HomeMy WebLinkAbout2018-00496 - plumbing CITY OF ORONO I I I I I I I II I I I'1 I I I'I I I II
* 2018 - 00496 *
2750 KELLEY PARKWAY DATE ISSUED: 04/20/2018
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2330 OLIVER HILL
PIN : 34-118-23-33-0073
LEGAL DESC : OLIVER HILL
: LOT 3 BLOCK 1
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: (5)WATER CLOSET,(7)LAVATORY,(3)BATHTUB,(I)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(2)
SILLCOCKS,(1)FLOOR DRAINS,(1)WASHER,(I)WATER HEATER
VALUATION OF PLUMBING 14249
APPLICANT PLUMBING FIXTURE FEE 178.11
SABRE PLUMBING&HEATING STATE SURCHARGE PLBG(VALUATION) 7.12
15535 MEDINA ROAD MAIL-IN FEE 2.00
PLYMOUTH,MN 55447- TOTAL 187.23
(763)473-2267 Payment(s)
Minnesota State License#: mech-MB3392,plbg-PC645349 CREDIT CARD 7681 187.23
OWNER
MANN,BRENNA&CHARLES
2835 GARLAND LANE N
PLYMOUTH,MN 55447-
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.
Kna-‘1 eJOL , Pee-45- 1,20 jy
Applicant Permitee Signature Date Issu ,':y Signature Date
04/18/2018 WED 13: 05 FAX 763 473 8565 Sabre Heating 6 Air Cond 21002/006
9:0-ici City of Orono FOR CITY.USE ONLY: ' `
)ttor0 P.O.Box 68 Date'ReceJ , .;;
2750 Kelley Parkway1. hermit�#
Crystal Bay,MN 65323
c (952)249-4800-Maln A roved
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ss+,a` (952)249-4616-Fax pp By:
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CITY OF ORONO-- PLUMBING PERMIT
(All Commercial Permits Must be Approved by the State Prior to City Approval)
httn://www.dll.mn.aov/CCLD/PDF/pe olumbplanrevano.pdf
1!GEN i AL INroIRMATI;oN:, • ,.: ' , H. H,:::::' -,:H,H, ,
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
1"90:E1).ON.TIS VP pLTE,
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 clone 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) y+r�-y r �+ �j
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[Residential ❑ Commercial (Approval Required) [l3ackflow Device:❑AVE ❑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)
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Site Address: .35o D11v4A( 14,0.1
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor: , D1hr 149 Contact Person: Sefintit)
Address: 1%35 flAkiAlletau State Bond #: kl/453141
City: P11) rn6I,. , Zip: 551441 Expiration Date:i2-.31-zoo
Phone: 04-1 , 2.21/117 Alternate Phone: 11 •75,3 414
Fr Insurance_ Current
Page 1
44/18/2018 WED 13: 06 FAX 763 473 8565 Sabre Heating & Air Cond 0003/006
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FIXTURE BSMT "IsT ...2ND OTHER FIXTURE BSMT 15T 2N° OTHER
TYPE Floor Floor TYPE Floor Floor
Waler Closet ' + 5 Floor Drains
Lavatory ` j 5 Sower Ejector
Bathtub ' Laundry Tray
Shower
1' ' Washer i
Kitchen Sink Water Heater
Disposal Water Softener ._
Dishwasher ` Wet Bar
Silicocks '2„• Miscellaneous
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IA'C�NS� �tl'�wx�ill5 4iN)� cY.>��.x.!:�&%�zrA..J��rt.N7,.k�� 1,au la4Pi x,7,.,r,ru,tk:Ak x rw}w w.n�..Yl�iu. 47y,..� r tl...':�n.e ,i.:ti':�4e;:ihllx, ey �(:Y,�n�ldn^.,1rLl,.r,�1L.v I+r�B.l:.�:ti.aainal!rr..M.a R ).
1- CONTRACT PRICE *is 1.25%of contract price with a (Minimum Fee of$50.00)
OQ x.0125 $ U
(contract price) (minimum$50-00)
2. STATE SURCHARGE
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ 131.2•
* 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 submissiont 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 applicationl\IL44,L4nd%41
are complete, true and correct.
Applicant's Signature: 4( Date: ''I 1.ioi I( _
Building Official/ Inspector: Date:
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