HomeMy WebLinkAbout2013-00569 - plumbing . �
CITY OF ORONO * Z 0 1 3 - 0 0 5 6 9 *
2750 KELLEY PARKWAY DATE ISSUED: 06/26/2013
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1535 MINNIE AVE
PIN : 08-117-23-33-0065
LEGAL DESC : HICKORY HILL
: LOT 005 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES:
(3)WATER CLOSETS,(4)LAVATORIES,(1)BATHTUB,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,
(2)SILLSOCKS,(1)FLOOR DRAIN, (1)WASHER AND(1)WATER HEATER
VALUATION OF PLUMBING 8280
APPLICANT PLUMBING FIXTURE FEE 103.50
SABRE HEATING&AIR COND INC. STATE SURCHARGE PLBG(VALUATION) 4.14
15535 MEDINA ROAD
PLYMOUTH,MN 55447 TOTAL 107.64
(763)473-2267 PAID WITH CC# 1207
OWNER
Landscource LLC
550 25TH AVE N
ST CLOUD,MN 56303-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
� � � �� �� � � �� �3
Applicant Permitee Signature Date Iss d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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0, 0 P.O.Box G6 llaUs Roceiv� Pemui il �3`
2750 Keiley Pnrkway ,s,
� � r Crystal Bay,MN 55323 Approvcd By: Aruount$: �V 7
�� �952)249-4600—Mein
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CTTY OF ORONO--PLUMBING PERMIT
(All Commercial Peixnits Mast be Approved by the State Prior to City Approval)
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GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City o£fices. Applicadons will be
reviewed and a permit wiil be issued within two working days.
2, Permit cards wiIl ba sent by return maii after a review is completed. PERMI�'S ARE NOT
VALID UNTII,YOU RECEIVE A.PERMIT. WORK MUST NOT BEGIN U1V'TLL THE
�'ERM1T CARD IS POSTED ON THE,TQB SITE.
3. Plumbing permits may be issued ONLY ta licensed pIumbing contractars and to property owners
residing in the dwelting.
4. When any new construction or remodeiing is involved,a separate building permit must be
obtainetl.
5. All war[c must be done in accordance with Staxe Code requiranents,
6. Ai!work must be inspectsd and air tested before it is covcred. Catl(952}249-4600.
(24-48 hour notice required)
.
TYPE OF PER,�VIIT.
` Check All That A 1
'L]✓ Residential ❑Commercial(Approval Required)
[�New ❑Additional ❑Repairs ❑Replace
❑ In Accessory Structute?
*You will ueed nrior approvaI and may need CiIP.(Per Orono City Code,Chapter 78,Article I�
Job Site%Owner Information:
Site Address: ,`�'�`.:� �141�1i t �.(i(�1{��,{--'
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
i
Contractor: � ��Q�„�,.)� �}- �'�� Contact Person: �G�V�I.�,.t,�_
Address: ��.�`��� � .Ll�t,t�.��„�� State Bond#: ��C�'��'�'��
. City: -I'��l��4'L Zip:�`�+�'� Expiration Date: _�� 3 ti•2U i�
,�
Phone: ��h•�'��•Z Z(�'7 A]ternate Phone: ��.(1�� � Z��J ��1��
❑ Insurance—Cw�rent:
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FIXTI7RE BSMT 1 2 OTI-lER FI�{TtJRE BSMI'I' 1 2 OT�iER
TYPE FL FL TYPB FL FL
Water Closet t -� Floor Drains �
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Lavatory � .�� Sewer Ejector
���b T.aundry Tray
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Shower Washer
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Kitchen Sink t Water Heater
f �
Disposal Water Softener
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Dishwasher � Wet Bar
Sillcocks � Misceltaneous
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❑ Yes,this section applies
The replacement of only one Residential fixture�,r,�ppli n�P that meets all three of the following
requirements:
1, D no reqaire modification to elecirical orgas service.
2. Has a t�tal cost of$500.00 or less;�cludina the cast of the�xture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed plumbing con#ractor.
Skip next section,if this applies; Cost of Pernut $ I 5.00
State Svrcharge $ S.qp
Mai!-In Fee{Tf Applicable} $ 2,00
Totai Perarit Fee s
{Permit Fees Continacd On Neat Page)
2
.
.
If above does not apply;follow guidelines below:
1. �ONTRACT PRICE *is 1.25%of contract price wifh a(Minimum Fee of 550.00)
��7_.�Ca.��'; X.aias$____I %>.t:��
(conlreCt price) (minimum 550.00)
2. STATE SURCHARGE
`6"�`�C;y.rto ,�.000s $ y�l
ccoatr8�t Price�
3. POSTAGE&HANDLING(Only on Mail-In Applications) � ..�:66--
4. TOTAL PERMTr FEE(Add Lines 1-3 Above) $ �(j'��v��
• * CONTRACT PRYCE or dOB CUST means the actual or estimaxed dollar amount charged for the
permitted work including materials, labor,profit,and other fixed costs. It is the amount to be charged
to the customer for the work done. If any material,equipment, 2abor or install�.tions are furnished by
the owner, tenant or any other party,the reasonable market value of such items musf be added to the
estimated cost or contract price for permit fee purposes. Tn the event that ihere is a dispute on the
amount of the job cost, the City may raquest the submission of a signec! copy of the actual contract.
The undersigned hereby applies to the City for issuance of a Pliunbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certi�es that all stabements made an this application are complete, true and
correct.
APPlicant'S Sig�gtu�'e: ___`�L�.•u(���_ Date: �.F' 'I�`I k/�',7
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CITY OF ORONO CALLED IN 7"� �� —��, ,
INSPECTION TICE SCHEDULED — �U U
PERMIT NO. �COMPLETED
ADDRESS IS��� �^ .LU'C �
OWNER EPHONE NO. 3� �0
CONTRACTOR
� DESCRIPTION ` V`�" `
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� ❑ FOOTtNG ❑ PLUMBI G FI AL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHA L RI ❑ LAKESHORFJWETLANDS
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
J � DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR W4LL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail tor the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. �
White Copyllnspector's File Canary CopylSfte Notice
��� DATE TIME ✓
CITY OF O ONO CALLED IN �1-Lcz�I� �
INSPECTION N�OT.}IC�����/�HEDULED �-"If� -��� .
PERMIT NO. � ��OMRLETED
ADDRESS �S3S �'�-��L� C�--
OWNER EPHONE NO?��-��'S`�'�
CONTRACTOR
� DESCRIPTION t"l �
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� O FOOTING � P BING FINAL ❑ EXCAV/GRADING/FIILING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
ZO INSULATION ❑ WOOD BURNER/FIFEPLACE ❑ SITE INSPECTION
Q ❑ RA�ON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO
c�i, COMMENTS:
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W� � RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a hours in advance. (952) 249-460�
OwnerlContractor on site:
Inspector. �� �- �
White Copyllnspector's File Canary CopylSite Notice
�� DATE TIME V
C� CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �-�
PERMIT NO. ����3���� COMPLETED ���
ADDRESS I S-�S NI< <'`�^��- �-
OWNER TELEPHONE NO�j 2"� 3 ���
CONTRACTOR �-��-p �`�``-q
>; DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBIN ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ 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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� ❑WORKSATISFACTORY:PROCEED �^OJECTCOMPLETE
W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUiRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-46��
Owner/Contractor on sit :
Inspector.
White Copyllnspector's File Canary CopylSite Notice