ❑Repairs ❑Replace
C
❑ In Accessory Structwe?
*You�vill n�ed orlor aaoroval and may need�.(Per Orono City Code, Chapter 78,Article Ii�
Job Site/Owner Inf.ormation:
Site Address: � �J �Q.. �'
nwner: Mailing Address:
Cih': Z�P:
I�ome Phone: l�iternate Phone:
Contractor Info�ation:
Contractor: SO�I�'v�. r t rz1��4 1�J Contact Person: �
Address: �('JJ . JlQ d %cA� �.al State Bond#: _ �C(,P�{5�-{�}
City: Zip:�� Expiration Date: I Z-�i- nr
Phone: ��p�J����•ZZ. �I Alternate Phone: `�lo�� 2.53-'-�'7�(�
� [�J Insurance-Curreiit: �
1
08/,28/?012 TU8 11: 19 FAX 763 473 8565 Sabre Plumbing 6 Heating �003/007
FIXTURE BSMT I 2 OTHER FIXTURE BSMT 1 2 OTHER
TYPE FL FL TYPE FL PI.
Water C[oset � � Ploor Drains �
Lavatory � Sewer Ejector
Bathtub � Laundry Tray �
Shower Wa��
< <
Kitchen Sink l Water Heatcr '
Disposal WaEer Sofl:ener
(.
_ . Dishwasher ` Wet Bar
Sillcocks � Miscellaneous
❑ Yes,this section appties
The rehlttcemont af only one Resedential�xture or app(iance that meets al(three of the following
roquiremen�s:
l. Does noti require modi�cation to electrical or gas secviee.
2. Has a ot tal c:4�of$500.00 or less;exeluding the cost of thc frxt.uro or appliance: and
3, Is improved, installed or roplacod by tha homaovmer or licensad p[umbii�g co��lractor.
Skip next section,if dus applies; Cost of Permit $ 15.00
Sinte Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2,00
Tofal Permit Fee $
(Permit Ir'ces Contiaued On Next Pagc)
2
08/28/?012 TU8 11: 19 FAX 763 673 8565 Sabre 8lumbinq 6 Heatinq �006/007
If above doos not apply;follow guidelines betow:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of 550.00)
Ib �1`i-Oa x.o�2s$__ lZ.�j. (o�
ccm�rootp�a) cmm�mum sso.00�
2. �TATE SURCI�ARGE
�O'J'7 S•C�O x.00OS $__ 5•(�i
(ooniraot price)
3. POSTAGE&HANDI.ING(Only on Mail-In App(ications) $ 2.p0
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �3�-}_�g
� * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including mat�ials, labor, profit,and other fixed costs. It is the amount to bc charged
,_. . to the cu$tomer for the work doae. If any material, oquipmont, labor or installations are furnished by
the owner,tenant or any other party, the reasonable market value of such itoms must be added to the
estimated cost or contract price for pern�it fee purposes. Tn the evenC that tliore is a dispute on the
amount of the job cost, the City may cequest the submission of a signed copy of the actual contract.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the or.d.inances of the City and the regulations o£ the State of
Minnesota, and certifies that all statements ma.de on this application are complete, true and
coirect,
Applicant`s Signatwe: O^�..aA��Q�.ULU�A.�,(,UU Date: �•Z�•LD(Z..
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3
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' � DAT/ TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE��"� SCHEDULED �yCY�
PERMIT NO.•'��G�w��� COMPLETED
ADDRESS �=� � J ���L� �� ��
OWNER TELEPHONE NO. LL'la �a`�`3 �'�'y
CONTRACTOR C[ ` �Glf'1SGl�l
>; DESCRIPTION -����m rJ /�
�
ll� ❑ FOOTING ❑ PLUMBING 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 ❑ COMPLA�NT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� J�JQ�Q,RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site: `�
Inspector.
i �
White Copyllnspector's File Canary CopylSite Notice
r ���/•_� D E TIME "
CITY OF ORONO � CALLED IN � � ��
INSPECTION I�QTII�_QD���SCHEDULED � a -��/
PERMIT NO. ��� COMPLETED
ADDRESS l�� �
OWNER TELEPHONE NO. Z�3 as� ��
CONTRACTOR ���- �
�: DESCRIPTION /�l� �• ��''►N�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ 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
= O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COM E TS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED �15SUE C ICATE OF OCCUPANCY
W
O �ORRECT WORK,CALI FOR REINSPECTION � TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector. �,�(./ �
White Copyllnspector's File Canary CopylSite Notice