HomeMy WebLinkAbout2018-00088 - plumbing • CITY OF ORONO (*' z a li 8 - 00088 *
II 1 I I
2750 KELLEY PARKWAY DATE ISSUED: 01/25/2018
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1525 LONG LAKE BLVD
PIN : 35-118-23-22-0002
LEGAL DESC : ALBEES LONG LAKE ADDN
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (5)WATER CLOSETS,(7)LAVATORIES,(2)BATHTUBS,(3)SHOWERS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2)
SILLCOCKS,(1)FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WET BAR
VALUATION OF PLUMBING 25572
APPLICANT PLUMBING FIXTURE FEE 319.65
STATE SURCHARGE PLBG(VALUATION) 12.79
SABRE PLUMBING&HEATING MAIL-IN FEE 2.00
15535 MEDINA ROAD
PLYMOUTH,MN 55447- TOTAL 334.44
(763)473-2267 Payment(s)
Minnesota State License#:mech-MB3392,plbg-PC645349 CREDIT CARD 7681 334.44
OWNER
TAMOSUINAS,LINDA
430 PHEASANT RIDGE ROAD
WAYZATA, MN 55391-
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 separate
permits. 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 at any time for due cause.
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Applicant Permitee Signature Date Issued y#gi
re Date
01/25/2018 THU 7: 07 FAx 763 473 8565 Sabre Heating & Air Cond Ii2QQ2/0Q7
R CI Y U 1L ONLY l� (j?
`.1"- City of Orono -1-gag
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` l'� Crystal I9ay,MN 55323 Approved B ; Amount 5:
(952)249-4600—Mart
(952)249•46l6-I'aa
CITY OF ORONO PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http;//www.dILn n,flov/CC1.1)/I'llIr/pc niumj lanrevapp.pd1*
I GENERAL,INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices, Applications will be
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 ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT, WORK MUST NOT BEGIN UNT L TUX
PERMIT CARD IS ROSTriP ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any now construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered, Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT ,
,-d (Check All That Apply)
I_i Residential ❑Commercial(Approval Required)
New Lj Additional Q Repairs Q Replace
0 In Accessary Structure?
*You will need urioxjpproyai and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
Job Site/Owner Information:
Site Address: l '2_S Lb, to) Lem 610 -
Owner: J Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
•
Contractor: .SOkt►IL P100)% Contact Person: GI;MIMM'
Address: t 3ra Id,AVt, State Bond#: 0,1/4530
City: Ayvvvl , Zip: 514` Expiration Date: 12,,.3V2-019
Phone: —10)• 4r13' 7.11,-i Alternate Phone: 11i • 255.41 i(1
1 - Insurance-Current:
LI 01
01/25/2018 THU 7: 07 FAX 763 473 8565 Sabre Heating & Air Cond l 003/007
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FIXTURE BSMT 11'T 2F4D OTHER FIXTURE BSMT —1 r 2ND OTHER.
TYPE FL FL TYPE FL FL
Water ClosetFloor Drains
"2.
Lavatory _ Sewer Bjector�
7.
Bathtub Laundry Tray.
Shower Washer" -r
Kitchen Sink �. Water Heater
• Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
•
•
❑ Yes,this section applies
The replacement of only one Residentigliiiiture or appliance that meets all three of the following
requirements:
1. Does not require modification to electrical or gas service,
2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed plumbing contractor.
Skip next section,if this applies; Cost of Permit
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
01/25/2018 THv 7: 07 FAX 763 473 8565 Sabre Heating 6 Air Cenci 2004/007
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If above does not apply;follow guidolines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of 550.00)
:2-5511.0 --...__. x 0125$ 319._
(conusi price) (minimum 1650.00)
2, Utak,SURCI-4ARQ
2.`512.00 x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2 0
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S 3 54.4 3
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor, profit,and other fixed costs. It is the amount to he charged
to the customer for the work done. If any material,equipment,labor or installations are furnished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request 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 ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application aro complete, true and
correct.
Applicant's Signature: Date: - t- )4 Za 1 g
3
• "� T r "� .I 1, ,1�_ • •
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.TE TIME ll//
CITY OF ORONO CALLED IN --^c
INSPECTION OTIC p SCHEDULED I, �tX i
PERMIT NO ??ff b COMPLETED /r
ADDRESS 5., L ' C-i- . 1"---
OWNER � ,M T: la ONE NO. b/a`� e-)16 47
CONTRACTOR C�/ vt�l/►' C� -'
DESCRIPTION pa mol ,/
,_W ❑ FOOTING 0 DEMO-FINA PTIC FINAL
Ia.
❑ POURED WALL ,PLUMBING R XCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
. ❑
F+ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
✓ ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
cc/• COMMENTS:
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Wo„GiAfOrkSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
rtW
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. 9 J
White Copy/Inspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE ay SCHEDULED 11-3-� 1/:ero
PERMIT NO. 2-OI g''000 o b COMPLETE (�_ �J r (�
ADDRESS /5;25— Z £ /v0.
OWNERTELEPHONE NO 2 -94-&,'�
CONTRACTOR 5 re
3; DESCRIPTION p/ ��
W ❑ FOOTING 0 DEMO-FI AL 0 SEPTIC FINAL
Q ❑ POURED WALL LUMBING RI 0 EXCAV/GRADING/FILLING
C ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
Is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
, ❑ DEMO-SITE 0 SEPTIC INSTALL
IC Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
ti COMMENTea t--
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0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
CC
LIJ RRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
C0 XO CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n= t inspection 24 hours in advance. (952) 249-4600
Owner/Contra. • • site:
j
Inspector:
White Cepyllnapector's File Canary Copy/Site Notice