HomeMy WebLinkAbout2014-00008 - plumbing d ^
CITY OF ORONO * 2 0 1 4 — 0 0 0 0 8 *
2750 KELLEY PARKWAY DATE ISSUED: OU06/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2250 FRENCH LAKE RD
P[N : 10-117-23-22-0012
LEGAL DESC : JOHNSTONS FRENCH LAKE 2ND ADDN
: LOT 001 BLOCK 002
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES - MULTIPLE
NOTE: PLUME3[NG 1'[XTURES: (1) KI�I'CHEN SINK,(1)DISPOSAL,(I)DISIIWASIIE?R, (1)LAUNDRY SINK,AND RGCONNGCT
GASLINES TO
RANGE AND DRYER
VALUATION OF PLUMBING 2900
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 1.45
B & D PLUMB[NG &HEATING INC. MAIL-[N FEE 2.00
4145 MACKENZIE CT NE TOTAL 53.45
ST MICHAEL, MN 55376-
(763)497-2290 Payment(s)
CREDIT CARD 8094 53.45
OWNER
ERPELDING, MARK & GRETCHEN
2250 FRENCH LAKE RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall bc performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which rcquires separatc
permits. All provisions of laws and ordinances governing diis type ot�work
shall be compied with whether or not specitied herein.'I-his permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if constn�ction is
suspended for a period of 180 days at any time afrer work has commenccd.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may bc
revoked at any time t��r due cause.
�- � � O� � � i �vi/�
Applicant Permitec Signature D Issu By Signatin�e Date �
.. Frc�:B&D PLUMBING 7634974263 01 /06/2014 11 :35 #133 P.002/004
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City of Orono �C �p ���
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Crystal Say,MN 55323 Appro�xd$V. �lamowit
(952)249-4600—Maiu :
� (952)249�616 Fa�c
�` c,`� CITY OF ORONO—PLUIVIBING PERMIT
�'��'ESHO�'� (All Conunercial Permits Mnst be Approved by the StAte Prior to City Approval)
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:GENER.AL INEORIv�TION..> '�'` ' " = �' -,'; '
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1. You may apply for phunbuig permifs by mail or in persan at the City of�ces. Applications will be
reviewed aud a permit will be issueci within tvuo workmg days.
2. Pennit cards will be sent by rehun mail aRer a review is completed. P�?ItMTI'S ARE NOT
VAI,TD iJN'ITL YOU R�CEIVE A PERMIT. WORK MUST NOT BEG1N UNTIL TE�E
pERM[T CARD IS POSTED ON TFIE JOB SITE. ;
3. Plumbi»g permits may be issited ONLY to licensed plwubing contracton and to property owners '
residing in die dwelluig.
4. When azry new constniction or remodeiing is involved,a separate building peimit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be iuspected and air tested before it is covered. Call(952)249-460�. �
(24-48 hour notfce�required) i
_ = TYPE QF PERA�IIT. '
�x� = ={Cl�eck AII:T`1�at.Apply} � _ ;
�j Kesidential ❑Commercial(Approval Required)
� '
❑New ❑Additional ❑Repairs �Replace
/ `
❑ In Accessory Sm�chu-e?
*You i�ill need nt�or apnrovAl and inay need CUP.(Per Orono City Code,Chapter 78,Article I�
,���#� 1�wrfe��'�r�i�han � � ��� ;=
�-��- r�.
