HomeMy WebLinkAbout2017-00485 - plumbing •
CITY OF ORONO CHI 1111111111 II11111I I 1 IIII 5 *
• 2750 KELLEY PARKWAY DATE ISSUED: 05/12/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2335 OLIVER HILL
PIN : 34-118-23-33-0077
LEGAL DESC : OLIVER HILL
: LOT 2 BLOCK 2
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: NEW FIXTURES:4 WATER CLOSET,6 LAVATORY,2 BATHTUB,2 SHOWER, I KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER,2
SILCOCKS, I FLOOR DRAIN, I WASHER, I WATER HEATER
VALUATION OF PLUMBING 19648
APPLICANT PLUMBING FIXTURE FEE 245.60
STATE SURCHARGE PLBG(VALUATION) 9.82
SABRE HEATING&AIR COND INC. MAIL-IN FEE 2.00
15535 MEDINA ROAD
PLYMOUTH,MN 55447- TOTAL 257.42
(763)473-2267 Payment(s)
Minnesota State License#:mech-MB3392,plbg-PC645349 CREDIT CARD 7681 257.42
OWNER
D'ALESSANDRO,GREG&JENNIE
6368 HIDDEN LAKE CIR
RICHLAND,MI 49083-
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. PO
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Applicant Permitee Signature Date Issued By Signature Date
05/11/2017 THU 9: 13 FAX 763 473 8565 Sabre Heating & Air Cond 1002/007
FOR CITY USA ONLY �~ C-
' ..2:7—i-jt.,,, City of Orono IV 11 ,I C)OL i�
/d Q P.O.Box 66 Dale Receive((', __ l'cmiit 4 Z _ LI �i
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Czystal Bay,MN 55323 Appzuvo�l Py' �'1, Auxuud s. J
4,.. � (952)2I9 46f)q -Neill -
(952)249-4616—Fax
CITY OF ORONO-- PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
http://www.dli.tnn.gov/C('LDIPDFfpe 1)lrun bplanrevapp.hdf
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 I)EGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB Sf'E.,
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 OF PERMIT
(Check All That Apply)
'Residential 0 Commercial(Approval Required)
I'New D Additional D Repairs ❑Replace
❑ In Accessory Structure?
*You will need nrior uoorQval and may need CUP.(Per Orono City Code,Chapter 7E1,Article IV)
Job Site/Owner Information:
1
Site Address: 1-335 O (A Y' 1ALL. . . . ..
Owner: _ Mailing Address:
City: _._ Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ahvki 141) a Contact Person: pt,ruU'
Address: 1b5 kdoud 44 State Bond#: PLIA453.4 q
p
City: l4yVy1pW�'1 Zi •Cj Expiration Date: IZ.-I1•Z.01
Phone: /3,415•7.L(,1 Alternate Phone: 71/3•ZS 3. 14.7 ((
M Insurance—Current: uL9
1
J
05/11/2017 THU 9: 13 FAX 763 473 8565 Sabre Heating & Air Cond 2003/007
•
1y1)C1'URE BSMT 1Yr 2"u OTHER FIXTURE BSMT 1"sT 2OTHER
TYPE FL FL TYPE FL FL
Water Closet ( 3 Floor Drains
Lavatory -� t Sewer Ejector
Bathtub 2 Laundry Tray
Shower Washer
2. '
Kitchen Sink Water Heater
Disposal 1 Water Softener
Dishwasher Wet Bar
Sillcocks 1 Miscellaneous
If \I G;'l ri I'' }
; ; ' .t 1 '(1 , t i L',
❑ Yes,this section applies
The replacement of only one Residential fixture or appliance that meets all three of the following
requirements;
I. Does nol require modification to electrical or gas service.
2. Has a totaLcost of 5500.00 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 5 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable)
Total Permit Fee S
(Permit Fees Continued On Next Page)
2
05/11/2017 THU 9: 14 FAX 763 473 8565 Sabre Heating & Air Cenci 0004/007
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If above does not apply;follow guidelines below
I S;QNTRACT PRICE ' is 1.25%of contract
price with a(Minimum Fee of$50.00)
.u .,_,.._ x .0125$
(contract pi ico) (minimum$50.00)
2. STATE SU 4GJARGlw n� /�
I 1 t,4%.(10 x,0005 $ `T'
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above)
■ * 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.
