HomeMy WebLinkAbout2017-01650 - plumbing •
CITY OF ORONO *I I I I I I IIIIII1IS *
2750 KELLEY PARKWAY DATE ISSUED: 12/21/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2880 GOLDENROD WAY
PIN : 33-118-23-24-0046
LEGAL DESC : ORONO PRESERVE
: LOT 16 BLOCK 4
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (4)WATER CLOSETS(6)LAVATORIES(3)BATHTUB(1)SHOWER(1)KITCHEN SINK(1)DISPOSAL(1)DISHWASHER(2)
SILLCOCKS(1)FLOOR DRAINS(1)LAUNDRY TRAY(1)WASHER(1)WATER HEATER(1)PVB
VALUATION OF PLUMBING 16837
APPLICANT PLUMBING FIXTURE FEE 210.47
STATE SURCHARGE PLBG(VALUATION) 8.42
SABRE PLUMBING&HEATING MAIL-IN FEE 2.00
15535 MEDINA ROAD
PLYMOUTH,MN 55447- TOTAL 220.89
(763)473-2267 Payment(s)
Minnesota State License#:mech-MB3392,plbg-PC645349 CREDIT CARD 7681 220.89
OWNER
OP5 Orono LLC
15250 WAYZATA BLVD#101
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.
Applicant Permitee Signature Date Issued By Signature Date
, 12/21/2017 THU 12: 06 FAX 763 473 8565 Sabre Heating & Air Cond 2002/007
FOR cm'USE ONLY
Cily orotund
ti V I'.U.Hox 6G 1.)it,Rceci�+rd a',F!�i'171'crrnil 11o201_11."-°
�', - �•i 2750 t elky Parkwhy i
Crystal liuy,Ml4 55321 Approved 13y: I//lam Amami'.S.g�7^
1'4 11}1(l„�,8+' (952)2149-4400 MnO;
lqs (952)249-4616–)pax
C1'FY OF ORONO — PLUMBING PERMIT
(All Commercial Pcr,rrits Mfusf be Approved by the State Prior to City Approval)
Irttp://www.dli.ntn,juv/C.Cl-,UM0E/pe~ plumb pianrcvapp.I)(ti -_
I-GENERAL INFORMATION .. j
I. 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. PTS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON TEM JOB SITS.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new 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.
(24-4S hour notice required)
TYPE OF OP PERNII'r
,{ (Check All That Apply)
L1 Residential ❑Commercial(Approval Required)
(Y(New Q Additional [I Repairs ❑Replace
0 In Accessory Structure?
*You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article 1V)
lots Site/Owner Information: - W
Site Address: 2- C '0 I dA,r Vod V va _
Owner; Mailing Address:
City: Zip:
Hoare Phone: Alternate Phone:
Contractor information:
Contractor: .S00.1. P c) 4 lit Contact Person: _ 5A4Akvi
Address: jhuagAsiel. State Bond#: IAC Ue453'k�j
City: 9_14WIO 1 Zip:554141 Expiration Date: I�• i-Z
Phone: '-11D11.4-lb•2.7_1'l Alternate Phone: � Ii 7).7F •417'y
Insurance-Current: 0)
12/21/2017 THU 12: 06 FAX 763 473 8565 Sabre Heating 6 Air Cond fj003/007
•
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FU TURE $SMT 1 2' OTHER FIXTURE BSMT Fr.
2"u UTIIT?lt
'TYPE FT. 11, TYPE FL FT.,
Water Closet I 3 Floor Drains
Lavatory I 5 Sewer Ejector
Bathtub Laundry Tray
Shower I Washer 1
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks 2_ Misc llane us
,1 I 1�`.11 t I Ir I��r `` E.�1� fl r.'O If ' Il..'Tc.
Yes,this section applies
The replacement of only one Residential fixture 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;excluding 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 $ 15,00
State Surcharge $_ 5,00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee S
(Permit Fees Continued On Next Page)
2
, . �^ - _,- •
--. .. , - - . - �� .. - -..
r2/21/2017 Tau 12: 07 FAX 763 473 8565 Sabre Heating & Air Cond 2004/007
%.71;14,1,77.1.774.77;17. "f't t .i f t ii' i 1 p t� ^.rrnr?- f ♦, n Pkv ,1b �'.
i {rr L�,r,ritt ( c fff tf� rr ? ba 'rise tr i 111 e
?,�E7.'�}�:!sa7ll,,fi.
11 ihnve does not apply,follow guidelines below:
1. CONTRACT PRICJf * is 1.25%of contract price with a(Minimum Fee of$50.00)
L6151. 34 x.0]25 $ 110.4
(=Inlet price) (minimum$50.40)
2, STATE SIJRCUARGIi �l
W6i, t x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEC(Add Lines 1-3 Above) $ 120. C�
* 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 be 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,
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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 are complete, true and
correct.
Applicant's Signature: clOWLglitl LDate: 1
r a1.fr�7
3
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-
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K7A DATE TIME
CITY OF ORONO CALLED IN ,(„ ".'
INSPECTION NOTICE SCHEDULED = _ =
PERMIT NO. �o/7-0/650 OOJMPLETED —r I.�i
ADDRESS -2745-0 4-61,Y � (A)c l
OWNER TELEPHONE NO. l - 7 - -a7
ire--- r 7
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CONTRACTOR V
DESCRIPTION plb - a . G__.
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
4.Q ❑ POURED WALL �(�PLUIUBING RI ❑ EXCAV/GRADING/FILLING
LI Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL El TREE REMOVAL
❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL El WATER HOOK-UP 0 FOLLOW-UP
41 ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
. ❑ DEMO-SITE ElS TIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU: _NO
• COMMENTS: j h
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Ct1 K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
41 ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 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• i spection 24 advance. (952) 249-4600
Ownerl'Contract. site:
Inspector. orJ/
White Copy/Inspector's File Canary CopylSite Notice
l\ DATE TIME
vy CITY OF ORONO CALLED IN 57-/-/
�a/ U f
INSPECTION QQ ICE SCHEDULED
PERMIT NO. 4'I/- c/II V S C C PLETE
ADDRESS c;7C�C "` 1
OWNERTELEPHONE NO. (5t
CONTRACTOR �✓��
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DESCRIPTION 60.4co r /
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0 FOOTING 0 DEMFINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
• 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q 0 FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP 0 FOUNDATION/REMOVAL
✓ ❑ DEMO-SITE ❑ SEPTIC INSTALL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS: G are-4 54 1.40/71".*- .y� d
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CCCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR El 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. 47-47-s-24
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
(/
CITY OF ORONO CALLED IN DATE
INSPECTION NQTI�� SCHEDULED f i 7 I/'M )
PERMIT NO. c�l� coMf ED � y V'
ADDRESS f 0 eAL / I . .._
OWNER TELEPHONE NO. i• --7 ' df Y
CONTRACTOR 5Ire---- riC
. --,/2.44
DESCRIPTION
P/ItW ❑ FOOTING ❑ DEMO- 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
12
C ❑ FOUNDATION DRAIN TILE M JNG FINAL 0 TREE REMOVAL
Z ❑ LATHE ��❑ MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ElFINAL ElWATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
✓ ❑ DEMO-SITE ElSEPTIC INSTALL
IC Z W
ONERICONTRACTOR TO MEET YOU:_YES_NO
• COMMENTS:
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iKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
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W 0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V 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 xt inspection 24 rs in advance. (952) 249-4600
Owne-CContra • site:
Inspector. i rfre
White Copyllnspector's File Canary Copy/Site Notice