HomeMy WebLinkAbout2013-01059 - plumbing CITY OF ORONO * 2013 - 01059 *
2750 KELLEY PARKWAY DATE ISSUED: 10/10/2013
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 591 NORTH STREAM RD
PIN : 25-118-23-34-0004
LEGAL DESC NORTH STREAM
LOT 001 BLOCK 001
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES: (1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(1)RO FAUCET TO
RO LINE TO ICEMAKER
VALUATION OF PLUMBING 700
APPLICANT PLUMBING FIXTURE FEE 50.00
B&D PLUMBING&HEATING INC. STATE SURCHARGE PLBG(VALUATION) 0.35
4145 MACKENZIE CT NE
ST MICHAEL,MN 55376- MAIL-IN FEE 2.00
(763)497-2290 TOTAL 52.35
PAID WITH CC# 8094
OWNER
PEARCE,DAVID&SUSAN
591 NORTH STREAM RD
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.
43
Applicant Permitee Signa a Date Is d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
From:B&D PLUMBING 7834974263 10/09/2013 14:41 #028 P.002/007
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y� c` CITY OF ORONO-PLUMBING PERMIT
�RkESH (All Commercial Permits Must be Approved by the State Prior to City Approval)
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604FR &JNFORMATION `.':
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 PERMrr. WORK MUST NOT BEGIN IM-M TSE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to properly 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.
(2448 hour notice required)
OResidential ❑Commercial(Approval Required)
❑New P AMt=r-�ZWOJ4 ❑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:
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Owner: �'�1.bf 1 a � �-ea-� Mniling Address: �_1 4�cy/� �tY ..Qd
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City: W fk-4:2.rJA-CA,, Zip: �4
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Home Phone: �I�f� a � Alternate Phone: €
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Contractor: _._._ Contact Person: Tenni--b/x1Pj AQP
B&D Plumbing,Heating&A/C
Ad( 4145 MacKenzie Court NE State Bond#:
St.Michael,MN 55376
Citi Phone:763497-2290 Expiration Date:
Phone: Alternate Phone:
❑ Insurance-Current:
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FrOM:13&0 PLUMBING 7634974263 10/09/2013 14:41 #028 P.003/007
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FIXTt1RE BSMT 13T fo OTHER FDMW Bshd IWK 2M OTHER
TYPE FL FL TYPE FL FL I
3
water Closet Floor Drains
Lavatory Sewer Ejector
Bathtub Laundry Tray
Shower wash
Kitchen Sink Water Heater
3
Disposal ' water Soilener
Dishwash , wet Bar
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❑ Yes,this section applies
The replacement of only one Residential fixture or sonliance that meets all three of the following
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excl 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 Surge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
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(Permit Fees Continued On Next Page)
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From:B&D PLUMBING 7634974263 10/0912013 14:42 #028 P.004/007
If above does not apply;follow guidelines below:
i. CONTRACT PRICE *is 1.25%of contractce with a
pri (Mfuimmn Fee of S50.00)
C�®�
X.0125$ I
( tom) Wwmum SM."
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2. STATE SURCE ARGE
(� X.006
$ <'15
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ i^}2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) s —35 J
■ *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the i
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 finished 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 cask the City may request the submission of a signed copy of the actual contract.
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 E
correct.
Applicant's Signature: Date: ®� l
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DATE TIME
CITY OF ORONOA0(3_ CALLED IN —
INSPECTION NOTI E 7 SCHEDULED
PERMIT NO.�`�/ "0 COMPLETED
ADDRESS ,Sg/ �� S�/� /K XV
OWNER TELEPHONE NO.eol Z 328 7 7e Z-
CONTRACTOR �� y'�
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DESCRIPTION G7G1A�
❑ FOOTING ❑ PLUMBING FINAL CAV/GRADING/FILLING
❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 COVER REMOVAL
CWNE
MBING RI ❑ SEP L ❑ FOUNDATION/REMOVAL
OONTRACTOR TO MEET YOU: YES NO
co COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED r%PUC.LECT COMPLETE
cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
E)STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White CopylInspector's File Canary Copy/Site Notice
DATE TIME
(A
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. a013-41051 COMPLETED /O -r3/f�r
ADDRESS 5 /ydrtk -C-dr-"e-1 .
OWNER TELEPHONE NO.
CONTRACTOR T. enm of
DESCRIPTION
Lu U. ❑ FOOTING pPCELUMBING FINAL ❑ EXCAV/GRADING/FIWNG
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
C ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 VgPOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL b HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
h COMMENTS:
ZA9 -Va
o� P613 - 400.3 Y/-ad _/A
U. A)63AC
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Uj ❑WORK SATISFACTORY:PROCEEDROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector:
White Copy/Inspectoes File Canary Copy/Site Notice
TIIyPE
CITY OF ORONO CALLED IN DATE
INSPECTION NOTICE SCHEDULED
PERMIT NO..20-a - 6-19'T-P COMPLETED ��-
ADDRESS WO P-&4 ••� /��
OWNER TELEPHONE NO.
CONTRACTOR B*f
DESCRIPTION
w ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
C ❑ FOUNDATION WATERPROOF BING FINAL ❑TREE REMOVAL
❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
h COMMENTS:
ac
U. -
W
CC
Q
Lu2
j
Uj ❑WORK SATISFACTORY PROCEED >eROIECTCOMPLETE
W ❑CORRECT WORK$PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours In advance. (952) 249-4600
OwmdContractor on site:
Inspect �---�
White CopyflnspecWs File Canary CopyfSite Notice