site Address: �2S� �}�QX!�:11 �..1�� ��`Li�C�
Owner: �(�Y`(�`�' ��Yp. ,4�Li'�, ���� c�����ailing Address: �?SO �j/Q Y2C�1_L-����- ��-'-�i�-
City: �(a,��I"Z_L\-{�, Zip: �����i � '
Home Phone: �I 2- -v�-� -�2'�� Alternate Phone:
CY44aYiM1�V1�{.�1.r�3 � �. n. ' _
Contractor: erson: '
B&D Plumbing,Heating&A/C
Address: 4145 MacKenzie Court NE d#:
St.Michaei,MN 55376
Phone:7b3-497-2290
City: t Date:
Phone: Alternate Phone:
❑ Insurauce—Cut7'ent: ;
1
. Fro�:6&D PLUMBING 7634974263 01 /06/2014 11 :36 #133 P.003/004
FIXTUft� BSMT 1 2 OTHER FIXTURE B5MT 1 2 OTHER
TYPE FL FL TYPE FL FL
Water Closet Floor Drains
Lavatory Sewer Ejector
Baflitub Laundry��rp- `
��t\� �
Shawer Waslier
Kitche,.n gink � Water Heater
Disposal ' Water Softener ;
Dishwasher } Wet Bar
Sillcocks Miscellaneous �
���.(,J1�Y�;�.C.�R�
�O�S �1��5 �ti
��21.4"���-� � G�,1���.
� � �.. PERMIT FEE��LCU�.ATIC7N�S) ��.�
_w _�.�. �_ � =�3���D c7F� Z�(l2 ST�T�S'�,�'I'U� - .�, _,_...__ _:�
❑ Yes,this section applies
Tlie replacement of only one Residential fixhu�e or appliance that meets all three of the following
requiremeat�:
1. oes not require mo�cation to elechical or gas seivice.
2. Has a total cost of$500.00 or less;exciudinct the cost of the fixriu�e or appliance:and
3. Is improved,installed or replaced by the homeowner or lioensed plwnbing contractor.
Skip next section,if this applies; Coat of Pennit $ I S AO
State Swcharge $ 5.00
Mai]-In�'ee(If Applicabie) � 2.00
Total Per�u[t Fee S
(Permit Fees Continued On Neat Pxge)
2
. � Frc�:6&D PLUMBING 7634974263 01 /06/2014 11 :36 #133 P.004/004
- �''I�" _ .
If above does not apply;follow gtudelines below:
1. CUNTRACT PRICE *is 1.25%of contraM pnce with a(Minimum Fee of S50.00)
�
`2 x.Q125$ ��: ��
(co tract price) ^' (miniruum S50.00)
2. STATE SURCHARGE h !�
��' �^x.0005 $ I��%�
(c riract pnce)
3. POSTAGE&HANDLING(Only oia Mail-In Applicatiotis) $ 2•00 '
� � ,r
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � ` �!)
■ "` CONTRACT PRTCE or JOB COST means the actual or estnnated dollar amount charged for the ,
permitted work includiug�naterials,labor,profit,and od�er fixed costs. It is the amount to be charged
to the customer for the work done, If azty material,eqnipment,labor or installatioi�s are fwnislied by
the owner,tenant or airy odier paity,die reasonable mazket value of such items must be added to the
estunated cost or contract price for permit fee purposes. Tn the evart that there is a dispute on the
atnount of the job cost, the City may request the submisaion of a signed copy of the actual contract.
TI�TG PE + �
Tlie undersigned hereby applies to tlte City for issuance of a Pliunbing Permit, agrees to do all
work in sttict fu:cordancc with the ordinances nf the City and the rcgulations of tha Statc of
Minnesota, and certifies that all statements made on this application are complete, �ue and
co�rect.
r � � —1-r�—�---�
Applicant's Signature�' Date: 1�"_
3
� -�� DATE TIME �
CITY OF GI'SVN� CALLED IN - -
�oo g
INSPECTION O C SCHEDULED — ��
PERMIT NO �COMPLETED
ADDRESS ��� ���-�� ��x�-e /C�
OWNER ELEPHONE NO. S,'
CONTRACTOR
� DESCRIPTION � ���
�
� ❑ FOOTING �PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVEfi REMOVAL
v ❑ PLUMBING RI ❑ SE`PT'IC FINAL ❑ FOUNDATION/REMOVAL
a�RE NTRACTOR TO MEET YOU:3�YES_NO
� COMMENTS: L4.�.+�rc. !�� rei+�►�s./—
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W� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLEfE
� �QRRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDiT10NWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46�0
Own ontractor on site: � � S�
Inspector. �
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