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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: Date; 5-1P2-011
11
3
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION X10 E, SCHEDULED I \k-1_ I (j
PERMIT NO--_ __Al_�`c�'5 COMPLETED(
ADDRESS 2 �' " 4-- 0 ( ( H`L(,
OWNER �-7�TELEPHONE NOP �c)
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CONTRACTORC n'T1
a DESCRIPTION
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
s ❑ POURED WALL PLUMBIN 0 EXCAV/GRADING/FILLING
O 0 FOUNDATION WATERPROOF PLUMBING FINAL 0 TREE REMOVAL
Z ❑ RADON SLAB 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
v ❑ DEMO-SITE 0 SEPTIC INSTALL
ct OWNER/CONTRACTOR TO MEET YOU:_YES._NO
v) COMMENTS: 4. 6 - 13/ 4 - /t1.L . £/_�
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UtX-WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED IIISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. LI PHOTO TAKEN
INSPECTOR WILL RETURN
LI
❑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
OwnerlContractor on site:
Inspector. /,
White Copy/Inspector's File Canary Copy/Site Notice
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CITY OF ORONO CALLED IN i -�7 TIME
INSPECTION NO CE., , SCHEDULED (o-i.S- /7 //.' U d
PERMIT NO. • � OMPLETED
ADDRESS ,' S �� ,6C/
OWNER ,i�� EPHONE NOc3 94h,�v
CONTRACTOR l rx v-/
EDESCRIPTION P` b LJtOLP2L
lu ❑ FOOTING ❑`DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING
C 13FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q 0 FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 13SEPTIC INSTALL
ZRTO MEET YOU:_YES_NO
COMMENT& /
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O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
0
O STOP ORDER POSTED.CALL INSPECTOR NATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal for the next Inspection 24 hours in advance. (952) 249-4600
on site:
Inspector.
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Whits Copylnaactot's Fits Canary Copy/SIN Notice
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DATE TIME/
CITY OF ORONO CALLED IN _
INSPECTION NOTICE SCHEDULED /O-/ 7
PERMIT NO. )/1 COMP
ADDRESS Uaker ' .
OWNER TEL-PHONE .
CONTRACTOR .Sayte._, V
DESCRIPTION / .4 k 0/
• 0 FOOTING 0 DEMO4 L 0 SEPTIC FINAL
s ❑ POURED WALL 0 PLU RI 0 EXCAV/GRADING/FILLING
0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
It 0 FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS
❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ COMPLAINT
0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
- ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP 0 FOUNDATION/REMOVAL
. ❑ DEMO-SITE 0 SEPTIC INSTALL
Z• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
El COMMENTS: 4',9 ha Di(
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CI O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COWERING 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.
Cal for the next Inspection 24 hours in advance. (952) 249-4600
OwnedContrector on site: �J
Inspector i Y
White CopyMapsotm's FIN Canary CopylSlb Notice
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CITY OF ORONO / CALLED IN
_ i�� TIME
INSPECTION IC mkSCHEDULED —�� /7.
PERMIT NO. / '/ `o CO E,ED •
ADDRESS g)3 5 (/I '
OWNER Ai TELEPH T NO. /3 - 73- - -C.
CONTRALTO J Il ry • - - I ,
32 DESCRIPTION 7" /b It �t.
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W 0 FOOTING 0 DEMO-Fl. k 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBI - 0 EXCAV/GRADING/FILLING
O 0 FOUNDATION WATERPROOF gPLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 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
-..i ❑ DEMO-SITE 0 SEPTIC INSTALL
Z W
ONERICONfTRACTOR TO MEET YOU:_YES NO
EI COMMENTS: 0/.? - aM)
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O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN_ HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑ OP ORDER POSTED.CALL INSPECTOR ID 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.(?/111
White Copyllnspector's Flle Canary CopylSite Notice