HomeMy WebLinkAbout2018-00304 - plumbing CITY OF ORONO I 1 I
* 2018 - 00304 *
2750 KELLEY PARKWAY DATE ISSUED: 03/16/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2839 GOLDENROD WAY
PIN : 33-118-23-24-0029
LEGAL DESC : ORONO PRESERVE
: LOT 4 BLOCK 3
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (3)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2)
SILLCOCKS,(1)FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER
VALUATION OF PLUMBING 15021
APPLICANT PLUMBING FIXTURE FEE 187.77
STATE SURCHARGE PLBG(VALUATION) 7.51
SABRE PLUMBING&HEATING MAIL-IN FEE 2.00
15535 MEDINA ROAD
PLYMOUTH,MN 55447- TOTAL 197.28
(763)473-2267 Payment(s)
Minnesota State License#:mech-MB3392,plbg-PC645349 CREDIT CARD 7681 197.28
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. J1 �p �)
( vWMLuI)
Applicant Permitee Signature Date Issued By Signature Date
03/15/2018 THU 14: 53 FAx 763 473 8565 Sabre Heating & Air Cond J002/006
QCity of Orono FOR CIT USE ONLY.,
O�, P.O. Box 66 Date Received: —/ S-/ 0
2750 Kelley Parkway22��--,,
Crystal Bay,MN 55323 Permit# 1O/S'dt�.�tJ
gym(, t, 4C (952)249-4600--Main Approved By:
Ktal,a%,. (952)2494616-Fax �
Amount$; 1 917
"/-M.
CITY OF ORONO PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dlLmn.gov/CCLD/PDF/pe pturnbplanrevapp.Ddf
I GENERAL INFORMATION,
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE,
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952)249-4600.
(24-48 hour notice required)
TYPE C1F PERN1�T�G;,h$ck';All TOa.APp,10 ;
Residential ❑Commercial(Approval Required) (Backflow Device:❑AVB ❑PVB)
New ❑Additional ❑ Repairs [' Replace
❑ In Accessory Structure?
*You will need Prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV)
(-Jof„ 1,te./Oiler Iiformatipn:,
Site Address: 2- ' e id./v,f d N(a t)
Owner: Mailing Address:
City:,._ Zip: _.. .
Home Phone: Alternate Phone:
Co tractor ilnforimatiQ,ni
Contractor: q,I011(R, P Ra yr 41'9 Contact Person: nesh 'ibi
Address: 1615 5 lditLA Imo# State Bond #:
City: Pt13111aIA , Zip: 56LIill Expiration Date: 11.51-aol V
Phone: •'lUPJ• Alternate Phone: 1t,3
El/Insurance—Current:
Page i
03/15/2018 THU 14: 53 FAX 763 473 8565 Sabre seating & Air Cond Q003/006
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FIXTURE BSMT 18T 2ND OTHER FIXTURE BSMT 1ST
2"D OTHER
TYPE Floor Floor TYPE Floor Floor
Water Closet ( -2- Floor Drains
Lavatory 2 3 Sewer Ejector
Bathtub _I_ Laundry Tray I
Shower 1 Washer 1
Kitchen Sink Water Heater j
Disposal ' Water Softener
Dishwasher Wet Bar
r
Sillcocks 2- Miscellaneous
'j'T- i(,i,7 ftp b �:�f �LLI..T.�,`�Ir� VDP77. 7 "
1. CONTRACT PRICE " is 1.25%of contract price with a (Minimum Fee of$50.00)
15011. Lig x.0125 $ 1$1,1' )
(contract price) (minimum$50.00)
2. STATE SURCHARGE
15a 2i 4 x.0005 $ 151
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 19/.2Z
* 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: ti1r. 4.4.444.1d4Date: 3 •/5 ZI)iK
Building Official/Inspector: _ Date:
Page 2
DATEzEr/ TIME
E, 2" _S-ejt—.
CITY OF ORONO CALLED IN ��' - —g —
INSPECTION N e E i HEDULED V
PERMIT NO. 4004 •'0COMPLETED
ADDRESS *I' • ,r Eli _/�J A . /
OWNER TELEPHONE •.L 5— 73-;12N-
4 1
CONTRACT()- / 1 ' = 'N
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3-.. DESCRIPTION g 4AL v t,c am/
W ❑ FOOTING 0 DEMO SEPTIC FINAL
Q ❑ POURED WALLMBING RI 0 EXCAV/GRADING/FILLING
y ❑ FOUNDATION DRAIN TILE PLUMBING FINAL 0 TREE REMOVAL
Z ❑ LATHE 0 MECHANICAL RI ❑ SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
❑ INSULATION ❑ 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
v ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS: 4/11
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CILir RKSATISFACTORY:PROCEED 0 PROJECT COMPLETE
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W 0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
C3 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the : - ,- ' - • • 24 rs in advance. (952) 249-4600
Ownor/Contra • • - e:
Inspector. ei,s4,0 J
White Copynnspector's File Canary Copy/Site Notice
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DATE TIM/
CITY OFORONO CALLED IN =,
INSPECECTIO 40:110E��, ( SCHEDULED
PERMIT NO-AC) `i' COMPLETED _t
ADDRESS 2 3 C;(162 r\ d `k-
OWNERTELEPHONE NO. (912, 3o 7
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CONTRACTOR t_ 54--(c.cr-c-
�. DESCRIPTION
IQ 0 FOOTING ■ • maser' 0 SEPTIC FINAL
• ❑ POURED WALL ■ ❑ EXCAV/GRADING/FILLING
❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
❑ DEMO-SITE 0 SEPTIC INSTALL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
v)• COMMENTS:
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RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice